Ascertaining the regenerative potential of the "gold standard" grafts: Achieving 100% root coverage in Miller's Class III recession with periosteal pedicle graft and autogenous bone

• Published in: Journal of Indian Society of Periodontology 2018-05, Vol.22 (3), p.277-281
• Main Authors: Luthra, Shailly, Grover, Harpreet, Yadav, Anil, Masamatti, Sujata
• Format: Article
• Language: English
• Subjects: Bone; Bone grafts; Bone-grafting; Canine teeth; Case Report; Case studies; Defects; esthetics; Gingiva; gingival recession; Gums; Health aspects; Periodontics; Periosteum; Regeneration; Research centers; Surgery; Systematic review; Teeth; Tissue engineering
• ISSN: 0972-124X; 0975-1580
• DOI: 10.4103/jisp.jisp_333_17

Recession of the gingiva is defined as the stripping of a portion of the dental root surface as a result of gingival margin shifting apically. Various techniques have been advocated for root coverage. The practice of utilizing periosteal pedicle graft for covering gingival recession defects is a contemporary development. Utilizing bone grafts for hard tissue regeneration has also been implemented. This case report assesses the effectiveness of the surgical approach utilizing autogenous bone and periosteum for recession coverage. A participant with Miller's Class III gingival recession in #23 and #24 was treated using this technique. The loss of periodontal attachment was recorded to be 8 mm and 5 mm on the mid-buccal surface of the upper left canine and first premolar, respectively. Clinical parameters were recorded at 1, 3, 6, 9, and 12 months postoperatively. Complete root coverage was achieved when evaluated from baseline till 12 months, with clinical attachment level and keratinized tissue gain. The results of esthetics in terms of color match and tissue contours were satisfactory to the patient as well as to the clinicians.