Evaluation of the Clinical Efficacy of Collagen Membrane in Combination with Bone Grafts in the Treatment of Miller's Class I/II Marginal Tissue Recession: A Case Report
Citation Information :
Dev YP, Khuller N, Singh P, Kaur P, Raghav YS, Singh A. Evaluation of the Clinical Efficacy of Collagen Membrane in Combination with Bone Grafts in the Treatment of Miller's Class I/II Marginal Tissue Recession: A Case Report. 2015; 3 (3):179-184.
The aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller's Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.
Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: Prevalence, severity and extent of gingival recession. J Periodontol 1992; 63: 489-495
Miller PD. A Classification of Marginal Tissue Recession. Int J Periodontics Restorative Dent 1985;2:9-13
Carvalho MD. Platelet-rich plasma plus bioactive glass in the treatment of intra-bony defects: a study in dogs. J Appl Oral Sci. 2011; 19:82-89
Meyer MJ, Wikesjo UME. Gingival recession defects and guided tissue regeneration: a review. J Periodontal Res 2001; 36:341-354
Shieh AT, Wang HL, O'Neil R, Glickman GN, MacNeil RL. Development and clinical evaluation of a root coverage procedure using a collagen barrier membrane. J Periodontol 1997; 68: 770-778
Kimble KM, Eber RM, Sochren S, Shyr Y, Wang HL. Treatment of gingival recession using collagen membrane with or without the use of Demineralised Freeze- Dried Bone Allograft for space maintenance. J Periodontol 2004; 75:210- 218
Bittencourt S. Root Surface Biomodification with EDTA for the Treatment of Gingival Recession with a Semilunar Coronally Repositioned Flap. J Periodontol 2007; 78:1695- 1701
Gottlow J, Nyman S, Kaning T, Lindhe J. New attachment formation as the result of controlled tissue regeneration. J Clin Periodontol 1984: 11: 494-503
Blumenthal NM. A clinical comparison of collagen membranes with e-PTFE membrane in the treatment of human mandibular buccal class II furcation defects. J Periodontol 1993; 64: 925-933
Nanditha S, Priya MS, Sabitha S, Arun KV, Avaneendra T. Clinical evaluation of the efficacy of a GTR membrane (Healiguide) and demineralised bone matrix (Osseograft) as a space maintainer in the treatment of Miller's Class I gingival recession. Journal of Indian Society of Peiodontology 2011; 15:156-160
Lee EJ, Meraw SJ, Giannobile WV, Wang HL. Comparative histologic analysis of coronally advanced flap with and without collagen membrane for root coverage. J Periodontol 2002; 73: 779-788
Duval BT, Maynard J, Gunsolley JC, Waldrop TC. Treatment of Human Mucogingival Defects Utilizing a Bioabsorable Membrane with and without a Demineralized Freeze-Dried Bone Allograft. J Periodontal 2000; 71:1687-1692