Home Subscription Services
 
   

 
Endodontic Practice Today
ENDO Home Page
About the Editor
Editorial Board
Submit
Author Guidelines
Submission Form
Reprints / Articles
Permissions
Advertising
MEDLINE Search
Official Site
 
 
 
 
 
FacebookTwitter
Quintessence Publishing: Journals: ENDO

 

ENDO - Endodontic Practice Today

Edited by Antionio Bonaccorso, Bun San Chong, Edgar Schafer, and Luc van der Sluis

Official Publication of the Belgian Association for Endodontology and Traumatology (BAET), the French Society of Endodontics (SFE) and the Norwegian Endodontic Society (NEF)

ISSN (print) 1753-2809 • ISSN (online) 1753-2817

Publication:

Winter 2009
Volume 3 , Issue 4



Pages: 255 - 268
Back
Share Abstract:

Gingival recession following apical surgery in the aesthetic zone: A clinical study with 70 cases

von Arx, Thomas / Salvi, Giovanni E / Janner, Simone / Jensen, Simon S


The present study evaluated gingival recession 1 year following apical surgery of 70 maxillary anterior teeth (central and lateral incisors, canines, and first premolars). A visual assessment of the midfacial aspect of the gingival level and of papillary heights of treated teeth was carried out using photographs taken at pre-treatment and 1-year follow-up appointments. In addition, changes in the gingival margin (GM) and clinical attachment levels (CAL) were calculated with the use of clinical measurements, that is, pre-treatment and 1-year follow-up pocket probing depth and level of gingival margin. Changes in GM and CAL were then correlated with patient-, tooth- and surgeryrelated parameters. The following parameters were found to significantly influence changes in GM and CAL over time: gingival biotype (P< 0.05), with thin biotype exhibiting more gingival recession than thick biotype; pre-treatment pocket probing depth (PPD) (P< 0.03), with cases of pre-treatment PPD < 2.5 mm demonstrating more attachment loss than cases of PPD ≥ 2.5 mm; and type of incision (P< 0.01), with the submarginal incision showing considerably less gingival recession compared with the intrasulcular incision, papilla-base incision or papilla-saving incision. The visual assessment using pre-treatment and 1-year follow-up photographs did not demonstrate significant changes in gingival level or papillary height after apical surgery. In conclusion, gingival biotype, pre-treatment PPD, and type of incision may significantly influence changes in GM and CAL following apical surgery in maxillary anterior teeth.

Keywords: aesthetics, apical surgery, follow-up study, gingival recession, periodontal parameters

Full Text PDF File | Order Article

 

 
  © 2014 Quintessence Publishing Co Inc
 

Home | Subscription Services | Books | Journals | Multimedia | Events | Blog
Terms of Use | Privacy Policy | About Us | Contact Us | Advertising | Help | Sitemap | Catalog