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Clinical evaluation of the marginal gingiva as a donor tissue to augment the width of keratinized gingiva: Series of 2 cases with 3-year follow-up.

Khanuja PK, Sharma RK, Tewari S, Narula SC - Contemp Clin Dent (2015)

Bottom Line: To the best of our knowledge, no such cases have been documented in the literature.This not only improved plaque control but also resulted in acceptable esthetic results over 3 years.It may be concluded that buccal marginal gingiva may provide a predictable substitute to other donor tissues to augment gingiva.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.

ABSTRACT
The indications to increase the width of keratinized gingiva have not been proven beyond doubt; however it becomes indispensable in certain clinical situations. Inspite of frequently encountered complications, palate is considered most preferred area to harvest the free gingival graft (FGG). This procedure aimed at investigating the potential of buccal marginal gingiva as a donor to augment keratinized gingiva. To the best of our knowledge, no such cases have been documented in the literature. FGG harvested from maxillary buccal marginal gingiva was used to augment gingiva in the mandibular anterior region for two patients. This not only improved plaque control but also resulted in acceptable esthetic results over 3 years. Furthermore, gingiva at donor sites gained its normal form and was in harmony with the neighboring teeth. It may be concluded that buccal marginal gingiva may provide a predictable substitute to other donor tissues to augment gingiva.

No MeSH data available.


Related in: MedlinePlus

Preoperative view (case 1): Gingival recession with shallow vestibular depth and narrow band of keratinized gingiva in respect to 31, 41 (a). Preoperative situation (case2): Gingival recession along with shallow vestibular and narrow band of keratinized gingiva depth in respect to 41 (b). Recipient bed preparation apical to the available keratinized tissue (case 1) (c). Donor tissue was harvested from buccal marginal gingiva of maxillary first molar (case 1) (d). Graft was sutured on the recipient bed with silk sutures (case 1) (e)
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Figure 1: Preoperative view (case 1): Gingival recession with shallow vestibular depth and narrow band of keratinized gingiva in respect to 31, 41 (a). Preoperative situation (case2): Gingival recession along with shallow vestibular and narrow band of keratinized gingiva depth in respect to 41 (b). Recipient bed preparation apical to the available keratinized tissue (case 1) (c). Donor tissue was harvested from buccal marginal gingiva of maxillary first molar (case 1) (d). Graft was sutured on the recipient bed with silk sutures (case 1) (e)

Mentions: Two patients (25-year-old male, female aged 32 years) with Miller's Class III gingival recession[3] along with narrow keratinized gingiva in the mandibular anterior region reported to the Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, India in May 2010 [Figure 1a and b]. Initial periodontal therapy included sessions of oral hygiene instructions, scaling, and root planing. Despite their efforts and professional guidance, patients were unable to maintain effective oral hygiene in the mandibular anterior region. It was therefore planned to attempt a gingival augmentation procedure for both the patients. As both the patients had shallow palatal valves, it was decided to procure donor tissue from maxillary buccal marginal gingiva. Informed consent was obtained from the patients after explaining the procedure.


Clinical evaluation of the marginal gingiva as a donor tissue to augment the width of keratinized gingiva: Series of 2 cases with 3-year follow-up.

Khanuja PK, Sharma RK, Tewari S, Narula SC - Contemp Clin Dent (2015)

Preoperative view (case 1): Gingival recession with shallow vestibular depth and narrow band of keratinized gingiva in respect to 31, 41 (a). Preoperative situation (case2): Gingival recession along with shallow vestibular and narrow band of keratinized gingiva depth in respect to 41 (b). Recipient bed preparation apical to the available keratinized tissue (case 1) (c). Donor tissue was harvested from buccal marginal gingiva of maxillary first molar (case 1) (d). Graft was sutured on the recipient bed with silk sutures (case 1) (e)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374310&req=5

Figure 1: Preoperative view (case 1): Gingival recession with shallow vestibular depth and narrow band of keratinized gingiva in respect to 31, 41 (a). Preoperative situation (case2): Gingival recession along with shallow vestibular and narrow band of keratinized gingiva depth in respect to 41 (b). Recipient bed preparation apical to the available keratinized tissue (case 1) (c). Donor tissue was harvested from buccal marginal gingiva of maxillary first molar (case 1) (d). Graft was sutured on the recipient bed with silk sutures (case 1) (e)
Mentions: Two patients (25-year-old male, female aged 32 years) with Miller's Class III gingival recession[3] along with narrow keratinized gingiva in the mandibular anterior region reported to the Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, India in May 2010 [Figure 1a and b]. Initial periodontal therapy included sessions of oral hygiene instructions, scaling, and root planing. Despite their efforts and professional guidance, patients were unable to maintain effective oral hygiene in the mandibular anterior region. It was therefore planned to attempt a gingival augmentation procedure for both the patients. As both the patients had shallow palatal valves, it was decided to procure donor tissue from maxillary buccal marginal gingiva. Informed consent was obtained from the patients after explaining the procedure.

Bottom Line: To the best of our knowledge, no such cases have been documented in the literature.This not only improved plaque control but also resulted in acceptable esthetic results over 3 years.It may be concluded that buccal marginal gingiva may provide a predictable substitute to other donor tissues to augment gingiva.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.

ABSTRACT
The indications to increase the width of keratinized gingiva have not been proven beyond doubt; however it becomes indispensable in certain clinical situations. Inspite of frequently encountered complications, palate is considered most preferred area to harvest the free gingival graft (FGG). This procedure aimed at investigating the potential of buccal marginal gingiva as a donor to augment keratinized gingiva. To the best of our knowledge, no such cases have been documented in the literature. FGG harvested from maxillary buccal marginal gingiva was used to augment gingiva in the mandibular anterior region for two patients. This not only improved plaque control but also resulted in acceptable esthetic results over 3 years. Furthermore, gingiva at donor sites gained its normal form and was in harmony with the neighboring teeth. It may be concluded that buccal marginal gingiva may provide a predictable substitute to other donor tissues to augment gingiva.

No MeSH data available.


Related in: MedlinePlus