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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Esthetic Root Coverage with Double Papillary Subepithelial Connective Tissue Graft: A Case Report</title><author><name sortKey="Mutthineni, Ramesh Babu" sort="Mutthineni, Ramesh Babu" uniqKey="Mutthineni R" first="Ramesh Babu" last="Mutthineni">Ramesh Babu Mutthineni</name><affiliation><nlm:aff id="I1">Department of Periodontics, Mamata Dental College, Khammam, Andhra Pradesh 507002, India</nlm:aff></affiliation></author><author><name sortKey="Dudala, Ram Babu" sort="Dudala, Ram Babu" uniqKey="Dudala R" first="Ram Babu" last="Dudala">Ram Babu Dudala</name><affiliation><nlm:aff id="I2">Department of Periodontics, Haldia Institute of Dental Sciences, Purba Medinipur, West Bengal 721645, India</nlm:aff></affiliation></author><author><name sortKey="Ramisetty, Arpita" sort="Ramisetty, Arpita" uniqKey="Ramisetty A" first="Arpita" last="Ramisetty">Arpita Ramisetty</name><affiliation><nlm:aff id="I3">Mamata Dental College, Khammam, Andhra Pradesh 507002, India</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24649378</idno><idno type="pmc">3932284</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932284</idno><idno type="RBID">PMC:3932284</idno><idno type="doi">10.1155/2014/509319</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002A77</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002A77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Esthetic Root Coverage with Double Papillary Subepithelial Connective Tissue Graft: A Case Report</title><author><name sortKey="Mutthineni, Ramesh Babu" sort="Mutthineni, Ramesh Babu" uniqKey="Mutthineni R" first="Ramesh Babu" last="Mutthineni">Ramesh Babu Mutthineni</name><affiliation><nlm:aff id="I1">Department of Periodontics, Mamata Dental College, Khammam, Andhra Pradesh 507002, India</nlm:aff></affiliation></author><author><name sortKey="Dudala, Ram Babu" sort="Dudala, Ram Babu" uniqKey="Dudala R" first="Ram Babu" last="Dudala">Ram Babu Dudala</name><affiliation><nlm:aff id="I2">Department of Periodontics, Haldia Institute of Dental Sciences, Purba Medinipur, West Bengal 721645, India</nlm:aff></affiliation></author><author><name sortKey="Ramisetty, Arpita" sort="Ramisetty, Arpita" uniqKey="Ramisetty A" first="Arpita" last="Ramisetty">Arpita Ramisetty</name><affiliation><nlm:aff id="I3">Mamata Dental College, Khammam, Andhra Pradesh 507002, India</nlm:aff></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Patients today have become excessively concerned about esthetics. These esthetic concerns of patients have become an integral part of periodontal practice. Gingival recession is an esthetic problem that can be successfully treated by means of several mucogingival surgical approaches, any of which can be used, provided that the biologic conditions for accomplishing root coverage are satisfied with no loss of soft and hard tissue height interdentally. There are currently different techniques for root coverage which include pedicle grafts, free gingival grafts, connective tissue grafts, and guided tissue regeneration (GTR). This paper reports a case in which a new double papillary connective tissue graft technique has been used in the treatment of gingival recession.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sullivan, Hc" uniqKey="Sullivan H">HC Sullivan</name></author><author><name sortKey="Atkins, Jh" uniqKey="Atkins J">JH Atkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, Hc" uniqKey="Sullivan H">HC Sullivan</name></author><author><name sortKey="Atkins, Jh" uniqKey="Atkins J">JH Atkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Pd" uniqKey="Miller P">PD Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grupe, H" uniqKey="Grupe H">H Grupe</name></author><author><name sortKey="Warren, R" uniqKey="Warren R">R Warren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guinard, Ea" uniqKey="Guinard E">EA Guinard</name></author><author><name sortKey="Caffesse, Rg" uniqKey="Caffesse R">RG Caffesse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caffesse, Rg" uniqKey="Caffesse R">RG Caffesse</name></author><author><name sortKey="Guinard, Ea" uniqKey="Guinard E">EA Guinard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allen, Ep" uniqKey="Allen E">EP Allen</name></author><author><name sortKey="Miller, Pd" uniqKey="Miller