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논문KCI 등재

치은 퇴축 회복을 위한 상피하 결합조직 이식을 동반하는 다양한 치근피개술에 대한 임상적 평가

The evaluation of clinical outcomes on various procedures using subepithelial connective tissue graft for coverage of gingival recession

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초록

Purpose: The subepithelial connective tissue graft(SCTG) has been proven to be a highly predictable treatment modality for coverage of gingival recession. This case report was performed to evaluate the effect of various root coverage procedures using SCTG on gingival recession. Materials and Methods: Three patients presents with Millerʼs class I recession defect on the maxillary canine. Each other SCTG(coronally advanced flap, Bruno’s Tech., envelope Tech.) were performed for root coverage. Clinical parameters assessed included recession depth, recession width, and keratinized gingival width. Measurements were taken at baseline and 2 months and follow up end. Results: The average of root coverage was 4mm(100% of the pre-operative recession depth) at the 2, 5 months examination. The average increase of keratinized tissue between the baseline and the 2 months amounted to 3.2mm. Conclusion: Within the above results, various root coverage using SCTG is an effective procedure to Miller’s class I recession defect and patient could be satisfied aesthetic requirement. (J Korean Acad Periodontol 2008;38:717-722)

Abstract

Purpose: The subepithelial connective tissue graft(SCTG) has been proven to be a highly predictable treatment modality for coverage of gingival recession. This case report was performed to evaluate the effect of various root coverage procedures using SCTG on gingival recession. Materials and Methods: Three patients presents with Millerʼs class I recession defect on the maxillary canine. Each other SCTG(coronally advanced flap, Bruno’s Tech., envelope Tech.) were performed for root coverage. Clinical parameters assessed included recession depth, recession width, and keratinized gingival width. Measurements were taken at baseline and 2 months and follow up end. Results: The average of root coverage was 4mm(100% of the pre-operative recession depth) at the 2, 5 months examination. The average increase of keratinized tissue between the baseline and the 2 months amounted to 3.2mm. Conclusion: Within the above results, various root coverage using SCTG is an effective procedure to Miller’s class I recession defect and patient could be satisfied aesthetic requirement. (J Korean Acad Periodontol 2008;38:717-722)

참고문헌 (15)

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  3. Bouchard P, "Decision-making in aesthetics: root coverage revisited", Periodontol, 27, pp.97~120 (2001)
  4. Mele M, "Bilaminar technique in the treatment of a deep cervical abrasion defect", Int J Periodontics Restorative Dent, 28(1), pp.63~71 (2008)
  5. Zucchelli G, "Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study", J Clin Periodontol, 30(10), pp.862~870 (2003)
  6. Wennström JL, "Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study", J Clin Periodontol, 23(8), pp.770~777 (1996)
  7. Baldi C, "Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series", J Periodontol, 70(9), pp.1077~1084 (1999)
  8. Bruno JF, "Connective tissue graft technique assuring wide root coverage", Int J Periodontics Restorative Dent, 14(2), pp.126~137 (1994)
  9. Raetzke PB, "Covering localized areas of root exposure employing the "envelope" technique", J Periodontol, 56(7), pp.397~402 (1985)
  10. Zucchelli G, "Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage", J Periodontol, 77(4), pp.714~721 (2006)
  11. Langer B, "Subepithelial connective tissue graft technique for root coverage", J Periodontol, 56(12), pp.715~720 (1985)
  12. Pini Prato G, "Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: a randomized controlled clinical study", J Periodontol, 71(2), pp.188~201 (2000)
  13. Pini Prato GP, "Coronally advanced flap procedure for root coverage. Treatment of root surface: root planning versus polishing", J Periodontol, 70(9), pp.1064~1076 (1999)
  14. Pini Prato GP, "Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage", J Periodontol, 76(5), pp.713~722 (2005)
  15. Bartold PM, "Biology of the periodontal connective tissues", pp.62~ (1998), Quintessence

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