TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS

2

UCLA SCHOOL OF DENTISTRY

3

PresentsPresentsDr. E. Barrie KenneyProfessor & ChairmanSection 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

5

Gingival Grafts

Treatment of Gingival Recession

Esthetic Problem

Adequate Keratinized Gingiva

Adequate Keratinized Gingiva

Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

Recession More than 2 mm.

Coronally Repositioned Semi-Lunar Flap

Lateral Sliding Flap

Adequate Adjacent Donor Site

Adequate Palatal Donor Site

Yes

No

YesYes

Yes

Yes

Yes

No

No

No

No

No

3 Month Evaluation for Progression

Gingival Graft

Connective Tissue Graft

Coronally Repositioned Flap with Membrane or Emdogain

Treatment of Gingival Recession

Esthetic Problem

Adequate Keratinized Gingiva

Adequate Keratinized Gingiva

Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap

Recession More than 2 mm.

Coronally Repositioned Semi-Lunar Flap

Lateral Sliding Flap

Adequate Adjacent Donor Site

Adequate Palatal Donor Site

Yes

No

YesYes

Yes

Yes

Yes

No

No

No

No

No

3 Month Evaluation for Progression

Gingival Graft

Connective Tissue Graft

Coronally Repositioned Flap with Membrane or Emdogain

Gingival Grafts

A l l o D e r m

• Processed human skin• Developed in 1994 for burns• Cells removed• Antiviral treatment• Freeze-dried• Dermal side red, shiny

• Basement membrane side white, rough and dull• Collagen elastin and ground substance• No epithelium• Vessels intact• All donors

Negative for HIV, hepatitis B & C, syphilis

28

UCLA SCHOOL OF DENTISTRY

• THE END