Periosteal pedicle grafts for gingival recession: current status.
Journal name: Journal of Indian Society of Periodontology
Original article title: Periosteal pedicle graft for the treatment of gingival recession defects current status and future prospects: What the evidence suggests?
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.
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Original source:
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Ajay Mahajan, Kanwarjit Singh Asi
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Periosteal pedicle graft for the treatment of gingival recession defects current status and future prospects: What the evidence suggests?
Year: 2016 | Doi: 10.4103/0972-124X.170850
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession defects (GRD) are prevalent issues prompting patients to seek periodontal treatment, with numerous management options available. One emerging technique, the periosteal pedicle graft (PPG), has garnered attention for its potential effectiveness in treating these defects. Despite previous studies demonstrating its success, the inclusion of PPG in the standard treatment repertoire for GRD remains debated. This review aims to assess the current scientific evidence regarding the use of PPG, highlighting its implications in clinical practice.
Advantages of Periosteal Pedicle Graft
Periosteal Pedicle Graft offers several distinct advantages over traditional methods like subepithelial connective tissue graft (SCTG). Firstly, PPG can be harvested directly from the area adjacent to the GRD, mitigating the need for a second surgical site, thus reducing intraoperative trauma and postoperative complications. Additionally, the graft's abundant vascular supply and rich stem cell content significantly enhance its potential for promoting new attachment during healing. Importantly, PPG procedures tend to receive higher patient satisfaction ratings due to reduced intervention and trauma compared to SCTG.
Conclusion
The emerging evidence suggests that PPG presents a viable option for managing gingival recession defects, although it remains premature to ascertain the long-term outcomes associated with this technique fully. Future research, particularly studies focusing on long-term results and histological evidence of healing, is essential to establish PPG as a standard procedure for treating GRD. Continued exploration of its efficacy and patient outcomes will be vital in solidifying its role within periodontal treatment paradigms.
FAQ section (important questions/answers):
What is the periosteal pedicle graft (PPG) technique?
The PPG technique is a recent innovation for treating gingival recession defects (GRD). It harnesses the regenerative potential of periosteum to cover denuded root surfaces, potentially providing both aesthetic results and enhanced healing.
What are the advantages of using PPG over SCTG?
PPG offers several benefits including reduced intraoperative trauma, minimalening the need for a second surgical site, and the ability to harvest grafts for multiple adjacent defects, leading to higher patient satisfaction.
Are the long-term results of PPG treatment established?
As of now, it is too early to predict the long-term results associated with PPG. Future studies with longer follow-ups and more histological evidence are required to confirm its efficacy.
How does PPG contribute to the healing process?
The periosteum is a rich source of stem cells and promotes neovascularization, which signifies the potential for new attachment and enhanced healing during the recovery period from GRD treatment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Periosteal pedicle grafts for gingival recession: current status.”. 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) Surface:
Surface refers to the outermost layer of a structure. In the context of gingival recession defects (GRD), the term is relevant as it pertains to the denuded root surface that requires intervention through treatments like the periosteal pedicle graft (PPG). The effectiveness of such treatments is often judged by their capability to cover, restore, and protect this crucial surface.
2) Rich (Rch):
Rich is a descriptor denoting abundance or high quality. In this text, it is used to describe the periosteum as 'rich' in pluripotent stem cells and vascularity. This richness is significant for tissue regeneration, which enhances the healing potential in procedures aimed at treating gingival recession defects (GRD) using techniques like PPG.
3) Science (Scientific):
Scientific pertains to principles and methods rooted in empirical evidence and research. Its relevance in the context of this piece lies in the emphasis on an evidence-based approach to evaluating treatment options for GRD, such as the periosteal pedicle graft. Using scientific methods ensures a reliable assessment of PPG's efficacy compared to traditional techniques.
4) Field:
Field refers to a specific area of expertise or study. Here, it describes the dental and periodontal surgery field. The introduction of innovative techniques, such as the periosteal pedicle graft (PPG) for treating gingival recession defects (GRD), signals advancements in this surgical field aimed at improving patient outcomes and satisfaction.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Periosteal pedicle grafts for gingival recession: current status.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Evidence-based approach, Vascular endothelial growth factor, Patient satisfaction, Surgical technique, Healing Period, Surgical field, Regenerative potential.