P">PD Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Rj" uniqKey="Harris R">RJ Harris</name></author><author><name sortKey="Harris, Aw" uniqKey="Harris A">AW Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, Dw" uniqKey="Cohen D">DW Cohen</name></author><author><name sortKey="Ross, Se" uniqKey="Ross S">SE Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernimoulin, Jp" uniqKey="Bernimoulin J">JP Bernimoulin</name></author><author><name sortKey="Luscher, B" uniqKey="Luscher B">B Lüscher</name></author><author><name sortKey="Muhlemann, Hr" uniqKey="Muhlemann H">HR Mühlemann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maynard, Jg" uniqKey="Maynard J">JG Maynard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendes, Dn" uniqKey="Mendes D">DN Mendes</name></author><author><name sortKey="Novaes Junior, Ab" uniqKey="Novaes Junior A">AB Novaes Júnior</name></author><author><name sortKey="Novaes, Ab" uniqKey="Novaes A">AB Novaes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, B" uniqKey="Langer B">B Langer</name></author><author><name sortKey="Langer, L" uniqKey="Langer L">L Langer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raetzke, Pb" uniqKey="Raetzke P">PB Raetzke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, Sw" uniqKey="Nelson S">SW Nelson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouchard, P" uniqKey="Bouchard P">P Bouchard</name></author><author><name sortKey="Etienne, D" uniqKey="Etienne D">D Etienne</name></author><author><name sortKey="Ouhayoun, Jp" uniqKey="Ouhayoun J">JP Ouhayoun</name></author><author><name sortKey="Nilveus, R" uniqKey="Nilveus R">R Nilvéus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Rj" uniqKey="Harris R">RJ Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Pd" uniqKey="Miller P">PD Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rodier, P" uniqKey="Rodier P">P Rodier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheung, Ws" uniqKey="Cheung W">WS Cheung</name></author><author><name sortKey="Griffin, Tj" uniqKey="Griffin T">TJ Griffin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steiner, Gg" uniqKey="Steiner G">GG Steiner</name></author><author><name sortKey="Pearson, Jk" uniqKey="Pearson J">JK Pearson</name></author><author><name sortKey="Ainamo, J" uniqKey="Ainamo J">J Ainamo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ainamo, J" uniqKey="Ainamo J">J Ainamo</name></author><author><name sortKey="Paloheimo, L" uniqKey="Paloheimo L">L Paloheimo</name></author><author><name sortKey="Nordblad, A" uniqKey="Nordblad A">A Nordblad</name></author><author><name sortKey="Murtomaa, H" uniqKey="Murtomaa H">H Murtomaa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Serino, G" uniqKey="Serino G">G Serino</name></author><author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennström</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author><author><name sortKey="Eneroth, L" uniqKey="Eneroth L">L Eneroth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tackas, Vj" uniqKey="Tackas V">VJ Tackas</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24649378</article-id><article-id pub-id-type="pmc">3932284</article-id><article-id pub-id-type="doi">10.1155/2014/509319</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Esthetic Root Coverage with Double Papillary Subepithelial Connective Tissue Graft: A Case Report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mutthineni</surname><given-names>Ramesh Babu</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Dudala</surname><given-names>Ram Babu</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ramisetty</surname><given-names>Arpita</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Periodontics, Mamata Dental College, Khammam, Andhra Pradesh 507002, India</aff><aff id="I2"><sup>2</sup>Department of Periodontics, Haldia Institute of Dental Sciences, Purba Medinipur, West Bengal 721645, India</aff><aff id="I3"><sup>3</sup>Mamata Dental College, Khammam, Andhra Pradesh 507002, India</aff><author-notes><corresp id="cor1">*Ramesh Babu Mutthineni: <email>ramesh_8353@yahoo.com</email></corresp><fn fn-type="other"><p>Academic Editors: P. Lopez Jornet and S. Nammour</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>4</day><month>2</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>509319</elocation-id><history><date date-type="received"><day>8</day><month>11</month><year>2013</year></date><date