After increasing the width of the attached gingiva by free palatal mucosa transplants, 20 procedures with coronal flap repositioning were performed on 41 teeth with gingival recessions in 13 young adults. The amount of gingival recession and the clinical gingival sulcus depth were measured pre-operatively and 1, 6 and 12 months after surgery; the amount of osseous dehiscence was measured during surgery. No significant differences were found among reduction values of gingival recession by reattachment 1, 6 and 12 months post-operatively. Although a significant correlation was found between the degree of gingival recession preoperatively and 1 month post-operatively, non was found between the amount of alveolar bone dehiscence and gingival recession 1 month post-operatively.

Coronally repositioned periodontal flap. Clinical evaluation after one year.

Fourteen sites were chosen in eight subjects where pre-operatively less than 2 mm of keratinised gingiva was present and associated with pocketing of less than 1.0 mm Three methods were used to provide gingival connective tissue for grafting which facilitated primary closure at the donor site. The pre-operative width of keratinised gingiva was measured by means of a Williams probe from the gingival margin to the mucogingival junction to the nearest 0.5 mm. This was repeated immediately post-operatively, and at 1, 2, 5, 10, and 12 weeks, and at 6 months. The results showed that a statistically significant increase in width of keratinised attached gingiva could be achieved with this method and the resultant tissue was histologically normal.

Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva

Pathological changes related to long-term impaction of third molars. A radiographic study.

Periodontal healing after impacted lower third molar surgery. A retrospective study.

Periodontal healing after impacted lower third molar surgery in adolescents and adults. A prospective study

The effect of root planing and curettage on the crevicular depth and periodontal attachment at the distal of mandibular second molars following removal of adjacent impacted or partially erupted third molars was evaluated in 18 patients, between the ages of 18 and 25, presenting with similar bilateral impactions. No significant difference was demonstrated in the crevicular depths and attachment levels between the curetted, root planed side, and the untreated controls. Thus, any benefits derived by root planing and curettage of mandibular second molars immediately following removal of adjacent impacted third molars are minimal. The best means of preserving periodontal attachment on mandibular second molars may be the removal of third molars at an early stage of tooth development.

Attachment Levels and Crevicular Depths at the Distal of Mandibular Second Molars Following Removal of Adjacent Third Molars.

A Technic for Free Autogenous Gingival Grafts

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Attachment Levels and Crevicular Depths at the Distal of Mandibular Second Molars Following Removal of Adjacent Third Molars.

A Technic for Free Autogenous Gingival Grafts