TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS

UCLA SCHOOL OF DENTISTRY

Presents

Dr. E. Barrie Kenney

Professor & Chairman Section of Periodontics

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

Coronally Placed Flaps

A. Gingival Graft B. Membranes

A. Gingival Graft

Treatment of Gingival Recession

Esthetic Problem
No Adequate Keratinized Gingiva Yes No Gingival Graft

Yes

Adequate Keratinized Gingiva

Yes

Recession More than 2 mm.

No

Yes

Adequate Adjacent Donor Site Yes

Lateral Sliding Flap

No

Adequate Palatal Donor Site

Yes

No
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

3 Month Evaluation for Progression

Coronally Repositioned Semi-Lunar Flap

Connective Tissue Graft

No

Coronally Repositioned Flap with Membrane or Emdogain

Treatment of Gingival Recession

Esthetic Problem
No Adequate Keratinized Gingiva Yes No Gingival Graft

Yes

Adequate Keratinized Gingiva

Yes

Recession More than 2 mm.

No

Yes

Adequate Adjacent Donor Site Yes

Lateral Sliding Flap

No

Adequate Palatal Donor Site

Yes

No
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

3 Month Evaluation for Progression

Coronally Repositioned Semi-Lunar Flap

Connective Tissue Graft

No

Coronally Repositioned Flap with Membrane or Emdogain

Membranes

BIO-GIDE
RESORBABLE COLLAGEN

EMDOGAIN

ENHANCES HEALING POSSIBLE STIMULATION OF BONE AND CEMENTUM

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

17 paired recessions
Evaluated at 6 and 12 months

Results at 12 Months
Gain in Width of Keratinized Tissue 1.83mm 3.45mm

Root Coverage (%) Emdogain + C.P.F. 89.7 N.S. Connective Tissue Graft 91.3

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

12 paired recessions
Evaluated at 6 months

Results at 6 Months
Gain in Width of Keratinized Tissue 0.69mm 3.23mm

Root Coverage (%) Bio-Gide + C.P.F. 81.5 N.S. Connective Tissue Graft 84.3

B. Membranes

UCLA SCHOOL OF DENTISTRY