date-type="accepted"><day>19</day><month>12</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2014 Ramesh Babu Mutthineni et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under 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>Patients today have become excessively concerned about esthetics. These esthetic concerns of patients have become an integral part of periodontal practice. Gingival recession is an esthetic problem that can be successfully treated by means of several mucogingival surgical approaches, any of which can be used, provided that the biologic conditions for accomplishing root coverage are satisfied with no loss of soft and hard tissue height interdentally. There are currently different techniques for root coverage which include pedicle grafts, free gingival grafts, connective tissue grafts, and guided tissue regeneration (GTR). This paper reports a case in which a new double papillary connective tissue graft technique has been used in the treatment of gingival recession.</p></abstract></article-meta></front><body><sec id="sec1"><title>1. Introduction</title><p>The principal aim in surgically treating gingival recession is to cover the exposed root surfaces and consequently improve esthetic appearance, although there are other objectives such as inhibiting the progression of active recession, increasing the width of attached gingiva, and reducing dental hypersensitivity. Several techniques such as free gingival graft [<xref rid="B1" ref-type="bibr">1</xref>–<xref rid="B3" ref-type="bibr">3</xref>], laterally positioned flap [<xref rid="B4" ref-type="bibr">4</xref>–<xref rid="B6" ref-type="bibr">6</xref>], coronally positioned flap [<xref rid="B7" ref-type="bibr">7</xref>, <xref rid="B8" ref-type="bibr">8</xref>], and double papilla graft [<xref rid="B9" ref-type="bibr">9</xref>] have been proposed for the same.</p><p>The objective of free gingival graft procedure is to prevent future recession by increasing the width of keratinized gingiva rather than covering the root surface. A double-step procedure consisting of a free gingival graft to obtain a sufficient amount of keratinized tissue, if not already present, and a coronally positioned flap performed after healing to cover the exposed root surface has been proposed. Many variations of the grafting technique have been proposed for predictable root coverage [<xref rid="B10" ref-type="bibr">10</xref>–<xref rid="B12" ref-type="bibr">12</xref>]. In 1985, B. Langer and L. Langer [<xref rid="B13" ref-type="bibr">13</xref>] presented a surgical combination of a pedicle flap and a free graft, proposing that subepithelial connective tissue graft covering the lesion is overlapped by a partial thickness flap to ensure vascularization of the free graft. Different flap procedures further modified this technique resulting in a high success rate and predictability as shown in various longitudinal observations and case reports [<xref rid="B14" ref-type="bibr">14</xref>–<xref rid="B17" ref-type="bibr">17</xref>].</p><p>Recently, double papillary connective tissue graft has been used for the treatment of root coverage procedures for better esthetics and predictability. Of the various graft and nongraft procedures used, this case report describes double papillary subepithelial connective tissue graft, a technique in which bilateral pedicle flaps with connective tissue graft were used to cover Miller's class II gingival recession in the lower left lateral incisor.</p></sec><sec id="sec2"><title>2. Case Report</title><p>A-25-year old male patient reported to the Department of Periodontics, Mamata Dental College and Hospital, Khammam, Andhra Pradesh, with the chief complaint of receding gum and hypersensitivity in relation to lower left lateral incisor (tooth number 32). The patient was a nonsmoker with a good general health and had received no antibiotics and/or periodontal therapy during the previous six months. On intraoral examination, Miller's class II recession was seen in relation to tooth number 32. Trauma from occlusion and tooth malposition with respect to the involved tooth was ruled out clinically. Prior to therapy, clinical measurements including probing depth (2 mm), recession depth (5 mm), recession width (3 mm), clinical attachment level (CAL, 7 mm), and width of keratinized tissue (3 mm) were obtained using a Williams periodontal probe. Clinical