Diagnostic Detail: Understanding the Impact of Tooth Rotation in Correcting Mucogingival Defects

Authors

Trevor Simmonds DDS, US Department of Veterans Affairs, New York Harbor Healthcare SystemFollow
Stephanie M. Chu DMD, US Department of Veterans Affairs, New York Harbor Healthcare SystemFollow
Mike Roig DMD
Kristian T. Poventud DMD

Keywords

connective tissue, gingival recession, diagnosis, prognosis

Abstract

Introduction: The subepithelial connective tissue graft (S-CTG) is the gold standard in achieving root coverage but is not without limitations. The Acellular Dermal Matrix (ADM) is an alternative source that can compensate for the S-CTG’s limitations. Body: Severe recession type 1 (RT1) defects were treated with a combined approach of autogenous and allogeneic soft tissue grafting, optimizing the benefits of both types of materials, in order to achieve maximum root coverage (MRC). Conclusion: Identifying the anatomical limitations of gingival recession as it relates to tooth rotation and its impact on vascular supply will best prepare both the clinician and patient of the expected outcome.

Recommended Citation

Simmonds, Trevor DDS; Chu, Stephanie M. DMD; Roig, Mike DMD; and Poventud, Kristian T. DMD (2024) "Diagnostic Detail: Understanding the Impact of Tooth Rotation in Correcting Mucogingival Defects," The New York State Dental Journal: Vol. 90: No. 1, Article 7.
Available at: https://commons.ada.org/nysdj/vol90/iss1/7