TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS

UCLA SCHOOL OF DENTISTRY

Presents Dr. E. Barrie KenneyProfessor & ChairmanSection of Periodontics

E. Barrie Kenney, B.D.Sc., D.D.S., M.S., F.R.A.C.D.S.Tarrson Family Endowed Chair in PeriodonticsProfessor and Chairman, Division of Associated Clinical Specialties UCLA School of Dentistry

Coronally Placed Flaps

A. Gingival GraftB. Membranes

A. Gingival Graft

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

YesYes

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

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

YesYes

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

Membranes BIO-GIDE

RESORBABLE COLLAGEN

EMDOGAIN ENHANCES HEALING

POSSIBLE STIMULATION OFBONE AND CEMENTUM

Emdogain versus Connective Tissue Graft

Enamel Matrix Derivative with Coronally Advanced Flaps

vs.Connective Tissue Graft Techniquein Gingival Recession Treatment

Aleksic Z, Lekovic V, Vasilic N,AAP Boston 2004

• 17 paired recessions

• Evaluated at 6 and 12 months

Gain in Width of

Root Coverage (%) Keratinized Tissue

Emdogain + C.P.F. 89.7 1.83mm

Connective Tissue Graft 91.3 3.45mmN.S.

Results at 12 Months

Bio-Gide versus Connective Tissue Graft

Guided Tissue Regeneration versus

Connective Tissue Graftin Gingival Recession Treatment.

Aleksic Z, Lekovic V, Vasilic N,AAP San Francisco 2003

• 12 paired recessions

• Evaluated at 6 months

Gain in Width of

Root Coverage (%) Keratinized Tissue

Bio-Gide + C.P.F. 81.5 0.69mm

Connective Tissue Graft 84.3 3.23mmN.S.

Results at 6 Months

B. Membranes

UCLA SCHOOL OF DENTISTRY