Root coverage with free rotated papilla autograft using envelop technique
Gingival Recession
Keywords:
Case Report, Connective Tissue, Gingival Recession, Surgical FlapsAbstract
Background: Most commonly palatal region is used as the donor site for obtaining connective tissue graft for root coverage as it has the advantage of providing a wide area for obtaining the graft. In the cases requiring small size of graft other intraoral regions can also be used. This is a case report which demonstrates the use of interdental papilla for obtaining connective tissue for root coverage in single teeth in the lower anterior region. Methods: The technique involved creating an envelope in the tissue around the denuded root surface and placing the connective tissue graft taken from the interdental papilla over the recession defect.Result: Clinically significant amount of root coverage was obtained. Conclusion: Root coverage of a shallow narrow recession defect can be obtained with free rotated papilla autograft using envelop technique.
References
2. WennstrÖm JL. Mucogingival therapy. In: Proceedings of the World Workshop in Periodontics. Ann Periodontol 1996; 1: 671-701.
3. Raetzke PB. Covering localized areas of root exposure employing the “envelope†technique. J Periodontol 1985; 56: 397-402.
4. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985; 56: 715-720.
5. Nelson SW. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for coverage of denuded root surfaces. J Periodontol 1987; 58; 95-102.
6. Harris RJ. The connective tissue and partial thickness double pedicle graft: A predictable method of obtaining root coverage. J Periodontol 1992; 63: 477-486.
7. Hüzeler MB, Weng D. A single- incision technique to harvest subepithelial connective tissue grafts from the palate. Int J Periodontics Restorative Dent 1999; 19: 279-287.
8. Reiser GM, Bruno JF, Mahan PE, Larkin LH. The subepithelial connective tissue graft palatal donor site: Anatomic considerations for surgeons. Int J Periodontics Restorative Dent 1996; 16: 130-137.
9. Tinti C, Parma-Benfenati S. The free rotated papilla autograft: A new bilaminar grafting procedure for coverage of multiple shallow gingival recessions. J Periodontol 1996; 70: 1064-1079.
10. Francetti L,Del Fabbro M, Testori T, Weinstein RL. Periodontal Microsurgery: Report of 16 cases consecutively treated by the free rotated papilla autograft technique combined with the coronally advanced flap. Int J Periodontics Restorative Dent 2004; 24: 272-279.
11. Uchida H, Kobayashi K, Nagao M. Measurement in vivo of masticatory mucosal thickness with 20 MHz B-mode ultrasonic diagnostic equipment. J Dent Res 1989;68:95-100.
12. Studer SP, Allen EP, Rees TC, Kouba A. The thickness of masticatory mucosa in the human hard palate and tuberosity as potential donor sites for ridge augmentation procedures. J Periodontol 1997; 68: 145-151.
13. Muller HP, Schaller N, Eger T, Heinecke A. Thickness of masticatory mucosa. J Clin Periodontol 2000; 27: 431-436.
14. Wara-aswapati N, Pitiphat W, Chandrapho N, Rattanayatikul C, Karimbux N. Thickness of palatal masticatory mucosa associated with age. J Periodontol 2001; 72: 1407-1412.
15. Kim HJ, Yun HS, Park HD, Kim DH, Park YC. Softtissue and cortical-bone thickness at orthodontic implant sites. Am J Orthod Dentofacial Orthop 2006; 130: 177-182.
16. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985; 5(2): 9-13.
