The applications of periodontal gingival surgery. Ⅱ: alternative materials

doi:10.7518/hxkq.2018.02.001

Abstract

Abstract:

The main purposes of periodontal graft surgery include achieving root coverage, improving the clinical attach-ment level and keratinized tissue, and advancing the procedure of periodontal plastic surgery. Autogenous graft, such as sube-pithelial connective tissue graft-based procedure, provide the best outcomes for mean and complete root coverage, as well as increase in keratinized tissue. However, a disadvantage of the procedure is in the location of the operation itself: the additional surgical site (palate). Therefore, clinicians are always looking for graft substitutes. This article will discuss the evidence sup-porting the use of 1) acellular dermal matrix (ADM); 2) xenogeneic collagen matrix (XCM); 3) recombinant human platelet-derived growth factor (rhPDGF); 4) enamel matrix derivative (EMD); 5) guided tissue regeneration (GTR); 6) living cellularconstruct (LCC), all of which are used in conjunction with coronally advanced flaps as alternatives to autogenous donor tissue. The decision tree for treatments of Miller recession-type defects are also discussed.

Key words: periodontics, gingival surgery, alternative material, gingival recession, attached gingiva

CLC Number:

R781.4

Mao Erjia. The applications of periodontal gingival surgery. Ⅱ: alternative materials[J]. West China Journal of Stomatology, 2018, 36(2): 117-122.

Figures/Tables 4

References 28

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