J Interdiscip Dentistry
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Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 130-134

Bone-enhanced periodontal plastic surgery: A case series

1 Department of Periodontics, Sathyabama Dental College and Hospital, Chennai, Tamil Nadu, India
2 Department of Periodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India
3 Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Yamini Rajachandrasekaran
Sathyabama Dental College and Hospital, Chennai -- 600 119, Tamilnadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jid.jid_64_18

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In recent years, esthetics has become apparently a crucial attribute in the periodontal treatment and is paving the way for newer modalities in the management of gingival recession. Gingival recession is one of the pivotal soft tissue problems that often constitute a challenge to a periodontist. The prognostic predictability in the management of gingival recession has been questionable when adequate bone support is not available. This case series propounds a technique that combines periodontal plastic surgery along with bone grafts, to give space for soft tissue coverage and adequate support. Case series brings a novel technique to the limelight, wherein bone substitutes are added to the conventional periodontal plastic surgical procedures, to enhance support for the soft tissue. Case series includes three patients with Millers Class II and Class III recession, involves a technique, which combines xenograft along with any one of the conventional plastic surgical procedures such as coronally advanced flap or pedicle flap. Pre- and post-operatively, clinical and radiographical parameters were evaluated. Satisfactory Clinical outcome was obtained when bone substitute were added to conventional periodontal plastic surgeries for root coverage and hence it prerequisites the need for long term evaluation.

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