Newly forming bone graft: a novel surgical approach to the treatment of denuded roots
Identifieur interne : 000045 ( Ncbi/Merge ); précédent : 000044; suivant : 000046Newly forming bone graft: a novel surgical approach to the treatment of denuded roots
Auteurs : Adriana Campos Passanezi Sant'Ana [Brésil] ; Bruna F. Rahal Ferraz [Brésil] ; Maria Lúcia Rubo De Rezende [Brésil] ; Sebastião Luiz Aguiar Greghi [Brésil] ; Carla Andreotti Damante [Brésil] ; Euloir Passanezi [Brésil]Source :
- Journal of Applied Oral Science [ 1678-7757 ] ; 2012.
Abstract
Many techniques have been proposed for root coverage. However, none of them presents predictable results in deep and wide recessions
The aim of this case series report is to describe an alternative technique for root coverage at sites showing deep recessions and attachment loss >4 mm at buccal sites.
Four patients presenting deep recession defects at buccal sites (≥4 mm) were treated by the newly forming bone graft technique, which consists in the creation of an alveolar socket at edentulous ridge and transferring of granulation tissue present in this socket to the recession defect after 21 days. Clinical periodontal parameters, including recession depth (RD), probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and keratinized gingiva width (KGW) were evaluated by a single examiner immediately before surgery and at 1, 3, 6 and 9 months postoperatively.
All cases showed reduction in RD and PD, along with CAL gain, although no increase in KGW could be observed. These findings suggest that the technique could favor periodontal regeneration along with root coverage, especially in areas showing deep recessions and attachment loss.
Url:
DOI: 10.1590/S1678-77572012000300016
PubMed: 22858709
PubMed Central: 3881776
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denuded roots</title><author><name sortKey="Sant Ana, Adriana Campos Passanezi" sort="Sant Ana, Adriana Campos Passanezi" uniqKey="Sant Ana A" first="Adriana Campos Passanezi" last="Sant'Ana">Adriana Campos Passanezi Sant'Ana</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Ferraz, Bruna F Rahal" sort="Ferraz, Bruna F Rahal" uniqKey="Ferraz B" first="Bruna F. 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Rahal Ferraz</name><affiliation wicri:level="4"><nlm:aff id="aff02"> DDS, MSD, Graduate student, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSD, Graduate student, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="De Rezende, Maria Lucia Rubo" sort="De Rezende, Maria Lucia Rubo" uniqKey="De Rezende M" first="Maria Lúcia Rubo" last="De Rezende">Maria Lúcia Rubo De Rezende</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Greghi, Sebastiao Luiz Aguiar" sort="Greghi, Sebastiao Luiz Aguiar" uniqKey="Greghi S" first="Sebastião Luiz Aguiar" last="Greghi">Sebastião Luiz Aguiar Greghi</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Damante, Carla Andreotti" sort="Damante, Carla Andreotti" uniqKey="Damante C" first="Carla Andreotti" last="Damante">Carla Andreotti Damante</name><affiliation wicri:level="2"><nlm:aff id="aff03"> DDS, PhD, Assistant Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo. 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denuded roots</title><author><name sortKey="Sant Ana, Adriana Campos Passanezi" sort="Sant Ana, Adriana Campos Passanezi" uniqKey="Sant Ana A" first="Adriana Campos Passanezi" last="Sant'Ana">Adriana Campos Passanezi Sant'Ana</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Ferraz, Bruna F Rahal" sort="Ferraz, Bruna F Rahal" uniqKey="Ferraz B" first="Bruna F. Rahal" last="Ferraz">Bruna F. Rahal Ferraz</name><affiliation wicri:level="4"><nlm:aff id="aff02"> DDS, MSD, Graduate student, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSD, Graduate student, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="De Rezende, Maria Lucia Rubo" sort="De Rezende, Maria Lucia Rubo" uniqKey="De Rezende M" first="Maria Lúcia Rubo" last="De Rezende">Maria Lúcia Rubo De Rezende</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Greghi, Sebastiao Luiz Aguiar" sort="Greghi, Sebastiao Luiz Aguiar" uniqKey="Greghi S" first="Sebastião Luiz Aguiar" last="Greghi">Sebastião Luiz Aguiar Greghi</name><affiliation wicri:level="4"><nlm:aff id="aff01"> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Damante, Carla Andreotti" sort="Damante, Carla Andreotti" uniqKey="Damante C" first="Carla Andreotti" last="Damante">Carla Andreotti Damante</name><affiliation wicri:level="2"><nlm:aff id="aff03"> DDS, PhD, Assistant Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo. Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, PhD, Assistant Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo. Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Passanezi, Euloir" sort="Passanezi, Euloir" uniqKey="Passanezi E" first="Euloir" last="Passanezi">Euloir Passanezi</name><affiliation wicri:level="4"><nlm:aff id="aff04"> DDS, PhD, Head of the Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, PhD, Head of the Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author></analytic><series><title level="j">Journal of Applied Oral Science</title><idno type="ISSN">1678-7757</idno><idno type="eISSN">1678-7765</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Many techniques have been proposed for root coverage. However, none of them presents
predictable results in deep and wide recessions</p><sec><title>Objective</title><p>The aim of this case series report is to describe an alternative technique for
root coverage at sites showing deep recessions and attachment loss >4 mm at
buccal sites. </p></sec><sec><title>Material and Methods</title><p>Four patients presenting deep recession defects at buccal sites (≥4 mm) were
treated by the newly forming bone graft technique, which consists in the creation
of an alveolar socket at edentulous ridge and transferring of granulation tissue
present in this socket to the recession defect after 21 days. Clinical periodontal
parameters, including recession depth (RD), probing depth (PD), clinical
attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and
keratinized gingiva width (KGW) were evaluated by a single examiner immediately
before surgery and at 1, 3, 6 and 9 months postoperatively. </p></sec><sec><title>Results</title><p>All cases showed reduction in RD and PD, along with CAL gain, although no increase
in KGW could be observed. These findings suggest that the technique could favor
periodontal regeneration along with root coverage, especially in areas showing
deep recessions and attachment loss.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Hamdan, K" uniqKey="Al Hamdan K">K Al-Hamdan</name></author><author><name sortKey="Eber, R" uniqKey="Eber R">R Eber</name></author><author><name sortKey="Sarment, D" uniqKey="Sarment D">D Sarment</name></author><author><name sortKey="Kowalski, C" uniqKey="Kowalski C">C Kowalski</name></author><author><name sortKey="Wang, Hl" uniqKey="Wang H">HL Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baldi, C" uniqKey="Baldi C">C Baldi</name></author><author><name sortKey="Pini Prato, G" uniqKey="Pini Prato G">G Pini-Prato</name></author><author><name sortKey="Pagliaro, U" uniqKey="Pagliaro U">U Pagliaro</name></author><author><name sortKey="Nieri, M" uniqKey="Nieri M">M Nieri</name></author><author><name sortKey="Saletta, D" uniqKey="Saletta D">D Saletta</name></author><author><name sortKey="Muzzi, L" 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article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Appl Oral Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Appl Oral Sci</journal-id><journal-id journal-id-type="publisher-id">J. Appl. Oral. Sci.</journal-id><journal-title-group><journal-title>Journal of Applied Oral Science</journal-title></journal-title-group><issn pub-type="ppub">1678-7757</issn><issn pub-type="epub">1678-7765</issn><publisher><publisher-name>Faculdade de Odontologia de Bauru da Universidade de São
Paulo</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22858709</article-id><article-id pub-id-type="pmc">3881776</article-id><article-id pub-id-type="doi">10.1590/S1678-77572012000300016</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Newly forming bone graft: a novel surgical approach to the treatment of