photographs were taken preoperatively (<xref ref-type="fig" rid="fig1">Figure 1</xref>) and postoperatively (<xref ref-type="fig" rid="fig10">Figure 10</xref>). Intraoral periapical radiograph (IOPA) of the area showed no bone loss in relation to number 32 (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p><sec id="sec2.1"><title>2.1. Presurgical Preparation</title><p>The patient was educated and motivated about the procedure and informed consent was obtained. Oral hygiene instructions with emphasis to brushing habits were given. Thorough scaling and root planing were done. The patient was periodically recalled to assess the oral hygiene and gingival status.</p></sec><sec id="sec2.2"><title>2.2. Surgical Technique</title><p>The proposed flap design for the surgical procedure has been shown in <xref ref-type="fig" rid="fig3">Figure 3</xref>. Following local anesthesia, an intracrevicular incision through the bottom of the crevice followed by mesial and distal vertical releasing incisions were made including both papillae adjacent to 32 (<xref ref-type="fig" rid="fig4">Figure 4</xref>). A partial thickness flap was reflected by sharp dissection as close to the periosteum as possible, beyond the mucogingival junction, and was extended until the partial thickness flap could be passively positioned over the defect without tension (<xref ref-type="fig" rid="fig5">Figure 5</xref>). Following flap elevation, the exposed root surface was gently planed with sharp curettes. The exposed root surface was then conditioned with 50 mg/mL tetracycline solution for 3 minutes with subsequent saline rinsing using a three-way syringe.</p><p>Subepithelial connective tissue graft was obtained (<xref ref-type="fig" rid="fig7">Figure 7</xref>) in the region of number 24 and number 25 from the palate with two incisions (L-shape) (<xref ref-type="fig" rid="fig6">Figure 6</xref>), to prevent severe postoperative pain and discomfort and for early wound healing. The harvested connective tissue graft was sutured over the defect using a 5-0 vicryl suture to cover the graft, both papillae were first sutured midbuccally in relation to number 32 (<xref ref-type="fig" rid="fig8">Figure 8</xref>) followed by suturing of vertical incisions using 5-0 mersilk suture without tension (<xref ref-type="fig" rid="fig9">Figure 9</xref>). A periodontal dressing (Coe-Pak) was applied to the surgical site to protect the site from irritation.</p><p>Patient was instructed to discontinue tooth brushing and to avoid trauma or pressure at the surgical site. A 0.12% chlorhexidine rinse was prescribed twice daily for 2 weeks and amoxicillin 500 mg thrice daily for 5 days to prevent infection. The patient was recalled after 10 days for suture removal. The patient was enrolled in a maintenance programme (professional plaque control and oral hygiene instructions) and was instructed to resume mechanical tooth cleansing with a soft toothbrush using the roll technique after 2 weeks.</p></sec></sec><sec id="sec3"><title>3. Discussion</title><p>Indications for periodontal esthetic surgery for recession coverage include small amount of keratinized gingiva, class I or class II gingival recession, esthetic concern, single or multiple recessions, and root hypersensitivity. The contraindications include smoking and desquamative gingivitis [<xref rid="B18" ref-type="bibr">18</xref>–<xref rid="B20" ref-type="bibr">20</xref>]. The associated etiologic factors for gingival recession are faulty tooth brushing, malpositioning of tooth, friction from soft tissue, gingival inflammation, high frenum attachment, trauma from occlusion, and orthodontic tooth movement [<xref rid="B21" ref-type="bibr">21</xref>, <xref rid="B22" ref-type="bibr">22</xref>]. The prevalence of gingival recession is more common among girls and the prevalence is seen to increase with age [<xref rid="B23" ref-type="bibr">23</xref>].</p><p>The rationale behind using a subepithelial connective tissue graft for recession coverage is that this technique combines the free gingival graft and pedicle flap. Regardless of the amount of attached gingiva present, the free autogenous connective tissue is readily available from palate or edentulous ridge and pedicle available from site is immediately apical to the gingival recession.