☆ 4.6 Editorial Material

Challenges and success in periodontal plastic surgery

JOURNAL OF CLINICAL PERIODONTOLOGY (2023)

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Summary: The aim of this study was to evaluate the long-term outcomes of root coverage after connective tissue graft plus coronally advanced flap (CTG + CAF) or CAF alone in maxillary gingival recession. After 10 years, the test group showed a significantly higher rate of complete root coverage compared to the control group. In addition, the addition of CTG resulted in greater keratinized tissue gain and papilla tip recession. There were no differences in recession reduction, root coverage aesthetic score, and patient satisfaction.

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Summary: The aim of this study was to investigate the inter- and intra-examiner agreement among international experts on the diagnosis of gingival recession defects. The results showed that the 2018 Classification of Gingival Recession Defects and Gingival Phenotype had highest intra- and inter-examiner agreement for keratinized tissue width (KTW) and lowest agreement for gingival thickness (GT).

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Coronally advanced flap versus tunnel technique for the treatment of peri-implant soft tissue dehiscences with the connective tissue graft: A randomized, controlled clinical trial

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Summary: This study compared the efficacy of coronally advanced flap (CAF) versus tunnel technique (TUN) in covering mid-facial peri-implant soft tissue dehiscences (PSTDs). The results showed that CAF + CTG yielded superior outcomes in terms of PSTD coverage, keratinized mucosa width, mucosal thickness, and aesthetic evaluation compared to TUN + CTG. Therefore, CAF + CTG treatment can achieve excellent repair of PSTDs.

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Summary: Scientific advancements in biomaterials, cellular therapies, and growth factors have brought new therapeutic options for periodontal and peri-implant reconstructive procedures. These tissue engineering strategies have been proven to be safe and effective in periodontal and peri-implant reconstruction therapies.

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Reliability assessment of the classification for facial peri-implant soft tissue dehiscence/deficiencies (PSTDs): A multi-center inter-rater agreement study of different skill-level practitioners

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Summary: The aim of this study was to test the inter-examiner agreement when utilizing the established rubrics among clinicians of different skill levels in assessing peri-implant esthetic complications. The results showed reproducible and consistent responses among the examiners, with periodontists and residents more likely to agree with the gold standard examiner's assessment.

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Recombinant human platelet-derived growth factor improves root coverage of a collagen matrix for multiple adjacent gingival recessions: A triple-blinded, randomized, placebo-controlled trial

Lorenzo Tavelli et al.

Summary: This study evaluated the efficacy of recombinant human platelet-derived growth factor (rhPDGF)-BB combined with a cross-linked collagen matrix (CCM) for the treatment of multiple adjacent gingival recession type 1 defects (MAGRs). The results showed that rhPDGF could improve mean root coverage, increase gingival thickness, and enhance aesthetic outcomes for patients.

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Acellular dermal matrix for root coverage procedures: 9-year assessment of treated isolated gingival recessions and their adjacent untreated sites

Shayan Barootchi et al.

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On the value of the 2017 classification of phenotype and gingival recessions

Giovanpaolo Pini Prato et al.

Summary: The 2017 World Workshop on periodontology completely restructured knowledge in the field, particularly focusing on the classification of phenotype and gingival recession. Despite the significant advantages of the new classification, recent articles still use outdated systems, emphasizing the importance of fully integrating the new classification into research and practice settings.

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Patient experience of autogenous soft tissue grafting has an implication for future treatment: A 10 to 15-year cross-sectional study

Lorenzo Tavelli et al.

Summary: This study investigated the impact of soft tissue grafting procedures conducted over a decade ago on patients' willingness to undergo the surgery again and their satisfaction levels. Results showed that pain level, number of treated sites, and arch location had a negative effect on the willingness to retreat, while complete root coverage was significantly associated with higher patient satisfaction.

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Double connective tissue graft to treat deep coronal-radicular abrasion: A 19-year follow-up case report

Debora Franceschi et al.

Summary: The double CTG technique presented in this report effectively treated recession associated with deep cervical abrasion, achieving complete coverage and resolution of tooth sensitivity. Long-term follow-up showed stable clinical outcomes without the need for additional removal of dental tissue.

CLINICAL ADVANCES IN PERIODONTICS (2021)

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Ultrasonographic tissue perfusion analysis at implant and palatal donor sites following soft tissue augmentation: A clinical pilot study

Lorenzo Tavelli et al.

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Efficacy of microsurgery and comparison to macrosurgery for gingival recession treatment: a systematic review with meta-analysis

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Summary: Microsurgery has significantly improved mean root coverage and the probability of achieving complete root coverage in periodontal plastic surgery. It also reduces postoperative pain, enhances aesthetics, and improves post-surgical recovery. These positive outcomes may be attributed to the minimally invasive approach and surgical precision of microsurgery.

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Periodontal Plastic Surgery for Reshaping the Mucogingival Junction Following Grafting Procedures: Case Reports

GiovanPaolo Pini Prato et al.

Summary: This case report discusses the periodontal plastic approaches used for correcting gingival deformities following free gingival grafting procedures. The surgical interventions successfully achieved satisfactory esthetic appearance and function after eliminating thick borders of the graft, aligning the mucogingival junction, and reducing excessive apicocoronal dimensions of the graft.

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Autologous connective tissue graft or xenogenic collagen matrix with coronally advanced flaps for coverage of multiple adjacent gingival recession. 36-month follow-up of a randomized multicentre trial

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Vertically Coronally Advanced Flap (V-CAF) to Increase Vestibule Depth in Mandibular Incisors

Martina Stefanini et al.

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Coronally advanced flap: a modified surgical approach for isolated recession-type defects: Three-year results

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Clinical and anatomical factors limiting treatment outcomes of gingival recession: A new method to predetermine the line of root coverage

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Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review

M Roccuzzo et al.

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Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: A randomized controlled clinical study

GP Prato et al.

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