Connective Tissue Grafts

download Connective Tissue Grafts

of 65

Transcript of Connective Tissue Grafts

  • 7/30/2019 Connective Tissue Grafts

    1/65

    TARRSON FAMILY ENDOWED

  • 7/30/2019 Connective Tissue Grafts

    2/65

    UCLA SCHOOL OF DENTISTR

  • 7/30/2019 Connective Tissue Grafts

    3/65

    PresentsPresents

  • 7/30/2019 Connective Tissue Grafts

    4/65

    E. Ba

    Tarrs

    ProfUCL

  • 7/30/2019 Connective Tissue Grafts

    5/65

    ConnectiveTissue Graft

  • 7/30/2019 Connective Tissue Grafts

    6/65

    Treatment of Ging

    Esthetic Problem

    AdequateKeratinizedGingiva

    AdequateKeratinizedGingiva

    Gingival Graft for RootCoverage or Gingival Graftand Coronally RepositionedFlap

    Recthan

    CRS

    Yes

    No

    Yes

    Yes No

    No

    3 MonthEvaluation forProgression

    GingivalGraft

  • 7/30/2019 Connective Tissue Grafts

    7/65

    Treatment of Ging

    Esthetic Problem

    AdequateKeratinizedGingiva

    AdequateKeratinizedGingiva

    Gingival Graft for RootCoverage or Gingival Graftand Coronally RepositionedFlap

    Recthan

    CRS

    Yes

    No

    Yes

    Yes No

    No

    3 MonthEvaluation forProgression

    GingivalGraft

  • 7/30/2019 Connective Tissue Grafts

    8/65

  • 7/30/2019 Connective Tissue Grafts

    9/65

  • 7/30/2019 Connective Tissue Grafts

    10/65

  • 7/30/2019 Connective Tissue Grafts

    11/65

  • 7/30/2019 Connective Tissue Grafts

    12/65

  • 7/30/2019 Connective Tissue Grafts

    13/65

  • 7/30/2019 Connective Tissue Grafts

    14/65

  • 7/30/2019 Connective Tissue Grafts

    15/65

  • 7/30/2019 Connective Tissue Grafts

    16/65

  • 7/30/2019 Connective Tissue Grafts

    17/65

  • 7/30/2019 Connective Tissue Grafts

    18/65

  • 7/30/2019 Connective Tissue Grafts

    19/65

  • 7/30/2019 Connective Tissue Grafts

    20/65

  • 7/30/2019 Connective Tissue Grafts

    21/65

  • 7/30/2019 Connective Tissue Grafts

    22/65

  • 7/30/2019 Connective Tissue Grafts

    23/65

  • 7/30/2019 Connective Tissue Grafts

    24/65

  • 7/30/2019 Connective Tissue Grafts

    25/65

  • 7/30/2019 Connective Tissue Grafts

    26/65

  • 7/30/2019 Connective Tissue Grafts

    27/65

  • 7/30/2019 Connective Tissue Grafts

    28/65

  • 7/30/2019 Connective Tissue Grafts

    29/65

  • 7/30/2019 Connective Tissue Grafts

    30/65

  • 7/30/2019 Connective Tissue Grafts

    31/65

  • 7/30/2019 Connective Tissue Grafts

    32/65

  • 7/30/2019 Connective Tissue Grafts

    33/65

  • 7/30/2019 Connective Tissue Grafts

    34/65

  • 7/30/2019 Connective Tissue Grafts

    35/65

  • 7/30/2019 Connective Tissue Grafts

    36/65

  • 7/30/2019 Connective Tissue Grafts

    37/65

    Smoking and RootCoverage with Connective

    Tissue Grafts

    Smoking may affect root coverage

    outcome. A prospective clinicaltrial in humans.

    Martins A.G. et al

    J. Periodontol. 2004 75:586

  • 7/30/2019 Connective Tissue Grafts

    38/65

    Non Smok

    Percent RootCoverage 74.73

    Attachment LevelGain 2.54

  • 7/30/2019 Connective Tissue Grafts

    39/65

    Root Resorption assosiated with asubepithelial connective tissue

    graft:Clinical and histologic reportof a case.

    Int. J. Periodont. Rest. Dent. 2003, 4:391

    Carnio J,Camargo P.M, Kenney E.B.

  • 7/30/2019 Connective Tissue Grafts

    40/65

  • 7/30/2019 Connective Tissue Grafts

    41/65

  • 7/30/2019 Connective Tissue Grafts

    42/65

    Connective Tissue GraftPlus Emdogain

    Histological evaluation of 4 cases with rootcoverage following a connective tissue graft

    combined with an Enamel Matrix DerivativePreparation

    Carnio J, Camargo, P.M., Kenney, E.B., Scheak,R.K.

    J. Periodontol. 2002 73:1534

  • 7/30/2019 Connective Tissue Grafts

    43/65

    All teeth obtained root coverage

    Connective tissue adjacent to root

    1 case of new cementumafter 6 months

    No significant new bone formation

    No long junctional epithelium

  • 7/30/2019 Connective Tissue Grafts

    44/65

    6 MONT

  • 7/30/2019 Connective Tissue Grafts

    45/65

  • 7/30/2019 Connective Tissue Grafts

    46/65

    6 MONT

  • 7/30/2019 Connective Tissue Grafts

    47/65

  • 7/30/2019 Connective Tissue Grafts

    48/65

    1 YEAR

  • 7/30/2019 Connective Tissue Grafts

    49/65

  • 7/30/2019 Connective Tissue Grafts

    50/65

    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

    Basem

    Collag

    No ep

    Vesse

    All do

    Negativ

  • 7/30/2019 Connective Tissue Grafts

    51/65

    A short-term and long-termcomparison of root coverage

    with an acellular dermal matrixand a subepithelial graft

    Harris RJ,J Periodont 2004, 75:734

  • 7/30/2019 Connective Tissue Grafts

    52/65

    12 - 1AlloDerm 9

    Connective Tissue Graft 9

    P e r c e n t a g e o f R

  • 7/30/2019 Connective Tissue Grafts

    53/65

  • 7/30/2019 Connective Tissue Grafts

    54/65

  • 7/30/2019 Connective Tissue Grafts

    55/65

  • 7/30/2019 Connective Tissue Grafts

    56/65

  • 7/30/2019 Connective Tissue Grafts

    57/65

  • 7/30/2019 Connective Tissue Grafts

    58/65

  • 7/30/2019 Connective Tissue Grafts

    59/65

    UCLA SCHOOL OF DENTISTR

  • 7/30/2019 Connective Tissue Grafts

    60/65

  • 7/30/2019 Connective Tissue Grafts

    61/65

  • 7/30/2019 Connective Tissue Grafts

    62/65

  • 7/30/2019 Connective Tissue Grafts

    63/65

  • 7/30/2019 Connective Tissue Grafts

    64/65

  • 7/30/2019 Connective Tissue Grafts

    65/65