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Amniotic membrane - A Novel material for the root coverage: A case series.

Sharma A, Yadav K - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%.CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.

ABSTRACT

Background: Periodontal plastic surgical procedures aimed at coverage of exposed root surface. Owing to the second surgical donor site and difficulty in procuring a sufficient graft for the treatment of root coverage procedures, various alternative additive membranes have been used. A recent resorbable amniotic membrane, not only maintains the structural and anatomical configuration of regenerated tissues, but also enhances gingival wound healing, provides a rich source of stem cells. Therefore, amniotic membrane is choice of material these days in augmenting the better results in various periodontal procedures.

Aim: The aim of this observational case series was to evaluate the effectiveness, predictability and the use of a novel material, amniotic membrane in the treatment of shallow-to-moderate isolated recession defects.

Materials and methods: A total of three cases, showing Miller's Class I or Class II gingival recession, participated in this study. Recession depth, recession width, keratinized gingiva (KG) tissue width, clinical attachment level (CAL) were recorded at baseline, 3 and 6 months postoperatively.

Results: Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%. CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.

Conclusion: Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

No MeSH data available.


Related in: MedlinePlus

Placement of amniotic membrane
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Figure 4: Placement of amniotic membrane

Mentions: Amniotic membrane was placed on the denuded root and flap was sutured [Figure 4]. Care was taken to prevent the movement of the membrane during flap closure. Patients were advised not to brush on the treated site for 3 weeks and instead 0.2% chlorhexidine rinse was prescribed for 3 weeks. Antibiotics and analgesics were prescribed postoperatively. The patient was examined at 1st and 4th week to assess healing and then followed-up at 3 and 6 months for reassessment of clinical parameters.


Amniotic membrane - A Novel material for the root coverage: A case series.

Sharma A, Yadav K - J Indian Soc Periodontol (2015 Jul-Aug)

Placement of amniotic membrane
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555805&req=5

Figure 4: Placement of amniotic membrane
Mentions: Amniotic membrane was placed on the denuded root and flap was sutured [Figure 4]. Care was taken to prevent the movement of the membrane during flap closure. Patients were advised not to brush on the treated site for 3 weeks and instead 0.2% chlorhexidine rinse was prescribed for 3 weeks. Antibiotics and analgesics were prescribed postoperatively. The patient was examined at 1st and 4th week to assess healing and then followed-up at 3 and 6 months for reassessment of clinical parameters.

Bottom Line: Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%.CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.

ABSTRACT

Background: Periodontal plastic surgical procedures aimed at coverage of exposed root surface. Owing to the second surgical donor site and difficulty in procuring a sufficient graft for the treatment of root coverage procedures, various alternative additive membranes have been used. A recent resorbable amniotic membrane, not only maintains the structural and anatomical configuration of regenerated tissues, but also enhances gingival wound healing, provides a rich source of stem cells. Therefore, amniotic membrane is choice of material these days in augmenting the better results in various periodontal procedures.

Aim: The aim of this observational case series was to evaluate the effectiveness, predictability and the use of a novel material, amniotic membrane in the treatment of shallow-to-moderate isolated recession defects.

Materials and methods: A total of three cases, showing Miller's Class I or Class II gingival recession, participated in this study. Recession depth, recession width, keratinized gingiva (KG) tissue width, clinical attachment level (CAL) were recorded at baseline, 3 and 6 months postoperatively.

Results: Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%. CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.

Conclusion: Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

No MeSH data available.


Related in: MedlinePlus