Treatment of Localized Gingival Recession with Alloderm®, An Acellular Dermal Matrix Allograft: A Six Month Clinical Study

Authors

  • Mittal Patel Reader, Department Of Periodontia, Goenka Research Institute Of Dental Sciences, Gandhinagar
  • Neeta Bhavsar Professor And HOD, Department Of Periodontia ,Govt. Dental College & Hospital, Ahmedabad
  • Ketan Prajapati Tutor, Department Of Oral Pathology, Siddhpur Dental College & Hospital, Siddhpur
  • Mayank Parmar Professor And HOD, Department Of Periodontia, Goenka Research Institute Of Dental Sciences, Gandhinagar
  • Alpesh Patel Professor And HOD, Department Of Oral Pathology, Goenka Research Institute Of Dental Sciences, Gandhinagar
  • Charchil Patel Tutor, Department Of Oral And Maxillofacial Surgery, Siddhpur Dental College & Hospital, Siddhpur

DOI:

https://doi.org/10.70284/njirm.v9i3.2349

Keywords:

Alloderm, Gingival recession, Mucogingival surgery

Abstract

Aim: Evaluation of root length coverage obtained clinically following use of acellular dermal matrix allograft (alloderm®) in the treatment of class I recession. Methods: The present study included ten individuals who had class I gingival recession on the labial aspect of anterior teeth. Acellular matrix allograft (Alloderm®) was used in this study for gingival recession coverage. Lengh of gingival recession was recorded preoperatively at the time of surgery and post-operatively at 2nd, 4th, 12th and 24th week. Obtained data was statically analyzed. Results: When comparison of mean preoperative and post-operative length of recession (in mm) was done at 180 days all patients showed highly statically significant ( p< 0.01) decrease in length of recession from preoperative value. When comparison of mean length of recession was done at 90 and 180 days there was no statically significant (p>0.05) difference in length of recession at 180 days from 90 days. Conclusion: Within the limits of this clinical study the Acellular dermal matrix allograft Alloderm®, is a useful and predictable surgical technique for treatment of gingival recessions. [M Patel, Natl J Integr Res Med, 2018; 9(3):37-42]

References

1. Grupe HE, Warren RF. Repair of gingival defects by a sliding flap operation. JPeriodontal, 1956;24:92.
2. Pannel BM, Higgson JD. Oblique rotated flap. J Periodontal, 1965;36:305.
3. Cohen DW, Ross SE. Double papilla repositioned flap in periodontal therapy. J Periodontal, 1964; 2: 229.
4. Tarnow DP. Semilunar coronally repositioned flap. J Periodontal, 1986; 13:182.
5. Langer B, Langer L. Subepithelial connective tissue graft technique for coverage. J Periodontal, 1985; 56:715.
6. Dodge JR, Henderson R. Greenwell H. Root coverage without a palatal donor site using an acellular dermal graft. Perio Insights, 1998;5-9.
7. Harris RJ. Root coverage with a connective tissue with partial thickness double pedicle graft and an acellular dermal matrix graft: A clinical and histological evaluation of a case report. J Periodontal, 1998; 69: 1305-1311.
8. Reidy AMB, Yukna RA, Mayer ET. Alloderm acellular dermal matrix used for root coverage. Abst at the AAP 84th Annual Meeting. Sept 12 – 16; 1998, Boston, Massachusetts.
9. Tal H. Subgingival acellular dermal matrix allograft for the treatment of gingival recession. A case report. J Periodontal, 1999; 70: 1118 – 1124.
10. Harris RJ. Acellular dermal matrix used for root coverage: 18 month follow up observation. Int J Perio Restorative Dent, 2002; 22: 156 – 163.
11. Reidy MEA, Yukna R. Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession. J Periodontal, 2001; 72: 998 – 1005.
12. Henderson R, Greenwell H. Predictable multiple site root coverage using an acellular dermal matrix allograft. J Periodontal, 2001; 72: 571 – 582.
13. Bernimoulin JP, Luischer B, Muhlemann HR. Coronally repositioned periodontal flap. Journal of Clinical Periodontology, 1975; 2:1.
14. Harris RJ. A comparative study of root coverage obtained with an acellular dermal matrix versus a connective tissue graft: Result of 107 recession defects in 50 consecutively treated patients. Int J Perio Rest Dent, 2000; 20: 51 – 59.
15. Noveas AB, Grisi D et al. Comparative 6 month clinical study of a subepithelial connective tissue graft and acellular dermal matrix for the treatment gingival recession. J Periodontol, 2001; 72: 1477 – 1484.
16. Harris RJ. Clinical evaluation of three techniques to augment keratinized tissue without root coverage. J Periodontal, 2001; 72:932-938.

Downloads

Published

2018-07-19

How to Cite

Patel, M., Bhavsar, N., Prajapati, K., Parmar, M., Patel, A., & Patel, C. (2018). Treatment of Localized Gingival Recession with Alloderm®, An Acellular Dermal Matrix Allograft: A Six Month Clinical Study. National Journal of Integrated Research in Medicine, 9(3), 37–42. https://doi.org/10.70284/njirm.v9i3.2349

Issue

Section

Original Articles