</p><p>The vitality and high survival potential of subepithelial connective tissue graft are achieved by the double sources of the blood supply from the gingival flap facially and the overlying periosteum on the opposite side. Another advantage of this procedure is the maintenance of gingival esthetics during the healing process, thus avoiding the keloid appearance of the grafted tissue. Although subepithelial connective tissue grafts provide excellent esthetics, the amount of donor material necessary limits the number of teeth that can be treated in a single surgery.</p><p>The double papilla flap procedure was first described by Tackas 1995 [<xref rid="B24" ref-type="bibr">24</xref>]. It was designed to achieve an adequate zone of attached keratinized gingiva and/or coverage of a denuded root surface by joining two interdental papillae. Indications for this procedure include (1) when the interproximal papillae adjacent to the mucogingival problem are sufficiently wide, (2) when the attached gingiva on an approximating tooth is insufficient to allow for a laterally positioned flap, and (3) when periodontal pockets are not present.</p><p>The surgical procedure in the present study was performed according to the technique described by Tackas (1995) using connective tissue graft covered by a double pedicle papilla flap [<xref rid="B24" ref-type="bibr">24</xref>]. At the end of 6 months, the recession was completely covered and the width of keratinized gingiva increased by 4 mm (<xref ref-type="fig" rid="fig10">Figure 10</xref>). The advantages seen with this technique are little alveolar bone loss due to minimal exposure of the underlying periosteum, high predictability, greater availability of attached gingiva, and rapid wound healing at the donor site. The primary disadvantage with this technique is the technical expertise required in joining together two small flaps in such a way that they acted as a single flap [<xref rid="B9" ref-type="bibr">9</xref>].</p></sec><sec id="sec4"><title>4. Conclusion</title><p>The present case report demonstrated that the double papillary flap in conjunction with subepithelial connective tissue graft is an effective treatment modality for the management of recession defects affecting teeth in the esthetic zones of the mouth. In fact, this surgical technique resulted in complete root coverage of the treated case.</p></sec></body><back><sec sec-type="conflict"><title>Conflict of Interests</title><p>The authors declare that there is no conflict of interests regarding the publication of this paper.</p></sec><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sullivan</surname><given-names>HC</given-names></name><name><surname>Atkins</surname><given-names>JH</given-names></name></person-group><article-title>Free autogenous gingival grafts. I. Principles of successful grafting</article-title><source><italic>Periodontics</italic></source><year>1968</year><volume>6</volume><issue>3</issue><fpage>121</fpage><lpage>129</lpage><pub-id pub-id-type="other">2-s2.0-0014297896</pub-id><pub-id pub-id-type="pmid">5240496</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sullivan</surname><given-names>HC</given-names></name><name><surname>Atkins</surname><given-names>JH</given-names></name></person-group><article-title>Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession</article-title><source><italic>Periodontics</italic></source><year>1968</year><volume>6</volume><issue>4</issue><fpage>152</fpage><lpage>160</lpage><pub-id pub-id-type="other">2-s2.0-0014321607</pub-id><pub-id pub-id-type="pmid">5243142</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miller</surname><given-names>PD</given-names><suffix>Jr.</suffix></name></person-group><article-title>Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession</article-title><source><italic>The International Journal of Periodontics & Restorative Dentistry</italic></source><year>1985</year><volume>5</volume><issue>2</issue><fpage>14</fpage><lpage>37</lpage><pub-id pub-id-type="other">2-s2.0-0021944699</pub-id><pub-id pub-id-type="pmid">3858263</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grupe</surname><given-names>H</given-names></name><name><surname>Warren</surname><given-names>R</given-names></name></person-group><article-title>Repair of gingival defects by sliding flap operation</article-title><source><italic>Journal of Periodontology</italic></source><year>1956</year><volume>27</volume><fpage>92</fpage><lpage>95</lpage></element-citation></ref><ref