Does Adjunctive Use of Growth Factors Improve Clinical Outcomes of Soft Tissue Grafting at Miller Class III Recession Defects? A Review of Current Evidence. Issue 2 (1st May 2016)

• Record Type: Journal Article
• Authors: Geisinger, Maria L.; Trammell, Kyle; Holmes, Carolyn M.; Kaur, Maninder; Geurs, Nicolaas C.
• Is Part Of: Clinical advances in periodontics. Volume 6:Issue 2(2015)
• Page Start: 99
• Page End: 103
• Publication Date: 2016-05-01
• Subjects: Acellular dermis -- gingival recession -- intercellular signaling peptides and proteins -- periodontal attachment loss -- review literature as topic; Periodontics -- Periodicals; Periodontics; Periodontics; Periodicals; Periodicals; 617.632
• DOI: 10.1902/cap.2015.150048
• Languages: English
• ISSNs: 2573-8046

Abstract

Abstract : Focused Clinical Question In patients with gingival recession that is classified as Miller Class III, does adjunctive use of local growth factors with gingival grafting procedures improve clinical outcomes? Clinical Scenario A 31‐year‐old female presents with a chief complaint of gingival recession (GR) at teeth #4 to #13 (Fig. 1 ). Interproximal bone loss coronal to the level of the buccal GR is present. She is concerned about esthetics and would like to maximize her chance for complete root coverage. Her medical history is non‐contributory, and she has no contraindications to routine dental care. Because of the number of teeth involved and the difficulty in harvesting autogenous tissues, she is treated with acellular dermal matrix § and enamel matrix derivative ‖ with a coronally advanced flap at teeth #4 to #13 (Figs. 2 and3 ). Final results reveal significant root coverage on all teeth and complete root coverage on teeth #7 to #10. This results in an esthetically acceptable result (Fig. 4 ).