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Connective Tissue Grafting for Root Coverage

Learning Objectives:
This podcast describes a novel approach to root coverage using an enamel matrix derivative in conjunction with periosteal connective tissue grafting. Upon listening to this podcast, the listener should:
  • Demonstrate an enhanced understanding of autogenous gingival grafting utilizing an enamel matrix derivative for root coverage in patients with Class III gingival recession
  • Understand the mechanism of action of enamel matrix derivative
This case presentation demonstrates an innovative approach to root coverage that uses an enamel matrix derivative in conjunction with periosteal connective tissue grafting in a patient with multiple gingival facial recessions. A 22-year-old female patient presented for the resolution of aesthetic concerns associated with multiple gingival recessions for teeth #23(32) through #25(41). This technique achieved soft tissue coverage of the root surfaces and effectively improved the patient's aesthetic appearance. These satisfactory clinical results have been maintained for 12 months.
 
*Professor and Chairman, Department of Periodontology, Nihon University School of Dentistry, Tokyo Japan
 
Related Reading:  
  1. Steiner GG, Pearson JK, Ainamo J. Changes of the marginal periodontium as a result of labial tooth movements in monkeys. J Periodontol 1981;52(6):314-320.
  2. Miller PD Jr. Craddock RD. Surgical advances in the coverage of exposed roots. Curr Opin Periodontol 1966;3:103-108.
  3. Miller PD Jr. A classification of marginal tissue recession. Int J Periodont Rest Dent 1985;5(2):8-13
  4. Wennstrom JL. Mucogingival therapy. Ann Periodontol 1996;1(1):671-701.
  5. Hammarstrom L. Enamel matrix, cementum development and regeneration. J Clin Periodontol 1997;24(9):678-684
 
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