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The periosteum eversion technique for coverage of denuded root surface.

Singh AK, Kiran P - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: The periosteum is highly cellular connective tissue with rich vascularity and regenerative potential, which make it suitable autogenous graft.The periosteum eversion technique utilized periosteum for coverage of denuded root surface.Root conditioning was done with 24% ethylenediaminetetra-acetic acid.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India.

ABSTRACT
The periosteum is highly cellular connective tissue with rich vascularity and regenerative potential, which make it suitable autogenous graft. The periosteum eversion technique utilized periosteum for coverage of denuded root surface. The purpose of this case report was to evaluate the periosteum eversion technique that involves a single surgical site, in terms of root coverage, gingival height, and probing depth. A patient with Miller class I gingival recession of 3.0 mm, gingival height of 2.0 mm and probing depth of 2.0 mm was treated by the periosteum eversion technique. Root conditioning was done with 24% ethylenediaminetetra-acetic acid. In this technique, marginal periosteum was used as a pedicle graft. At the end of 6 months, 100% root surface was covered successfully with 5.0 mm of gingival height and 1.0 mm of probing depth. The periosteum eversion technique can be used for the treatment of gingival recession defect successfully.

No MeSH data available.


Related in: MedlinePlus

Reflected mucoperiosteal flap showing denuded root surface and bone
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Figure 2: Reflected mucoperiosteal flap showing denuded root surface and bone

Mentions: After proper part preparation, 2% lignocaine hydrochloride with 1:80,000 adrenaline was administered to anesthetize lingual, labial and inferior alveolar nerves. After local anesthesia, marginal incision was given all along the soft tissue margin of the recession defect. Two lateral vertical incisions along proximal side of recession defect were made, and a mucoperiosteal flap was reflected [Figure 2]. The exposed root surface was cleaned thoroughly by scaling and root planing to remove any root surface deposits. An attempt was made to flatten the root in the area of the root prominence. Root conditioning was done with 24% ethylenediaminetetra-acetic acid for 3 min [Figure 3] and washed with a normal saline solution for 60 s [Figure 4]. A basal incision was given at the baseline to incise the periosteum, and then it was separated from the submucous connective tissue up to the borderline of the attached gingiva. The crestly pedicle periosteum was everted [Figure 5] and transposed coronally where it was sutured with 5–0 absorbable suture [Figure 6]. After that, a coronal transposition of mucoperiosteal flap was done, and it was also sutured with 5–0 absorbable suture [Figure 7].


The periosteum eversion technique for coverage of denuded root surface.

Singh AK, Kiran P - J Indian Soc Periodontol (2015 Jul-Aug)

Reflected mucoperiosteal flap showing denuded root surface and bone
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555808&req=5

Figure 2: Reflected mucoperiosteal flap showing denuded root surface and bone
Mentions: After proper part preparation, 2% lignocaine hydrochloride with 1:80,000 adrenaline was administered to anesthetize lingual, labial and inferior alveolar nerves. After local anesthesia, marginal incision was given all along the soft tissue margin of the recession defect. Two lateral vertical incisions along proximal side of recession defect were made, and a mucoperiosteal flap was reflected [Figure 2]. The exposed root surface was cleaned thoroughly by scaling and root planing to remove any root surface deposits. An attempt was made to flatten the root in the area of the root prominence. Root conditioning was done with 24% ethylenediaminetetra-acetic acid for 3 min [Figure 3] and washed with a normal saline solution for 60 s [Figure 4]. A basal incision was given at the baseline to incise the periosteum, and then it was separated from the submucous connective tissue up to the borderline of the attached gingiva. The crestly pedicle periosteum was everted [Figure 5] and transposed coronally where it was sutured with 5–0 absorbable suture [Figure 6]. After that, a coronal transposition of mucoperiosteal flap was done, and it was also sutured with 5–0 absorbable suture [Figure 7].

Bottom Line: The periosteum is highly cellular connective tissue with rich vascularity and regenerative potential, which make it suitable autogenous graft.The periosteum eversion technique utilized periosteum for coverage of denuded root surface.Root conditioning was done with 24% ethylenediaminetetra-acetic acid.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Chandra Dental College and Hospital, Barabanki, Uttar Pradesh, India.

ABSTRACT
The periosteum is highly cellular connective tissue with rich vascularity and regenerative potential, which make it suitable autogenous graft. The periosteum eversion technique utilized periosteum for coverage of denuded root surface. The purpose of this case report was to evaluate the periosteum eversion technique that involves a single surgical site, in terms of root coverage, gingival height, and probing depth. A patient with Miller class I gingival recession of 3.0 mm, gingival height of 2.0 mm and probing depth of 2.0 mm was treated by the periosteum eversion technique. Root conditioning was done with 24% ethylenediaminetetra-acetic acid. In this technique, marginal periosteum was used as a pedicle graft. At the end of 6 months, 100% root surface was covered successfully with 5.0 mm of gingival height and 1.0 mm of probing depth. The periosteum eversion technique can be used for the treatment of gingival recession defect successfully.

No MeSH data available.


Related in: MedlinePlus