본문 바로가기
KERD
논문KCI 등재

Periodontal regenerative treatment with connective tissue grafts in deep intrabony defect and gingival recession in the maxillary canine: a case report with 3-year follow-up

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

Periodontitis is a progressive and chronic inflammatory disease affecting the hard and soft tissue structures, which support the teeth. Periodontal disease that occurs particularly in the maxillary anterior region is accompanied by alveolar bone loss and gingival recession and causes both functional and esthetic gingival issues. Regenerative surgery is widely used as one of the most predictive treatment modalities for intrabony periodontal defects, and coronally advanced flaps with connective tissue grafts can be used to resolve gingival recession. In this case report, we describe the results of periodontal regenerative surgery using bone grafts and enamel matrix derivative combined with connective tissue grafts performed on two maxillary canines with intrabony defects and gingival recession. Within the limitations of this study, in deep intrabony defects and gingival recession in the maxillary canine, periodontal regenerative treatment with connective tissue grafts showed stable and clinically acceptable long-term outcomes.

Abstract

Periodontitis is a progressive and chronic inflammatory disease affecting the hard and soft tissue structures, which support the teeth. Periodontal disease that occurs particularly in the maxillary anterior region is accompanied by alveolar bone loss and gingival recession and causes both functional and esthetic gingival issues. Regenerative surgery is widely used as one of the most predictive treatment modalities for intrabony periodontal defects, and coronally advanced flaps with connective tissue grafts can be used to resolve gingival recession. In this case report, we describe the results of periodontal regenerative surgery using bone grafts and enamel matrix derivative combined with connective tissue grafts performed on two maxillary canines with intrabony defects and gingival recession. Within the limitations of this study, in deep intrabony defects and gingival recession in the maxillary canine, periodontal regenerative treatment with connective tissue grafts showed stable and clinically acceptable long-term outcomes.

참고문헌 (29)

  1. Pierpaolo Cortellini, "Clinical concepts for regenerative therapy in intrabony defects", Periodontology 2000, 68(1), pp.282~307 (2015), Wiley[DOI]
  2. Shang‐Jie Tsai, "Systematic review and sequential network meta‐analysis on the efficacy of periodontal regenerative therapies", Journal of Clinical Periodontology, 47(9), pp.1108~1120 (2020), Wiley[DOI]
  3. Seyed Hossein Bassir, "Potential for Stem Cell-Based Periodontal Therapy", Journal of Cellular Physiology, 231(1), pp.50~61 (2016), Wiley[DOI]
  4. Jens Waerhaug, "The Infrabony Pocket and its Relationship to Trauma from Occlusion and Subgingival Plaque", Journal of Periodontology, 50(7), pp.355~365 (1979), Wiley[DOI]
  5. Giovanni Zucchelli, "Periodontal plastic surgery", Periodontology 2000, 68(1), pp.333~368 (2015), Wiley[DOI]
  6. Tonetti MS, "Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology", J Clin Periodontol, 41(Suppl 15), pp.S36~S43 (2014)[DOI]
  7. Francesco Cairo, "Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review", Journal of Clinical Periodontology, 41(Suppl 15), pp.S44~S62 (2014), Wiley[DOI]
  8. Pierpaolo Cortellini, "Does placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial", Journal of Clinical Periodontology, 36(1), pp.68~79 (2009), Wiley[DOI]
  9. Mark A. Reynolds, "The Efficacy of Bone Replacement Grafts in the Treatment of Periodontal Osseous Defects. A Systematic Review", Annals of Periodontology, 8(1), pp.227~265 (2003), Wiley[DOI]
  10. Jae‐Hong Lee, "Adjunctive use of enamel matrix derivatives to porcine‐derived xenograft for the treatment of one‐wall intrabony defects: Two‐year longitudinal results of a randomized controlled clinical trial", Journal of Periodontology, 91(7), pp.880~889 (2020), Wiley[DOI]
  11. 김연태, "Effectiveness of porcine-derived xenograft with enamel matrix derivative for periodontal regenerative treatment of intrabony defects associated with a fixed dental prosthesis: a 2-year follow-up retrospective study", Journal of Periodontal & Implant Science, 51(3), pp.179~188 (2021), 대한치주과학회[DOI]
  12. Lee JH, "Long-term stability of adjunctive use of enamel matrix protein derivative on porcine-derived xenograft for the treatment of one-wall intrabony defects:a 4-year extended follow-up of a randomized controlled trial", J Periodontol (2021)[DOI]
  13. Giulio Rasperini, "Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9 years results of a randomized controlled clinical trial", Journal of Clinical Periodontology, 45(9), pp.1107~1117 (2018), Wiley[DOI]
  14. Anna Dai, "Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis", Journal of Clinical Periodontology, 46(5), pp.572~585 (2019), Wiley[DOI]
  15. Francesco Cairo, "Treatment of gingival recession with coronally advanced flap procedures: a systematic review", Journal of Clinical Periodontology, 35(8 Suppl), pp.136~162 (2008), Wiley[DOI]
  16. Luigi Nibali, "Regenerative surgery versus access flap for the treatment of intra‐bony periodontal defects: A systematic review and meta‐analysis", Journal of Clinical Periodontology, 47(S22), pp.320~351 (2020), Wiley[DOI]
  17. Stuart J. Froum, "A Comparative Study Utilizing Open Flap Debridement With and Without Enamel Matrix Derivative in the Treatment of Periodontal Intrabony Defects: A 12-Month Re-Entry Study", Journal of Periodontology, 72(1), pp.25~34 (2001), Wiley[DOI]
  18. R. J. Miron, "Enamel matrix derivative, inflammation and soft tissue wound healing", Journal of Periodontal Research, 50(5), pp.555~569 (2015), Wiley[DOI]
  19. Michael K. McGuire, "Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2: histological evaluation", Journal of Periodontology, 74(8), pp.1126~1135 (2003), Wiley[DOI]
  20. Abolfazli N, "A comparative study of the long term results of root coverage with connective tissue graft or enamel matrix protein : 24-month results", Med Oral Patol Oral Cir Bucal, 14, pp.E304~E309 (2009)
  21. Faustino Mercado, "Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of multiple Class III‐IV recessions in lower anterior teeth: A 3‐year randomized clinical trial", Journal of Periodontology, 91(4), pp.473~483 (2020), Wiley[DOI]
  22. Leonardo Trombelli, "Effect of a Connective Tissue Graft in Combination With a Single Flap Approach in the Regenerative Treatment of Intraosseous Defects", Journal of Periodontology, 88(4), pp.348~356 (2017), Wiley[DOI]
  23. Chambrone L, "Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop", J Periodontol, 86(2 Suppl), pp.S8~S51 (2015)[DOI]
  24. Mauro Pedrine Santamaria, "Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: a randomized-controlled clinical trial", Journal of Clinical Periodontology, 36(9), pp.791~798 (2009), Wiley[DOI]
  25. Jepsen S, "Periodontal manifestations of systemic diseases and developmental and acquired conditions:consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions", J Clin Periodontol, 45(Suppl 20), pp.S219~S229 (2018)[DOI]
  26. P.J.C. Watson, "Gingival recession", Journal of Dentistry, 12(1), pp.29~35 (1984), Elsevier BV[DOI]
  27. Esfahanizadeh N, "Correlation between bone and soft tissue thickness in maxillary anterior teeth", J Dent(Tehran), 13, pp.302~308 (2016)
  28. Hans-Peter Müller, "Thickness of masticatory mucosa", Journal of Clinical Periodontology, 27(6), pp.431~436 (2000), Wiley[DOI]
  29. Maurício Barriviera, "A new method to assess and measure palatal masticatory mucosa by cone-beam computerized tomography", Journal of Clinical Periodontology, 36(7), pp.564~568 (2009), Wiley[DOI]

관련 논문AI추천

법랑기질유도체와 결합조직이식술을 이용한 치근피개술: 치은퇴축과 관련된 다양한 증례이재홍대한치과의사협회 · 대한치과의사협회지2017 · 제55권 제3호Additional use of autogenous periosteal barrier membrane combined with regenerative therapy in the interproximal intrabony defects: case series김현주, 김형민, 이주연대한턱관절교합학회 · 구강회복응용과학지2017 · 제33권 제3호Effectiveness of porcine-derived xenograft with enamel matrix derivative for periodontal regenerative treatment of intrabony defects associated with a fixed dental prosthesis: a 2-year follow-up retrospective study김연태, 이재홍, 정성념대한치주과학회 · Journal of Periodontal & Implant Science2021 · 제51권 제3호Modified tunnel technique with and without enamel matrix derivative for deep and narrow gingival recession in the mandibular anterior region: a 3-year longitudinal and retrospective cohort population-based studyJae-Hong Lee, Yeon-Tae Kim대한치주과학회 · Journal of Periodontal & Implant Science2025 · 제55권 제4호Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recessionChun-Teh Lee, Daniel Royzman, Nawar Touchan, Po-Chun Chang대한치주과학회 · Journal of Periodontal & Implant Science2014 · 제44권 제6호Periodontal biotype modification using a volume-stable collagen matrix and autogenous subepithelial connective tissue graft for the treatment of gingival recession: a case series김성태, 김현주, Hyeong-Il Kim, Hyeyoon Chang, Yang-Jo Seol대한치주과학회 · Journal of Periodontal & Implant Science2018 · 제48권 제6호

이 간행물의 다른 논문 (12건)