• P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

Volume: 7, Issue: 1, Pages: 24-28

Original Article

Evaluating the efficacy of human placental amnion membrane in combination with modified coronally advanced flap technique in the management of gingival recession: An interventional study

Received Date:01 April 2021, Accepted Date:09 June 2021, Published Date:20 July 2021

Abstract

Aims and objectives: A common problem experienced by adults is the recession of the gingiva resulting in unpleasant appearance of their teeth. There are various techniques to achieve the gingival recession coverage (GRC). But, only few techniques such as connective tissue grafts, coronally advanced flap technique (CAF) have been proved effective in achieving 100% recession coverage. The present study aims at evaluating the efficacy of amnion membrane along with CAF in the management of GRC. Materials and methods: A total number of 10 patients with class I or class II gingival recession were included in the study. The clinical parameters such as Probing depth (PD), clinical attachment level (CAL), thickness of attached gingiva (TAG), width of keratinized gingiva (WKG), height of gingival recession (HGR), percentage of recession coverage (PRC) and recession coverage esthetic score (RCES) were measured at baseline, 3 months and 6 months post-operatively. The patients were treated using amnion membrane in combination with modified coronally advanced flap technique (MCAF). Results: The patients showed statistically significant improvement in all the clinical parameters at the 3 months and 6 months follow-up visit. 97.8% CRC was observed by the end of 6 months. Moreover, the RCES showed remarkable esthetic outcome at the post-operative 6 months visit. Conclusion: Modified coronally advanced flap technique produces excellent clinical outcomes in terms of GRC. The use of amnion membrane aids in faster healing and improves the TAG which is an important aspect for the long term stability of the results obtained.

Keywords

Amnion membrane, Coronally advanced flap, Gingival recession, Guided tissue regeneration, Recession coverage

References

  1. Hall WB. Pure mucogingival problems: etiology, treatment, and prevention. Batavia, IL, USA. Quintessence Publishing Co, Inc. 1984.
  2. Zucchelli G, Sanctis MD. Treatment of Multiple Recession-Type Defects in Patients With Esthetic DemandsJournal of Periodontology2000;71(9):15061514. Available from: https://dx.doi.org/10.1902/jop.2000.71.9.1506
  3. Gupta A, Kedige SD, Jain K. Amnion and Chorion Membranes: Potential Stem Cell Reservoir with Wide Applications in PeriodonticsInternational Journal of Biomaterials2015;2015(9):19. Available from: https://dx.doi.org/10.1155/2015/274082
  4. Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic reviewJournal of Clinical Periodontology2008;35:136162. Available from: https://dx.doi.org/10.1111/j.1600-051x.2008.01267.x
  5. Sanctis Md, Zucchelli G. Coronally advanced flap: a modified surgical approach for isolated recession-type defects: Three-year resultsJournal of Clinical Periodontology2007;34(3):262268. Available from: https://dx.doi.org/10.1111/j.1600-051x.2006.01039.x
  6. Chen E, Tofe A. A literature review of the safety and biocompatibility of amnion tissueJ Implant Adv Clin Dent2009;2:6775.
  7. Hwang D, Wang HL. Flap thickness as a predictor of root coverage: a systematic reviewJ Periodontol2006;77:16251634.
  8. Poornima R, Anand KM, Bhat S, Pentapati KC, Gopalkrishna P. VISTA technique in combination with chorionic allograft for gingival recession coverage: a case seriesGen Dent2020;68:2635.
  9. Esteves J, Bhat KM, Thomas B, Varghese JM, Jadhav T. Efficacy of Human Chorion Membrane Allograft for Recession Coverage: A Case SeriesJournal of Periodontology2015;86(8):941944. Available from: https://dx.doi.org/10.1902/jop.2014.140025c

COPYRIGHT

© 2021 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)

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