Root Coverage Outcome determinants in soft Tissue Grafting Procedures (CTG) скачать в хорошем качестве

Root Coverage Outcome determinants in soft Tissue Grafting Procedures (CTG)

To get complete root coverage in a soft tissue grafting procedure, everything has to square up, from patient-related factors to choice and execution of surgery. In terms of patient related factors, evaluation of the site prior to the surgical procedure is of utmost importance. What matters is the size, which is the width and the depth of the recession defect and the number of recession defects because that determines what type of surgery or flap you're going to do. The next comes quality and quantity of the host tissue. Amount of Keratinized tissue and a soft tissue Biotype Is there enough Keratinized tissue? Is the soft tissue thick or thin? The next comes in the assessment is the width and height of the interdental papillae. Presence of interdental papillae is a significant predictor in the outcome. The best results are usually achieved in RT1 where there is no interproximal bone loss and there is adequate Keratinized tissue and the patient has a thick biotype both for the tissue and the bone. Well if the bone support is not there in case it is Cairo RT2 or RT3, you're not going to be able to achieve root coverage. Now the next thing you need is the presence of step defect. If there is a step defect, which means if you assess the margin of the enamel right where the recession is present, the surgical phase should precede the restorative phase. And it also complicates the surgical outcome. The other things that you should also assess are if there is a Frenum pull and what is the depth of the vestibule because that's going to change following the surgery. Now, these variables are not under our control, but we need to make a note of them as they help us in planning the procedure. So what is under our control is the surgical related factors.