Root coverage with bridge flap

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Root coverage with bridge flap
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Pushpendra Kumar Verma, Ruchi Srivastava, T. P. Chaturvedi, Krishna Kumar Gupta


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Root coverage with bridge flap

Year: 2013 | Doi: 10.4103/0972-124X.107487

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Gingival recession, characterized by the exposure of root surfaces due to dislocation of the gingival margin, is a prevalent concern, particularly in the anterior teeth, often leading to esthetic issues and root sensitivity. Several mucogingival surgical techniques exist for the restoration of gingival tissue, with the coronally advanced flap being one of the most frequently utilized methods. However, addressing inadequate width of the attached gingiva typically necessitates separate procedures, which can complicate treatment and impact patient comfort. This report introduces a novel surgical technique that combines root coverage and attached gingiva enhancement into a single procedure, aimed at providing a more efficient solution for multiple recession-type defects in the anterior region.

Bridge Flap Technique for Combined Treatment

The technique described involves the use of the bridge flap method, which integrates a coronally advanced flap with a vestibular deepening approach. This dual strategy allows for the coverage of denuded root surfaces while simultaneously increasing the zone of attached gingiva. In two case studies, the surgical procedure commenced with local anesthesia, followed by incisions to deepen the vestibule and facilitate the elevation of a split-thickness flap. This flap is then repositioned coronally to cover the exposed roots and tightened with sutures. Clinical evaluations post-surgery indicated significant gains in keratinized tissue and clinical attachment, with a notable reduction in recession. The use of this combined technique demonstrated high predictability and yields satisfactory esthetic results without complications.

Conclusion

Overall, the combination of coronally advanced flap surgery with vestibular deepening, as showcased in this report, is an effective approach for managing multiple gingival recessions. The procedures yielded significant improvements in periodontal health and patient satisfaction, demonstrating both clinical efficacy and enhanced esthetic outcomes. Ensuring careful preoperative evaluations and considering the specific etiologies behind gingival recession are crucial for optimizing treatment success. This integrated technique not only minimizes the need for multiple surgical interventions but also enhances patient comfort through a streamlined procedure.

FAQ section (important questions/answers):

What is gingival recession and why is it a concern?

Gingival recession is the exposure of root surfaces due to displacement of the gingival margin. It is a concern mainly for aesthetic reasons and can also lead to root sensitivity.

What techniques are used for treating multiple gingival recessions?

Various mucogingival surgeries exist for root coverage. This case report discusses a combined approach using a coronally advanced flap and vestibular deepening technique to cover recessions and increase attached gingiva in a single procedure.

How does the bridge flap technique work?

The bridge flap technique utilizes a split-thickness flap that covers denuded root surfaces while relying on blood supply from adjacent gingiva. This dual approach allows for effective root coverage and simultaneous increase of attached gingiva.

What were the outcomes of the case study presented?

The case study showed significant clinical improvement, with an 85% reduction in recession and satisfactory esthetic results. Patients reported reduced root sensitivity and experienced no recurrence during 3-11 months postoperatively.

What factors are important for successful treatment of gingival recessions?

Successful treatment hinges on careful preoperative diagnosis, appropriate case selection, and understanding the etiology of gum recession. Adequate width of attached gingiva also significantly contributes to surgical success.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Root coverage with bridge flap”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Incision:
The keyword 'incision' refers to a precise cut made in the tissue during surgical procedures. It is crucial in the context of gingival surgeries, as the incisions need to be accurately placed to facilitate optimal healing and ensure better access to the area requiring treatment. Proper technique influences recovery outcomes and prevents complications.

2) Surface:
The term 'surface' pertains to the exposed area of the tooth root in cases of gingival recession. In the context of the case report, achieving coverage of the denuded root surfaces is essential for recovery and restoring aesthetics. A covered surface not only improves appearance but also reduces sensitivity and protects from decay.