id="B5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guinard</surname><given-names>EA</given-names></name><name><surname>Caffesse</surname><given-names>RG</given-names></name></person-group><article-title>Treatment of localized gingival recessions. Part I. Lateral sliding flap</article-title><source><italic>Journal of Periodontology</italic></source><year>1978</year><volume>49</volume><issue>7</issue><fpage>351</fpage><lpage>356</lpage><pub-id pub-id-type="other">2-s2.0-0018085802</pub-id><pub-id pub-id-type="pmid">279662</pub-id></element-citation></ref><ref id="B6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caffesse</surname><given-names>RG</given-names></name><name><surname>Guinard</surname><given-names>EA</given-names></name></person-group><article-title>Treatment of localized gingival recessions. Part IV. Results after three years</article-title><source><italic>Journal of Periodontology</italic></source><year>1980</year><volume>51</volume><issue>3</issue><fpage>167</fpage><lpage>170</lpage><pub-id pub-id-type="other">2-s2.0-0018991066</pub-id><pub-id pub-id-type="pmid">6928946</pub-id></element-citation></ref><ref id="B7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Allen</surname><given-names>EP</given-names></name><name><surname>Miller</surname><given-names>PD</given-names><suffix>Jr.</suffix></name></person-group><article-title>Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession</article-title><source><italic>Journal of Periodontology</italic></source><year>1989</year><volume>60</volume><issue>6</issue><fpage>316</fpage><lpage>319</lpage><pub-id pub-id-type="other">2-s2.0-0024674959</pub-id><pub-id pub-id-type="pmid">2778599</pub-id></element-citation></ref><ref id="B8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harris</surname><given-names>RJ</given-names></name><name><surname>Harris</surname><given-names>AW</given-names></name></person-group><article-title>The coronally positioned pedicle graft with inlaid margins: a predictable method of obtaining root coverage of shallow defects</article-title><source><italic>The International Journal of Periodontics & Restorative Dentistry</italic></source><year>1994</year><volume>14</volume><issue>3</issue><fpage>228</fpage><lpage>241</lpage><pub-id pub-id-type="other">2-s2.0-0028459090</pub-id><pub-id pub-id-type="pmid">7995693</pub-id></element-citation></ref><ref id="B9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname><given-names>DW</given-names></name><name><surname>Ross</surname><given-names>SE</given-names></name></person-group><article-title>The double papillae repositioned flap in periodontal therapy</article-title><source><italic>Journal of Periodontology</italic></source><year>1968</year><volume>39</volume><issue>2</issue><fpage>65</fpage><lpage>70</lpage><pub-id pub-id-type="other">2-s2.0-0014265269</pub-id><pub-id pub-id-type="pmid">4870433</pub-id></element-citation></ref><ref id="B10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bernimoulin</surname><given-names>JP</given-names></name><name><surname>Lüscher</surname><given-names>B</given-names></name><name><surname>Mühlemann</surname><given-names>HR</given-names></name></person-group><article-title>Coronally repositioned periodontal flap. Clinical evaluation after one year</article-title><source><italic>Journal of Clinical Periodontology</italic></source><year>1975</year><volume>2</volume><issue>1</issue><fpage>1</fpage><lpage>13</lpage><pub-id pub-id-type="other">2-s2.0-0016465863</pub-id><pub-id pub-id-type="pmid">1055724</pub-id></element-citation></ref><ref id="B11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maynard</surname><given-names>JG</given-names><suffix>Jr.</suffix></name></person-group><article-title>Coronal positioning of a previously placed autogenous gingival graft</article-title><source><italic>Journal of Periodontology</italic></source><year>1977</year><volume>48</volume><issue>3</issue><fpage>151</fpage><lpage>155</lpage><pub-id pub-id-type="other">2-s2.0-0017472233</pub-id><pub-id pub-id-type="pmid">264963</pub-id></element-citation></ref><ref id="B12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mendes</surname><given-names>DN</given-names></name><name><surname>Novaes Júnior</surname><given-names>AB</given-names></name><name><surname>Novaes</surname><given-names>AB</given-names></name></person-group><article-title>Root coverage