TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS

UCLA SCHOOL OF DENTISTRY

Presents

Dr. E. Barrie Kenney

Professor & Chairman Section of Periodontics

E. Barrie Kenney, B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics Professor and Chairman, Division of Associated Clinical Specialties UCLA School of Dentistry

Lateral Sliding Flaps

Treatment of Gingival Recession

Esthetic Problem
No Adequate Keratinized Gingiva Yes No Gingival Graft

Yes

Adequate Keratinized Gingiva

Yes

Recession More than 2 mm.

No

Yes

Adequate Adjacent Donor Site Yes

Lateral Sliding Flap

No

Adequate Palatal Donor Site

Yes

No
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

3 Month Evaluation for Progression

Coronally Repositioned Semi-Lunar Flap

Connective Tissue Graft

No

Coronally Repositioned Flap with Membrane or Emdogain

Treatment of Gingival Recession

Esthetic Problem
No Adequate Keratinized Gingiva Yes No Gingival Graft

Yes

Adequate Keratinized Gingiva

Yes

Recession More than 2 mm.

No

Yes

Adequate Adjacent Donor Site Yes

Lateral Sliding Flap

No

Adequate Palatal Donor Site

Yes

No
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

3 Month Evaluation for Progression

Coronally Repositioned Semi-Lunar Flap

Connective Tissue Graft

No

Coronally Repositioned Flap with Membrane or Emdogain

Lateral Sliding Flap versus Repositioned Flap Gingival Grafts

Treatment of Localized Gingival Recessions. Part III
Guinard EA, Caffesse R, J Periodont 1978, 48:457

23 patients 28 recessions Mean age 35 years Random selection of surgery Evaluated at 30, 90 and 180 days

Results in Recipient Teeth at 6 Months

Change in Gingival Recession Change in Keratinized Tissue CRP + Gingival Graft Lateral Sliding Flap -2.69 mm -2.73 mm +3.15 mm +3.27 mm

Results at 6 Months
Change in Gingival Recession Change in Keratinized Tissue Control CRP Patients Donor Teeth LSF +0.05 mm +1.10 mm -0.17 mm -1.25 mm

UCLA SCHOOL OF DENTISTRY