Effect of a Connective Tissue Graft in Combination With a Single Flap Approach in the Regenerative Treatment of Intraosseous Defects

• Published in: Journal of periodontology (1970) Vol. 88; no. 4; p. 348
• Main Authors: Trombelli, Leonardo, Simonelli, Anna, Minenna, Luigi, Rasperini, Giulio, Farina, Roberto
• Format: Journal Article
• Language: English
• Published: United States 01-04-2017
• Subjects: Adult; Combined Modality Therapy; Connective Tissue - transplantation; Dental Enamel Proteins - administration & dosage; Female; Gingival Recession - surgery; Gingivoplasty - methods; Guided Tissue Regeneration, Periodontal - methods; Humans; Male; Postoperative Complications - surgery; Retrospective Studies; Surgical Flaps; Transplantation, Heterologous; Treatment Outcome; reconstructive surgical procedures; gingival recession; surgical flaps; Alveolar bone loss; enamel matrix proteins; periodontitis
• ISSN: 1943-3670
• DOI: 10.1902/jop.2016.160471

In the attempt to limit the post-surgery increase in buccal gingival recession (bREC), effect of a connective tissue graft (CTG) when combined with a buccal single flap approach (SFA) in the regenerative treatment of intraosseous defects is evaluated.
Data related to 30 patients with an intraosseous defect treated with a buccal SFA with (SFA+CTG group; n = 15) or without (SFA group; n = 15) placement of a CTG and regenerative treatment were retrospectively derived at three clinical centers. bREC and probing parameters were assessed at presurgery and 6 months post-surgery.
In addition to a significant attachment gain and probing depth reduction, adjunctive use of a CTG to a buccal SFA in the regenerative treatment of periodontal intraosseous defects associated with a buccal bone dehiscence resulted in a limited post-surgery bREC, a lower prevalence of defects with a clinically detectable apical displacement of the gingival margin, and an increase in gingival width and thickness.
Adjunctive use of a CTG in the regenerative treatment of intraosseous defects associated with buccal bone dehiscence accessed by buccal SFA may support the stability of the gingival profile.