of large localized gingival recession: a biometric study</article-title><source><italic>Brazilian Dental Journal</italic></source><year>1997</year><volume>8</volume><issue>2</issue><fpage>113</fpage><lpage>120</lpage><pub-id pub-id-type="other">2-s2.0-0031325958</pub-id><pub-id pub-id-type="pmid">9590935</pub-id></element-citation></ref><ref id="B13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Langer</surname><given-names>B</given-names></name><name><surname>Langer</surname><given-names>L</given-names></name></person-group><article-title>Subepithelial connective tissue graft technique for root coverage</article-title><source><italic>Journal of Periodontology</italic></source><year>1985</year><volume>56</volume><issue>12</issue><fpage>715</fpage><lpage>720</lpage><pub-id pub-id-type="other">2-s2.0-0022326922</pub-id><pub-id pub-id-type="pmid">3866056</pub-id></element-citation></ref><ref id="B14"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Raetzke</surname><given-names>PB</given-names></name></person-group><article-title>Covering localized areas of root exposure employing the “envelope” technique</article-title><source><italic>Journal of Periodontology</italic></source><year>1985</year><volume>56</volume><issue>7</issue><fpage>397</fpage><lpage>402</lpage><pub-id pub-id-type="other">2-s2.0-0022099253</pub-id><pub-id pub-id-type="pmid">3894614</pub-id></element-citation></ref><ref id="B15"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nelson</surname><given-names>SW</given-names></name></person-group><article-title>The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces</article-title><source><italic>Journal of Periodontology</italic></source><year>1987</year><volume>58</volume><issue>2</issue><fpage>95</fpage><lpage>102</lpage><pub-id pub-id-type="other">2-s2.0-0023293943</pub-id><pub-id pub-id-type="pmid">3546673</pub-id></element-citation></ref><ref id="B16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bouchard</surname><given-names>P</given-names></name><name><surname>Etienne</surname><given-names>D</given-names></name><name><surname>Ouhayoun</surname><given-names>JP</given-names></name><name><surname>Nilvéus</surname><given-names>R</given-names></name></person-group><article-title>Subepithelial connective tissue grafts in the treatment of gingival recessions. A comparative study of 2 procedures</article-title><source><italic>Journal of Periodontology</italic></source><year>1994</year><volume>65</volume><issue>10</issue><fpage>929</fpage><lpage>936</lpage><pub-id pub-id-type="other">2-s2.0-0028527693</pub-id><pub-id pub-id-type="pmid">7823274</pub-id></element-citation></ref><ref id="B17"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harris</surname><given-names>RJ</given-names></name></person-group><article-title>The connective tissue with partial thickness double pedicle graft: the results of 100 consecutively-treated defects</article-title><source><italic>Journal of Periodontology</italic></source><year>1994</year><volume>65</volume><issue>5</issue><fpage>448</fpage><lpage>461</lpage><pub-id pub-id-type="other">2-s2.0-0028434292</pub-id><pub-id pub-id-type="pmid">8046561</pub-id></element-citation></ref><ref id="B18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miller</surname><given-names>PD</given-names><suffix>Jr.</suffix></name></person-group><article-title>A classification of marginal tissue recession</article-title><source><italic>The International Journal of Periodontics & Restorative Dentistry</italic></source><year>1985</year><volume>5</volume><issue>2</issue><fpage>8</fpage><lpage>13</lpage><pub-id pub-id-type="other">2-s2.0-0021982558</pub-id></element-citation></ref><ref id="B19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rodier</surname><given-names>P</given-names></name></person-group><article-title>Clinical research on the etiopathology of gingival recession</article-title><source><italic>Journal de Parodontologie</italic></source><year>1990</year><volume>9</volume><issue>3</issue><fpage>227</fpage><lpage>234</lpage><pub-id pub-id-type="other">2-s2.0-17144464866</pub-id><pub-id pub-id-type="pmid">2231391</pub-id></element-citation></ref><ref id="B20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheung</surname><given-names>WS</given-names></name><name><surname>Griffin</surname><given-names>TJ</given-names></name></person-group><article-title>A comparative