PERIO - Periodontal Practice Today 2 (2005), No. 1 (11.04.2005)
A New Technique of Periosteoplasty for Covering Recessions:
Preliminary Report and First Clinical Results
Gaggl, Alexander/Jamnig, Daniel/Triaca, Albino/Chiari, Friedrich Michael
In this study a new technique for the surgical treatment of periodontal recessions is presented along with a report on the first clinical results. A new technique of periodontal flap surgery was performed on 15 patients with severe periodontal recessions of the upper or lower front teeth. Root and soft tissue scaling was carried out with an open approach, then the periostium was incised and mobilised at the apical part of the mucoperiostium flap to be used for defect coverage before the mucoperiostium was reattached and fixed by sutures. Sulcus bleeding, periodontal probing depths, attachment loss and the length of the attached gingiva were registered for the affected teeth preoperatively and at three, six and 12 months postoperatively. Every clinical parameter was improved by surgery. No sulcus bleeding was observed at any time during the postoperative follow-up. A mean reattachment of 5.5 mm was noticed 12 months postoperatively at a mean probing depth of 0.3 mm. The mean height of the attached gingiva was 0 mm before surgery, 2.3 mm at three and six months postoperatively and 2.2 mm at 12 months. The periostium eversion technique is suitable for the treatment of gingival recessions, resulting in good gingival function and a clear improvement in aesthetics.
Keywords: periosteoplasty, periodontal surgery, recession