Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study
<i>Background and Objectives</i>: Gingival recession is a common periodontal condition that can lead to aesthetic and functional problems if untreated, necessitating the development of effective root coverage techniques. The aim of this study was to compare two different root coverages f...
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MDPI AG
2025-02-01
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| author | Min-Young Goo Seung-Kyu Lee Kyung-Min Kim Won-Pyo Lee |
| author_facet | Min-Young Goo Seung-Kyu Lee Kyung-Min Kim Won-Pyo Lee |
| author_sort | Min-Young Goo |
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| description | <i>Background and Objectives</i>: Gingival recession is a common periodontal condition that can lead to aesthetic and functional problems if untreated, necessitating the development of effective root coverage techniques. The aim of this study was to compare two different root coverages for localized gingival recession on the lower anterior teeth using a partially de-epithelialized connective tissue graft (PE-CTG). <i>Materials and Methods</i>: This study included 18 patients (20 teeth) with lower anterior tooth recession. In the tPECTG group (seven patients, eight teeth), the recipient site was prepared with supraperiosteal tunneling. In the vPECTG group (11 patients, 12 teeth), the recipient site was prepared using the vestibular incision subperiosteal tunnel access technique. In both groups, partially de-epithelialized connective tissue was harvested from the hard palate using a high-speed handpiece diamond burr. The change in root coverage was evaluated based on vertical recession and keratinized tissue (KT) values before surgery and 6 months after surgery. <i>Results</i>: The mean root coverage was 89.01% across all cases, with the tPECTG and vPECTG groups achieving 87.85% and 89.78%, respectively. The average KT gain was 3.48 ± 1.37 mm, with the tPECTG group showing 3.94 ± 1.74 mm and the vPECTG group showing 3.17 ± 1.03 mm. No significant differences were found between the two groups for either parameter (<i>p</i> > 0.05). <i>Conclusions</i>: Within the limitations of this retrospective case series, vPECTG was as effective as tPECTG, but easier. Moreover, in both groups, the keratinized gingival width increased, and the mucogingival junction was maintained. |
| format | Article |
| id | doaj-art-21b5bbbc8fd34faab917ccc447ab540e |
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| language | English |
| publishDate | 2025-02-01 |
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| series | Medicina |
| spelling | doaj-art-21b5bbbc8fd34faab917ccc447ab540e2025-08-20T02:03:40ZengMDPI AGMedicina1010-660X1648-91442025-02-0161230810.3390/medicina61020308Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort StudyMin-Young Goo0Seung-Kyu Lee1Kyung-Min Kim2Won-Pyo Lee3Department of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of Korea<i>Background and Objectives</i>: Gingival recession is a common periodontal condition that can lead to aesthetic and functional problems if untreated, necessitating the development of effective root coverage techniques. The aim of this study was to compare two different root coverages for localized gingival recession on the lower anterior teeth using a partially de-epithelialized connective tissue graft (PE-CTG). <i>Materials and Methods</i>: This study included 18 patients (20 teeth) with lower anterior tooth recession. In the tPECTG group (seven patients, eight teeth), the recipient site was prepared with supraperiosteal tunneling. In the vPECTG group (11 patients, 12 teeth), the recipient site was prepared using the vestibular incision subperiosteal tunnel access technique. In both groups, partially de-epithelialized connective tissue was harvested from the hard palate using a high-speed handpiece diamond burr. The change in root coverage was evaluated based on vertical recession and keratinized tissue (KT) values before surgery and 6 months after surgery. <i>Results</i>: The mean root coverage was 89.01% across all cases, with the tPECTG and vPECTG groups achieving 87.85% and 89.78%, respectively. The average KT gain was 3.48 ± 1.37 mm, with the tPECTG group showing 3.94 ± 1.74 mm and the vPECTG group showing 3.17 ± 1.03 mm. No significant differences were found between the two groups for either parameter (<i>p</i> > 0.05). <i>Conclusions</i>: Within the limitations of this retrospective case series, vPECTG was as effective as tPECTG, but easier. Moreover, in both groups, the keratinized gingival width increased, and the mucogingival junction was maintained.https://www.mdpi.com/1648-9144/61/2/308connective tissuegingival recessionperiodontal surgeryroot coverage |
| spellingShingle | Min-Young Goo Seung-Kyu Lee Kyung-Min Kim Won-Pyo Lee Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study Medicina connective tissue gingival recession periodontal surgery root coverage |
| title | Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study |
| title_full | Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study |
| title_fullStr | Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study |
| title_full_unstemmed | Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study |
| title_short | Comparative Study of Two Root Coverage Procedures for Localized Gingival Recessions on Lower Anterior Teeth Using Partially De-Epithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece: A Retrospective Cohort Study |
| title_sort | comparative study of two root coverage procedures for localized gingival recessions on lower anterior teeth using partially de epithelialized connective tissue graft pe ctg aided by a high speed handpiece a retrospective cohort study |
| topic | connective tissue gingival recession periodontal surgery root coverage |
| url | https://www.mdpi.com/1648-9144/61/2/308 |
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