study of root coverage with connective tissue and platelet concentrate grafts: 8-month results</article-title><source><italic>Journal of Periodontology</italic></source><year>2004</year><volume>75</volume><issue>12</issue><fpage>1678</fpage><lpage>1687</lpage><pub-id pub-id-type="other">2-s2.0-13844320547</pub-id><pub-id pub-id-type="pmid">15732871</pub-id></element-citation></ref><ref id="B21"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Steiner</surname><given-names>GG</given-names></name><name><surname>Pearson</surname><given-names>JK</given-names></name><name><surname>Ainamo</surname><given-names>J</given-names></name></person-group><article-title>Changes of the marginal periodontium as a result of labial tooth movement in monkeys</article-title><source><italic>Journal of Periodontology</italic></source><year>1981</year><volume>52</volume><issue>6</issue><fpage>314</fpage><lpage>320</lpage><pub-id pub-id-type="other">2-s2.0-0019857998</pub-id><pub-id pub-id-type="pmid">6943326</pub-id></element-citation></ref><ref id="B22"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ainamo</surname><given-names>J</given-names></name><name><surname>Paloheimo</surname><given-names>L</given-names></name><name><surname>Nordblad</surname><given-names>A</given-names></name><name><surname>Murtomaa</surname><given-names>H</given-names></name></person-group><article-title>Gingival recession in schoolchildren at 7, 12 and 17 years of age in Espoo, Finland</article-title><source><italic>Community Dentistry and Oral Epidemiology</italic></source><year>1986</year><volume>14</volume><issue>5</issue><fpage>283</fpage><lpage>286</lpage><pub-id pub-id-type="other">2-s2.0-0022801728</pub-id><pub-id pub-id-type="pmid">3466749</pub-id></element-citation></ref><ref id="B23"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Serino</surname><given-names>G</given-names></name><name><surname>Wennström</surname><given-names>JL</given-names></name><name><surname>Lindhe</surname><given-names>J</given-names></name><name><surname>Eneroth</surname><given-names>L</given-names></name></person-group><article-title>The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene</article-title><source><italic>Journal of Clinical Periodontology</italic></source><year>1994</year><volume>21</volume><issue>1</issue><fpage>57</fpage><lpage>63</lpage><pub-id pub-id-type="other">2-s2.0-0028044451</pub-id><pub-id pub-id-type="pmid">8126246</pub-id></element-citation></ref><ref id="B24"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tackas</surname><given-names>VJ</given-names></name></person-group><article-title>Root coverage techniques: a review</article-title><source><italic>The Journal of the Western Society of Periodontology</italic></source><year>1995</year><volume>43</volume><issue>1</issue><fpage>5</fpage><lpage>14</lpage><pub-id pub-id-type="other">2-s2.0-0029445480</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Preoperative photograph showing recession in relation to 32.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Radiograph in relation to lower anterior region showing absence of interdental bone loss.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Proposed flap design for double papillary in relation to tooth number 32.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Intracrevicular incision followed by mesial and distal vertical releasing incisions for double papilla flap in relation to tooth number 32.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Partial thickness flap reflection in relation to tooth number 32.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Donor site in the palate used for harvesting the subepithelial connective tissue graft.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Harvested free connective tissue graft.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Papillary grafts from adjacent papillae first sutured midbuccally in relation to recipient site.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Suturing of vertical incisions using 5-0 mersilk suture without tension.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Sixth month postoperative view showing complete recession coverage in relation to tooth number 32.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-509319.010"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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