The subcrestal implant placement as factor for crestal bone stability in implant sites with vertically thin gingiva

This prospective comparative study aimed to determine the influence of the implant placement type (subcrestal or equicrestal) on bone level changes in platform-switched implants placed in sites with vertically thin gingiva (<3 mm) and restored with screw-retained or cement-retained restorations. Moreover, the effect of vertical gingival thickness on peri—implant bone loss was analyzed. The clinical significance of the study’s conclusions is in determining a modality of implant placement efficient in preserving stable crestal bone

The clinical outcomes of coronally advanced flap versus bilaminar technique for treatment of multiple gingival recessions: a split-mouth case report with five years follow-up

The aim of this split mouth case presenta9on was to compare the clinical outcomes in terms of complete root coverage (CRC) and buccal so< 9ssue thickness between the coronally advanced flap (CAF) alone and coronally advanced flap plus connec9ve 9ssue gra< (CAF+CTG) in a 5 years follow up. Material and Methods: A periodontally healthy 30 years old female patient presented with mul9ple gingival recessions in the both sides of the upper jaw due to inadequate oral hygiene habits. All recessions fell under Miller 1, Cairo RT-1 class. On the one side, the recessions were treated with coronally advanced envelope flap design (DeSan9s, Zucchelli), whereas on the contralateral side an autogenous connective tissue graft was also used in a bilaminar technique manner. The used connective tissue graft from the palatal donor site resulted from extraoral eepithelization of a gingival graft (DGG). The graft was adapted and stabilized to the root surfaces using resorbable 6.0 PGA suture. The flap on both sides was coronally advance

Clinical outcomes of guided tissue regeneration procedure utilized with two different surgical approaches - a comparative study

The guided tissue regeneration (Nyman et al. 1982) is a well-established surgical technique which main goal is to reconstruct the periodontal ligament with functional collagen fibers inserted into a newly formed cementum and alveolar bone. Teeth with periodontal disease resulting in deep infrabony pockets are successfully treated with this technique. Its main prognostic factors from clinical and biological standpoint include: blood clot stabilization, primary closure of the defect, space provision and exclusion from the gingival tissues. Several surgical techniques have been proposed for utilization of GTR. Lately these techniques have been aiming at minimal invasiveness for optimal wound closure and lesser postoperative morbidity. The aim of this presentation was to compare the clinical outcomes of two different techniques for GTR:modified papilla preservation flap (Cortelinni et al, 1995) vs. single flap approach. Results: The obtained data revealed significantly better results in CAL gain (3.6+/-1.3 mm vs. 2.1+/- 1.2 ), PD reduction (2.7+/- 0.8 vs. 1.4 +/-0.6) and REC ( 1.5 +/- 0.9 vs. 2.6 +/- 0.8) at baseline and one year post surgery in test group. Conclusion: Results from our analysis suggest that single flap approach as less invasive provides better clinical outcomes, although without big clinical relevance considering the small number of patients