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Regenerative procedures in periodontal treatment in the light of AAP Workshops from 2014. Part I. Soft tissues
Bartłomiej Górski, Maciej Zaremba, Renata Górska
Bartłomiej Górski, Maciej Zaremba, Renata Górska
Streszczenie
Periodontologiczna chirurgia regeneracyjna wykorzystuje różne strategie terapeutyczne. Zastosowanie wolnych przeszczepów nabłonkowo-łącznotkankowych w celu augmentacji dziąsła jest traktowane jako złoty środek, natomiast w celu pokrycia recesji dziąsłowych należy użyć wolnych przeszczepów podnabłonkowej tkanki łącznej, ksenogennych materiałów komercyjnych i/lub pochodnych matrycy szkliwnej. W pracy omówiono schematy decyzyjne chirurgicznego leczenia defektów tkanek miękkich przyzębia na podstawie najnowszych wytycznych w tym zakresie i zobrazowano je przypadkami własnymi.
Hasła indeksowe: recesje dziąsłowe, przeszczep nabłonkowo-łącznotkankowy, przeszczep podnabłonkowej tkanki łącznej
Summary
Periodontal regenerative surgery uses various therapeutic strategies. Use of free epithelial-connective tissue grafts with the aim of augmenting gingiva is treated as the golden mean, however, with aim of covering gingival recession free subepithelial grafts should use connective tissue, commercial and/or ksenogenic materials from enamel matrix. The study describes schemes that decide for surgical treatment of defects in the soft tissues of the periodontium on the basis of the latest indications in this field and their visualisation with the authors’ own cases.
Key words: gingival recession, epithelial-connective tissue graft
PIŚMIENNICTWO
1. Górska R. i wsp.: Częstość występowania chorób przyzębia i chorób błony śluzowej jamy ustnej u osób w wieku 35-44 i 65-74 lata w wybranych miastach Polski. J. Stomatol., 2014, 67, Suppl. 1, 57.
2. Kim D.M., Neiva R.: Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP regeneration workshop. J. Periodontol., 2015, 86, 2, 2 Suppl., 56-72.
3. Renkema A.M. i wsp.: Gingival labial recessions in orthodontically treated and untreated individuals: a case-control study. J. Clin. Periodontol., 2013, 40, 6, 631-637.
4. Soehren S.E. i wsp.: Clinical and histologic studies of donor tissues utilized for free grafts of masticatory mucosa. J. Periodontol., 1973, 44, 12, 727-741.
5. Chambrone L., Tatakis D.N.: Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J. Periodontol., 2015, 2, 86, 2 Suppl., 8-51.
6. Wang H.L., Modarressi M., Fu J.H.: Utilizing collagen membranes for guided tissue regeneration-based root coverage. Periodontol. 2000., 2012, 59, 1,140-57.
7. Chambrone L. i wsp.: Root coverage procedures for the treatment of localised recession-type defects. Cochrane Database Syst. Rev., 2009, 4, 15, 2, CD007161.
8. Chambrone L. i wsp: Root-coverage procedures for the treatment of localized recession-type defects. A Cochrane systemic review. J. Periodontol., 2010, 81, 4, 452-478.
9. Tonetti M.S., Jepsen S.:Clinical efficacy of periodontal plastic surgery procedures: Consensus Report of Group 2 of the 10th European Workshop on Periodontolgy. J. Clin. Peridontol., 2014, 4, 15 Suppl., 36-43.
10. DeSanctis M., Zucchelli G.: Coronally-advanced flap: a modified surgical approach for isolated recession type defects. 3-year results. J. Periodontol., 2007, 74, 3, 262-268.
11. Zucchelli G. i wsp.: Laterally moved coronally advanced flap: a modified surgical approach for isolated recession – type defects. J Periodontol, 2004, 75, 12, 1734-1741.
12. Zucchelli G. i wsp.: Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: a comparative short- and long-term controlled randomized clinical trial. J. Clin. Periodontol., 2014, 41, 4, 396-403.
13. Zabalegui I. i wsp.: Treatment of multiple adjacent gingival recession with the tunnel subepithelial connective tissue graft: a clinical report. Int. J. Periodontol. Res. Dent., 1999, 19, 2, 199-206.