3) Reason:
The term 'reason' signifies the underlying causes necessitating treatment. In periodontal procedures, reasons typically involve aesthetic concerns or discomfort like root sensitivity. Understanding the reasons behind gingival recession is imperative for proper diagnosis and treatment planning, ensuring that the selected surgical approach addresses the specific issues faced by the patient.

4) Hygiene (Hygienic):
The keyword 'hygiene' is vital in dental health, representing the practices that maintain oral cleanliness. Post-surgical hygiene instruction is paramount for recovery, as it prevents complications like infections, supports healing, and minimizes the chance of recurrence of gingival issues. It reflects the importance of patient compliance in achieving successful outcomes.

5) Science (Scientific):
The keyword 'science' connects to the foundational principles underpinning dental treatment, including understanding human anatomy, periodontal biology, surgical methods, and healing processes. Effective periodontal plastic surgery relies on scientific knowledge to evaluate conditions, select treatments, and predict outcomes, ensuring that practitioners can implement evidence-based methods for optimal results.

6) Nature:
The term 'nature' relates to the biological aspects of oral tissues and their response to surgical interventions. Understanding the natural healing process and biological factors such as blood supply and tissue response is critical for designing effective surgical strategies that enhance recovery, maintain periodontal health, and restore aesthetics in patients with gingival recession.

7) Pain:
The keyword 'pain' denotes the discomfort patients may experience before, during, and after surgical procedures. Managing pain effectively is essential for patient comfort and satisfaction. The case report emphasizes the importance of post-operative care, including analgesics and patient education, to minimize discomfort and promote a positive surgical experience.

8) Post:
The term 'post' refers to the period following the surgical intervention. Post-operative care is crucial for ensuring proper healing and achieving desired outcomes after periodontal surgery. This includes monitoring recovery, maintaining oral hygiene, and conducting follow-up examinations to assess the success of the treatments performed on the gingival tissues.

9) Varanasi (Varanashi):
The keyword 'Varanasi' identifies the geographical location where the case was conducted. This Indian city hosts the Faculty of Dental Sciences, Banaras Hindu University, which signifies a center for dental education and research. The local practices and cultural aspects may influence patient attitudes toward treatment and their participation in post-surgical care.

10) Swelling:
The term 'swelling' refers to a common post-surgical response due to inflammation and healing processes. Understanding swelling is essential for patients, as it can indicate normal recovery or potential complications. Effective management strategies, along with patient instructions post-surgery, can help reduce swelling and enhance overall comfort during recovery.

11) Dressing:
The term 'dressing' pertains to the protective covering applied to the surgical site post-operation. In periodontal procedures, dressings are important to support healing, prevent infection, and shield the tissues from irritation. The use of periodontal dressings can enhance patient comfort and safety, aiding in the success of the surgical treatment.

12) India:
The keyword 'India' refers to the country where the case study took place, highlighting the regional context of the dental practices and patient demographics involved. It may also reflect the healthcare infrastructure, cultural perceptions of dental health, and variations in prevalent oral health issues, influencing treatment approaches and patient care.

13) Pur:
The term 'poor' usually describes inadequate conditions, whether in terms of oral health, attachment levels, or the presence of insufficient attached gingiva. In cases of gingival recession, poor periodontal status necessitates surgical intervention to enhance health and aesthetics, underlining the importance of effective treatment strategies tailored to each patient's needs.

14) Male:
The keyword 'male' refers to one of the patients in the case report. Patient gender may influence the prevalence of gingival recession, treatment outcomes, and patient expectations. Understanding demographic factors like gender can assist clinicians in tailoring treatment plans to better address the unique needs and concerns of different patient populations.

Other Science Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Root coverage with bridge flap’. Further sources in the context of Science might help you critically compare this page with similair documents:

Informed consent, Surgical Procedure, Gingival Recession, Postoperative complication, Mucogingival surgeries, Shallow vestibule, Attached gingiva, Clinical parameter, Root coverage, Anterior teeth, Preoperative Diagnosis, Periodontal dressing, Tetracycline HCl.

Like what you read? Consider supporting this website: