The subepithelial connective tissue graft: Part II. Histologic healing and clinical root coverage

Journal of Contemporary Dental Practice

Volumn 6, Issue 2, 2005, Pages 139-150

  Sedon, Constance L ^a   Breault, Lawrence G ^b,c,d   Covington, Lemuel L ^e   Bishop, Barry G ^e,f,g  

^a 561st Medical Company   (Germany)

^b U S ARMY   (United States)

^c American Board of Periodontology   (Kuwait)

^d US Army Dental Activity Fort Gordon   (United States)

^e Advanced General Dentistry Program   (United States)

^f Academy of General Dentistry

^g American Board of General Dentistry   (United States)

Author keywords

Connective tissue graft; Gingival recession; Periodontal plastic surgery; Root coverage

Indexed keywords

ARTICLE; CONNECTIVE TISSUE; HEALING; HISTOLOGY; PEDICLED SKIN FLAP; PERIODONTICS; SKIN GRAFT; SURGICAL TECHNIQUE; TISSUE GRAFT; TOOTH ROOT;

EID: 21744434738     PISSN: 15263711     EISSN: 15263711     Source Type: Journal    
DOI: 10.5005/jcdp-6-2-139     Document Type: Article

References (81)

1. Koke U, Sander C, Heinecke A, et al. A possible influence of gingival dimensions on attachment loss and gingival recession following placement of artificial crowns. Int J Periodontics Restorative Dent. 2003 Oct;23(5):439-45.
2. Khocht A, Simon G, Person P, et al. Gingival recession in relation to history of hard toothbrush use. J Periodontol 1993;(64):900-5.
3. Gorman WJ. Prevalence and etiology of gingival recession. J Periodontol 1967;38:316-22.
4. Coatoam GW, Behrents RG, Bissada NG. The width of keratinized gingival during orthodontic treatment. Its significance and impact on periodontal status. J Periodontol 1981; 52:307-313.
5. Stoner JE, Mazdyasna S. Gingival recession in the lower incisor region of 15-year old subjects. J Periodontol 1980;51(2):74-6.
6. Ingervall B, Jacobsson U, Nyman S. A clinical study of the relationship between crowding of teeth, plaque and gingival condition. J Clin Periodontol 1977;4:214-222.
7. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003 Feb;134(2):220-5.
8. Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part I. Patient Selection and Surgical Techniques. J Contemp Dent Pract 2005 February;(6)1:146-162.
9. Harris RJ. Human histologic evaluation of root coverage obtained with a connective tissue with partial thickness double pedicle graft. A case report. J Periodontol. 1999 Jul;70(7):813-21.
10. Harris RJ. Successful root coverage: a human histologic evaluation of a case. Int J Periodontics Restorative Dent. 1999 Oct;19(5):439-47.
11. Bruno JF, Bowers GM. Histology of a human biopsy section following the placement of a subepithelial connective tissue graft. Int J Periodontics Restorative Dent. 2000 Jun;20(3):225-31.
12. Rasperini G, Silvestri M, Schenk RK, et al. Clinical and histologic evaluation of human gingival recession treated with a subepithelial connective tissue graft and enamel matrix derivative (Emdogain): a case report. Int J Periodontics Restorative Dent. 2000 Jun;20(3):269-75.
13. Goldstein M, Boyan BD, Cochran DL, et al. Human histology of new attachment after root coverage using subepithelial connective tissue graft. J Clin Periodontol. 2001 Jul;28(7):657-62.
14. Majzoub Z, Landi L, Grusovin MG, et al. Histology of connective tissue graft. A case report. J Periodontol. 2001 Nov;72(11):1607-15.
15. Nelson SW. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol. 1987 Feb;58(2):95-102.
16. Carnio J, Camargo PM, Kenney EB, et al. Histological evaluation of 4 cases of root coverage following a connective tissue graft combined with an enamel matrix derivative preparation. J Periodontol. 2002 Dec;73(12):1534-43.
17. McGuire MK, Cochran DL. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2: Histological evaluation. J Periodontol. 2003 Aug;74(8):1126-35.
18. Pasquinelli KL. The histology of new attachment utilizing a thick autogenous soft tissue graft in an area of deep recession: a case report. Int J Periodontics Restorative Dent. 1995 Jun;15(3):248-57.
19. Sugarman EF. A clinical and histological study of the attachment of grafted tissue to bone and teeth. J Periodontol. 1969 Jul;40(7):381-7.
20. Common J, McFall WT Jr. The effects of citric acid on attachment of laterally positioned flaps. J Periodontol. 1983 Jan;54(1):9-18.
21. Richardson CR, Maynard JG. Acellular dermal graft: a human histologic case report. Int J Periodontics Restorative Dent. 2002 Feb;22(1):21-9.
22. Vincenzi G, De Chiesa A, Trisi P. Guided tissue regeneration using a resorbable membrane in gingival recession-type defects: a histologic case report in humans. Int J Periodontics Restorative Dent. 1998 Feb;18(1):24-33.
23. Cortellini P, Clauser C, Prato GP. Histologic assessment of new attachment following the treatment of a human buccal recession by means of a guided tissue regeneration procedure. J Periodontol. 1993 May;64(5):387-91.
24. Parma-Benfenati S, Tinti C. Histologic evaluation of new attachment utilizing a titanium-reinforced barrier membrane in a mucogingival recession defect. A case report. J Periodontol. 1998 Jul; 69(7):834-9.
25. Harris RJ. Histologic evaluation of root coverage obtained with GTR in humans: a case report. Int J Periodontics Restorative Dent. 2001 Jun;21(3):240-51.
26. Harris RJ. Human histologic evaluation of root coverage obtained with a connective tissue with partial thickness double pedicle graft. A case report. J Periodontol. 1999 Jul;70(7):813-21.
27. Goldman H, Schluger S, Fox L, et al. Periodontal Therapy, 3rd ed. St. Louis: C.V. Mosby Co.; 1964:560.
28. Borghetti A, Gardella JP. Thick gingival autograft for the coverage of gingival recession: a clinical evaluation. Int J Periodontics Restorative Dent. 1990;10(3):216-29.
29. Fagan F. Clinical comparison of the free soft tissue autograft and partial thickness apically positioned flap - preoperative gingival or mucosal margins. J Periodontol. 1975 Oct;46(10):586-95.
30. Bell LA, Valluzzo TA, Garnick JJ, et al. The presence of "creeping attachment" in human gingiva. J Periodontol. 1978 Oct;49(10):513-7.
31. Haeri A, Parsell D. Creeping attachment: autogenous graft vs dermal matrix allograft. Compend Contin Educ Dent. 2000 Sep;21(9):725-9; quiz 730.
32. Harris RJ. Creeping attachment associated with the connective tissue with partial-thickness double pedicle graft. J Periodontol. 1997 Sep;68(9):890-9.
33. Harris RJ. Root coverage with connective tissue grafts: an evaluation of short- and long-term results. J Periodontol. 2002 Sep;73(9):1054-9.
34. Lee YM, Kim JY, Seol YJ, et al. A 3-year longitudinal evaluation of subpedicle free connective tissue graft forgingival recession coverage. J Periodontol. 2002 Dec;73(12):1412-8.
35. Raetzke PB. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol. 1985 Jul;56(7):397-402.
36. Harris RJ. The connective tissue and partial thickness double pedicle graft: a predictable method of obtaining root coverage. J Periodontol. 1992 May;63(5):477-86.
37. Jahnke PV, Sandifer JB, Gher ME, et al. Thick free gingival and connective tissue autografts for root coverage. J Periodontol. 1993 Apr; 64 (4): 315-22.
38. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Clinical results. Int J Periodontics Restorative Dent. 1994 Aug;14(4):302-15.
39. Borghetti A, Louise F. Controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession. J Periodontol. 1994 Dec;65(12):1107-12.
40. Bouchard P, Etienne D, Ouhayoun JP, et al. Subepithelial connective tissue grafts in the treatment of gingival recessions. A comparative study of 2 procedures. J Periodontol. 1994 Oct;65(10):929-36.
41. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985 Dec;56(12):715-20.
42. Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol. 1996 Aug;23(8):770-7.
43. Bouchard P, Nilveus R, Etienne D. Clinical evaluation of tetracycline HCl conditioning in the treatment of gingival recessions. A comparative study. J Periodontol. 1997 Mar;68(3):262-9.
44. Müller HP, Eger T, Schorb A. Gingival dimensions after root coverage with free connective tissue grafts. J Clin Periodontol. 1998 May;25(5):424-30.
45. Cordioli G, Mortarino C, Chierico A, et al. Comparison of 2 techniques of subepithelial connective tissue graft in the treatment of gingival recessions. J Periodontol. 2001 Nov;72(11):1470-6.
46. Hirsch A, Attal U, Chai E, et al. Root coverage and pocket reduction as combined surgical procedures. J Periodontol. 2001 Nov;72(11):1572-9.
47. Goldstein M, Nasatzky E, Goultschin J, et al. Coverage of previously carious roots is as predictable a procedure as coverage of intact roots. J Periodontol. 2002 Dec;73(12):1419-26.
48. Harris RJ. Connective tissue grafts combined with either double pedicle grafts or coronally positioned pedicle grafts: results of 266 consecutively treated defects in 200 patients. Int J Periodontics Restorative Dent. 2002 Oct;22(5):463-71.
49. Harris RJ. Root coverage in molar recession: report of 50 consecutive cases treated with subepithelial connective tissue grafts. J Periodontol. 2003 May;74(5):703-8.
50. Tozum TF, Dini FM. Treatment of adjacent gingival recessions with subepithelial connective tissue grafts and the modified tunnel technique. Quintessence Int. 2003 Jan;34(1):7-13.
51. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. Part III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;5(2):15-37.
52. Matter J. Creeping attachment of free gingival grafts. A five-year follow-up study. J Periodontol. 1980 Dec;51(12):681-5.
53. Paolantonio M, di Murro C, Cattabriga A, et al. Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces. A 5-year clinical study. J Clin Periodontol. 1997 Jan;24(1):51-6.
54. Berlucchi I, Francetti L, Del Fabbro M, et al. Enamel matrix proteins (Emdogain) in combination with coronally advanced flap or subepithelial connective tissue graft in the treatment of shallow gingival recessions. Int J Periodontics Restorative Dent. 2002 Dec;22(6):583-93.
55. McGuire MK, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 1: Comparison of clinical parameters. J Periodontol. 2003 Aug;74(8):1110-25.
56. da Silva RC, Joly JC, de Lima AF, et al. Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft. J Periodontol. 2004 Mar;75(3):413-9.
57. Nemcovsky CE, Artzi Z, Tal H, et al. A multicenter comparative study of two root coverage procedures: coronally advanced flap with addition of enamel matrix proteins and subpedicle connective tissue graft. J Periodontol. 2004 Apr;75(4):600-7.
58. Novaes AB Jr, Grisi DC, Molina GO, et al. Comparative 6-month clinical study of a subepithelial connective tissue graft and acellular dermal matrix graft for the treatment of gingival recession. J Periodontol. 2001 Nov;72(11):1477-84.
59. Aichelmann-Reidy ME, Yukna RA, Evans GH, et al. Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession. J Periodontol. 2001 Aug;72(8):998-1005.
60. Tal H, Moses O, Zohar R, et al. Root coverage of advanced gingival recession: a comparative study between acellular dermal matrix allograft and subepithelial connective tissue grafts. J Periodontol. 2002 Dec;73(12):1405-11.
61. Paolantonio M, Dolci M, Esposito P, et al. Subpedicle acellular dermal matrix graft and autogenous connective tissue graft in the treatment of gingival recessions: a comparative 1-year clinical study. J Periodontol. 2002 Nov;73(11):1299-307.
62. Harris RJ. A short-term and long-term comparison of root coverage with an acellular dermal matrix and a subepithelial graft. J Periodontol. 2004 May;75(5):734-43.
63. Ricci G, Silvestri M, Tinti C, et al. A clinical/statistical comparison between the subpedicle connective tissue graft method and the guided tissue regeneration technique in root coverage. Int J Periodontics Restorative Dent. 1996 Dec;16(6):538-45.
64. Trombelli L, Scabbia A, Tatakis DN, et al. Subpedicle connective tissue graft versus guided tissue regeneration with bioabsorbable membrane in the treatment of human gingival recession defects. J Periodontol. 1998 Nov;69(11):1271-7.
65. Harris RJ. A comparison of 2 root coverage techniques: guided tissue regeneration with a bioabsorbable matrix style membrane versus a connective tissue graft combined with a coronally positioned pedicle graft without vertical incisions. results of a series of consecutive cases. J Periodontol. 1998 Dec;69(12):1426-34.
66. Zucchelli G, Clauser C, De Sanctis M, et al. Mucogingival versus guided tissue regeneration procedures in the treatment of deep recession type defects. J Periodontol. 1998 Feb;69(2):138-45.
67. Borghetti A, Glise JM, Monnet-Corti V, et al. Comparative clinical study of a bioabsorbable membrane and subepithelial connective tissue graft in the treatment of human gingival recession. J Periodontol. 1999 Feb;70(2):123-30.
68. Rosetti EP, Marcantonio RA, Rossa C Jr, et al. Treatment of gingival recession: comparative study between subepithelial connective tissue graft and guided tissue regeneration. J Periodontol. 2000 Sep;71(9):1441-7.
69. Tatakis DN, Trombelli L. Gingival recession treatment: guided tissue regeneration with bioabsorbable membrane versus connective tissue graft. J Periodontol. 2000 Feb;71(2):299-307.
70. Romagna-Genon C. Comparative clinical study of guided tissue regeneration with a bioabsorbable bilayer collagen membrane and subepithelial connective tissue graft. J Periodontol. 2001 Sep;72(9):1258-64.
71. Müller HP, Stahl M, Eger T. Failure of root coverage of shallow gingival recessions employing GTR and a bioresorbable membrane. Int J Periodontics Restorative Dent. 2001 Apr;21(2):171-81.
72. Wang HL, Bunyaratavej P, Labadie M, et al. Comparison of 2 clinical techniques for treatment of gingival recession. J Periodontol. 2001 Oct;72(10):1301-11.
73. Paolantonio M. Treatment of gingival recessions by combined periodontal regenerative technique, guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. J Periodontol. 2002 Jan;73(1):53-62.
74. Cetiner D, Parlar A, Balos K, et al. Comparative clinical study of connective tissue graft and two types of bioabsorbable barriers in the treatment of localized gingival recessions. J Periodontol. 2003 Aug;74(8):1196-205.
75. Roccuzzo M, Bunino M, Needleman I, et al. Periodontal plastic surgery for treatment of localized gingival recessions: A systematic review. J Clin Periodontol. 2002: 29(Suppl. 3): 178-194.
76. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2003 Dec;8(1):303-20. Review.
77. Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: Prevalence, severity and extent of GR. J Periodontol 1992;63:489-495.
78. Pini Prato G, Clauser C, Cortellini P, et al. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal recessions. A 4-year follow-up study. J Periodontol. 1996 Nov;67(11):1216-23.
79. Scabbia A, Trombelli L. Long-term stability of the mucogingival complex following guided tissueregeneration in gingival recession defects. J Clin Periodontol. 1998 Dec;25(12):1041-6.
80. Harris RJ. GTR for root coverage: a long-term follow-up. Int J Periodontics Restorative Dent. 2002 Feb;22(1):55-61.
81. Pagliaro U, Nieri M, Franceschi D, et al. Evidence-based mucogingival therapy. Part 1: A critical review of the literature on root coverage procedures. J Periodontol. 2003 May;74(5):709-40.