14. Henriques P.S.G. i wsp.: Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study. J. Oral Sci., 2010, 52, 3, 463-471.
15. Cairo F. i wsp.: Coronally advanced flap with and without connective tissue graft for the treatment of single maxillary gingival recession with loss of inter-dental attachment. A randomized controlled clinical trial. J. Clin. Periodontol., 2012, 39, 8, 760-768.
16. Chambrone L. i wsp.: The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: A systemic review. J. Am. Dent. Assoc., 2009, 140, 3, 294-306.
17. Cairo F., Pini-Prato G.P.: A Technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int. J. Periodontics. Restorative Dent., 2010, 30, 6: 573–581.
18. Zucchelli G. i wsp.: Does the dimension of the graft influence patient morbidity and root coverage outcomes? A randomized controlled clinical trial. J. Clin. Periodontol., 2014, 41, 7, 708-716.
PIŚMIENNICTWO
1. Górska R. i wsp.: Częstość występowania chorób przyzębia i chorób błony śluzowej jamy ustnej u osób w wieku 35-44 i 65-74 lata w wybranych miastach Polski. J. Stomatol., 2014, 67, Suppl. 1, 57.
2. Kim D.M., Neiva R.: Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP regeneration workshop. J. Periodontol., 2015, 86, 2, 2 Suppl., 56-72.
3. Renkema A.M. i wsp.: Gingival labial recessions in orthodontically treated and untreated individuals: a case-control study. J. Clin. Periodontol., 2013, 40, 6, 631-637.
4. Soehren S.E. i wsp.: Clinical and histologic studies of donor tissues utilized for free grafts of masticatory mucosa. J. Periodontol., 1973, 44, 12, 727-741.
5. Chambrone L., Tatakis D.N.: Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J. Periodontol., 2015, 2, 86, 2 Suppl., 8-51.
6. Wang H.L., Modarressi M., Fu J.H.: Utilizing collagen membranes for guided tissue regeneration-based root coverage. Periodontol. 2000., 2012, 59, 1,140-57.
7. Chambrone L. i wsp.: Root coverage procedures for the treatment of localised recession-type defects. Cochrane Database Syst. Rev., 2009, 4, 15, 2, CD007161.
8. Chambrone L. i wsp: Root-coverage procedures for the treatment of localized recession-type defects. A Cochrane systemic review. J. Periodontol., 2010, 81, 4, 452-478.
9. Tonetti M.S., Jepsen S.:Clinical efficacy of periodontal plastic surgery procedures: Consensus Report of Group 2 of the 10th European Workshop on Periodontolgy. J. Clin. Peridontol., 2014, 4, 15 Suppl., 36-43.
10. DeSanctis M., Zucchelli G.: Coronally-advanced flap: a modified surgical approach for isolated recession type defects. 3-year results. J. Periodontol., 2007, 74, 3, 262-268.
11. Zucchelli G. i wsp.: Laterally moved coronally advanced flap: a modified surgical approach for isolated recession – type defects. J Periodontol, 2004, 75, 12, 1734-1741.
12. Zucchelli G. i wsp.: Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: a comparative short- and long-term controlled randomized clinical trial. J. Clin. Periodontol., 2014, 41, 4, 396-403.
13. Zabalegui I. i wsp.: Treatment of multiple adjacent gingival recession with the tunnel subepithelial connective tissue graft: a clinical report. Int. J. Periodontol. Res. Dent., 1999, 19, 2, 199-206.
14. Henriques P.S.G. i wsp.: Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study. J. Oral Sci., 2010, 52, 3, 463-471.
15. Cairo F. i wsp.: Coronally advanced flap with and without connective tissue graft for the treatment of single maxillary gingival recession with loss of inter-dental attachment. A randomized controlled clinical trial. J. Clin. Periodontol., 2012, 39, 8, 760-768.
16. Chambrone L. i wsp.: The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: A systemic review. J. Am. Dent. Assoc., 2009, 140, 3, 294-306.
17. Cairo F., Pini-Prato G.P.: A Technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int. J. Periodontics. Restorative Dent., 2010, 30, 6: 573–581.
18. Zucchelli G. i wsp.: Does the dimension of the graft influence patient morbidity and root coverage outcomes? A randomized controlled clinical trial. J. Clin. Periodontol., 2014, 41, 7, 708-716.
