Newly forming bone graft: a novel surgical approach to the treatment of denuded roots.

UNLABELLED: Many techniques have been proposed for root coverage. However, none of them presents predictable results in deep and wide recessions. OBJECTIVES: The aim of this case series report is to describe an alternative technique for root coverage at sites showing deep recessions and attachment loss >4 mm at buccal sites. MATERIAL AND METHODS: Four patients presenting deep recession defects at buccal sites (>4 mm) were treated by the newly forming bone graft technique, which consists in the creation of an alveolar socket at edentulous ridge and transferring of granulation tissue present in this socket to the recession defect after 21 days. Clinical periodontal parameters, including recession depth (RD), probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and keratinized gingiva width (KGW) were evaluated by a single examiner immediately before surgery and at 1, 3, 6 and 9 months postoperatively. RESULTS: All cases showed reduction in RD and PD, along with CAL gain, although no increase in KGW could be observed. These findings suggest that the technique could favor periodontal regeneration along with root coverage, especially in areas showing deep recessions and attachment loss.

Newly forming bone graft: a novel surgical approach to the treatment of denuded roots

Many techniques have been proposed for root coverage. However, none of them presents predictable results in deep and wide recessions. OBJECTIVES: The aim of this case series report is to describe an alternative technique for root coverage at sites showing deep recessions and attachment loss >4 mm at buccal sites. MATERIAL AND METHODS: Four patients presenting deep recession defects at buccal sites (>4 mm) were treated by the newly forming bone graft technique, which consists in the creation of an alveolar socket at edentulous ridge and transferring of granulation tissue present in this socket to the recession defect after 21 days. Clinical periodontal parameters, including recession depth (RD), probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and keratinized gingiva width (KGW) were evaluated by a single examiner immediately before surgery and at 1, 3, 6 and 9 months postoperatively. RESULTS: All cases showed reduction in RD and PD, along with CAL gain, although no increase in KGW could be observed. These findings suggest that the technique could favor periodontal regeneration along with root coverage, especially in areas showing deep recessions and attachment loss.

Light and electron microscopic study of autologous implants of dental roots in the subcutaneous tissue of rats.

Maxillary first molars of rats were extracted. The roots were separated and subsequently implanted in the dorsal subcutaneous tissue of the same animal. In Experiment 1, the roots were implanted immediately after removal; in Experiment 2, the roots were subjected to freeze-thawing (devitalized) before implantation. After 4, 8, and 15 weeks of implantation, the roots were removed and processed for light and transmission electron microscopy. Roots of Experiment 1 showed an amorphous clear material filling depressions on the irregular surface of the cementum. This material consisted predominantly of collagen fibrils. Cells adjacent to the amorphous clear material exhibited numerous cytoplasmic processes surrounded by collagen fibrils. Globular structures with an electron-opacity similar to that of neighbouring cementum were observed within the bundles of collagen fibrils. Multinucleated cells with features of osteo/odontoclasts were often closely apposed to deep depressions of the cementum. In Experiment 2, only large multinucleated giant cells appeared around the surfaces of the roots. It seems therefore that, in Experiment 1, precementum formation and osteo/odontoclast mediated destruction occurred. It is likely that these activities may have originated from periodontal ligament cells carried to the implantation site. This conclusion is supported by the observation that such activities were absent in Experiment 2. Devitalized roots were unable to form precementum and were surrounded by foreign body giant cells.

Reaçäo do tecido conjuntivo subcutâneo ao implante de raízes dentárias submetidas a aplicaçäo do hidróxido de cálcio, ácido fosfórico ou cítrico: estudo histológico em ratos / Reaction of subcutaneous tissues to dental roots implants submitted to calcium hidroxide, fosforic or citric acid application: a histological study in rats

Este trabalho foi realizado com a finalidade de avaliar a reaçäo do tecido conjuntivo subcutâneo do rato ao implante autógeno de raizes dentárias, tratadas previamente com as seguintes substâncias químicas: ácido fosfórico, ácido citrico ou hidróxido de cálcio. Os resultados foram variáveis, mesmo intragrupalmente, porém com melhor atuaçäo inicial para o grupo tratado com hidróxido de cálcio