Coronally Placed Flaps

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Coronally Placed Flaps

  1. 1. TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
  2. 2. UCLA SCHOOL OF DENTISTRY
  3. 3. Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics
  4. 4. E. Barrie Kenney, B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics Professor and Chairman, Division of Associated Clinical Specialties UCLA School of Dentistry
  5. 5. Coronally Placed Flaps <ul><li>Gingival Graft </li></ul><ul><li>Membranes </li></ul><ul><li>Gingival Graft </li></ul>
  6. 6. Treatment of Gingival Recession Esthetic Problem Adequate Keratinized Gingiva Adequate Keratinized Gingiva Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap Recession More than 2 mm. Coronally Repositioned Semi-Lunar Flap Lateral Sliding Flap Adequate Adjacent Donor Site Adequate Palatal Donor Site Yes No Yes Yes Yes Yes Yes No No No No No 3 Month Evaluation for Progression Gingival Graft Connective Tissue Graft Coronally Repositioned Flap with Membrane or Emdogain
  7. 7. Treatment of Gingival Recession Esthetic Problem Adequate Keratinized Gingiva Adequate Keratinized Gingiva Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap Recession More than 2 mm. Coronally Repositioned Semi-Lunar Flap Lateral Sliding Flap Adequate Adjacent Donor Site Adequate Palatal Donor Site Yes No Yes Yes Yes Yes Yes No No No No No 3 Month Evaluation for Progression Gingival Graft Connective Tissue Graft Coronally Repositioned Flap with Membrane or Emdogain
  8. 16. Membranes BIO-GIDE RESORBABLE COLLAGEN
  9. 22. EMDOGAIN ENHANCES HEALING POSSIBLE STIMULATION OF BONE AND CEMENTUM
  10. 28. Emdogain versus Connective Tissue Graft Enamel Matrix Derivative with Coronally Advanced Flaps vs. Connective Tissue Graft Technique in Gingival Recession Treatment Aleksic Z, Lekovic V, Vasilic N, AAP Boston 2004 <ul><li>17 paired recessions </li></ul><ul><li>Evaluated at 6 and 12 months </li></ul>
  11. 29. N.S. Results at 12 Months 3.45mm 91.3 Connective Tissue Graft 1.83mm 89.7 Emdogain + C.P.F. Keratinized Tissue Root Coverage (%) Gain in Width of
  12. 30. Bio-Gide versus Connective Tissue Graft Guided Tissue Regeneration versus Connective Tissue Graft in Gingival Recession Treatment. Aleksic Z, Lekovic V, Vasilic N, AAP San Francisco 2003 <ul><li>12 paired recessions </li></ul><ul><li>Evaluated at 6 months </li></ul>
  13. 31. N.S. Results at 6 Months 3.23mm 84.3 Connective Tissue Graft 0.69mm 81.5 Bio-Gide + C.P.F. Keratinized Tissue Root Coverage (%) Gain in Width of
  14. 35. B. Membranes
  15. 36. UCLA SCHOOL OF DENTISTRY

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