denuded roots</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>SANT'ANA</surname><given-names>Adriana Campos Passanezi</given-names></name><xref ref-type="aff" rid="aff01">1</xref><xref ref-type="corresp" rid="c01"></xref></contrib><contrib contrib-type="author"><name><surname>FERRAZ</surname><given-names>Bruna F. Rahal</given-names></name><xref ref-type="aff" rid="aff02">2</xref></contrib><contrib contrib-type="author"><name><surname>de REZENDE</surname><given-names>Maria Lúcia Rubo</given-names></name><xref ref-type="aff" rid="aff01">1</xref></contrib><contrib contrib-type="author"><name><surname>GREGHI</surname><given-names>Sebastião Luiz Aguiar</given-names></name><xref ref-type="aff" rid="aff01">1</xref></contrib><contrib contrib-type="author"><name><surname>DAMANTE</surname><given-names>Carla Andreotti</given-names></name><xref ref-type="aff" rid="aff03">3</xref></contrib><contrib contrib-type="author"><name><surname>PASSANEZI</surname><given-names>Euloir</given-names></name><xref ref-type="aff" rid="aff04">4</xref></contrib></contrib-group><aff id="aff01"><label>1</label> DDS, PhD, Associate Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil</aff><aff id="aff02"><label>2</label> DDS, MSD, Graduate student, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</aff><aff id="aff03"><label>3</label> DDS, PhD, Assistant Professor, Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo. Bauru, SP, Brazil.</aff><aff id="aff04"><label>4</label> DDS, PhD, Head of the Discipline of Periodontics, Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</aff><author-notes><corresp id="c01"><bold>Corresponding address:</bold> Adriana Campos Passanezi Sant'Ana - Faculdade de
Odontologia de Bauru - USP - Departamento de Prótese - Disciplina de Periodontia -
Al. Otávio Pinheiro Brisolla 9-75 - 17012-901 - Bauru - SP - Brazil - Phone: 00 55
(14) 3235-8278 - Fax: 00 55 (14) 3227-5105 - e-mail: <email>acpsantana@usp.br</email></corresp></author-notes><pub-date pub-type="ppub"><season>May-Jun</season><year>2012</year></pub-date><volume>20</volume><issue>3</issue><fpage>392</fpage><lpage>398</lpage><history><date date-type="received"><day>13</day><month>10</month><year>2010</year></date><date date-type="rev-recd"><day>14</day><month>7</month><year>2011</year></date><date date-type="accepted"><day>15</day><month>8</month><year>2011</year></date></history><permissions><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly
cited.</license-p></license></permissions><abstract><p>Many techniques have been proposed for root coverage. However, none of them presents
predictable results in deep and wide recessions</p><sec><title>Objective</title><p>The aim of this case series report is to describe an alternative technique for
root coverage at sites showing deep recessions and attachment loss >4 mm at
buccal sites. </p></sec><sec><title>Material and Methods</title><p>Four patients presenting deep recession defects at buccal sites (≥4 mm) were
treated by the newly forming bone graft technique, which consists in the creation
of an alveolar socket at edentulous ridge and transferring of granulation tissue
present in this socket to the recession defect after 21 days. Clinical periodontal
parameters, including recession depth (RD), probing depth (PD), clinical
attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and
keratinized gingiva width (KGW) were evaluated by a single examiner immediately
before surgery and at 1, 3, 6 and 9 months postoperatively. </p></sec><sec><title>Results</title><p>All cases showed reduction in RD and PD, along with CAL gain, although no increase
in KGW could be observed. These findings suggest that the technique could favor
periodontal regeneration along with root coverage, especially in areas showing
deep recessions and attachment loss.</p></sec></abstract><kwd-group><kwd>Gingival recession</kwd><kwd>Guided tissue regeneration</kwd><kwd>Citric acid</kwd><kwd>Grafts</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Sant Ana, Adriana Campos Passanezi" sort="Sant Ana, Adriana Campos Passanezi" uniqKey="Sant Ana A" first="Adriana Campos Passanezi" last="Sant'Ana">Adriana Campos Passanezi Sant'Ana</name></region><name sortKey="Damante, Carla Andreotti" sort="Damante, Carla Andreotti" uniqKey="Damante C" first="Carla Andreotti" last="Damante">Carla Andreotti Damante</name><name sortKey="De Rezende, Maria Lucia Rubo" sort="De Rezende, Maria Lucia Rubo" uniqKey="De Rezende M" first="Maria Lúcia Rubo" last="De Rezende">Maria Lúcia Rubo De Rezende</name><name sortKey="Ferraz, Bruna F Rahal" sort="Ferraz, Bruna F Rahal" uniqKey="Ferraz B" first="Bruna F. Rahal" last="Ferraz">Bruna F. Rahal Ferraz</name><name sortKey="Greghi, Sebastiao Luiz Aguiar" sort="Greghi, Sebastiao Luiz Aguiar" uniqKey="Greghi S" first="Sebastião Luiz Aguiar" last="Greghi">Sebastião Luiz Aguiar Greghi</name><name sortKey="Passanezi, Euloir" sort="Passanezi, Euloir" uniqKey="Passanezi E" first="Euloir" last="Passanezi">Euloir Passanezi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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