Back to Journals » Clinical, Cosmetic and Investigational Dentistry » Volume 1

Periosteoplasty for covering gingival recessions: Clinical results

Authors Virnik S, Chiari F, Gaggl A

Published 15 April 2009 Volume 2009:1 Pages 13—20

DOI https://doi.org/10.2147/CCIDE.S5060

Review by Single-blind

Peer reviewer comments 5


Sascha Virnik1, Friedrich Michael Chiari1, Alexander Gaggl2

1Department of Oral and Maxillofacial Surgery, Central Hospital/LKH, Klagenfurt, Austria; 2Centre of Maxillofacial Surgery, “Pyramide am See” Clinic, Zurich, Switzerland

Abstract: This is a case series in which a new technique for the surgical treatment of periodontal recessions is presented along with the results of the first clinical trial. A new technique of periodontal flap surgery was performed on 30 patients with severe periodontal recessions of the upper or lower front teeth. Root and soft tissue scaling was carried out with an open approach, then the periosteum was incised and mobilized at the apical part of the mucoperiosteum flap to cover the defect before the mucoperiosteum was reattached and fixed by sutures. Sulcus bleeding, periodontal probing depths, attachment loss and the length of the attached gingiva of the affected teeth were recorded preoperatively and at 3, 6, and 12 months postoperatively. Every clinical parameter was improved by surgery. No sulcus bleeding was observed at any time during the postoperative follow-up. A mean reattachment of 5.5 mm was noticed 12 months postoperatively at a mean probing depth of 0.3 mm. The mean height of the attached gingiva was 0 mm before surgery, 2.3 mm at three and six months postoperatively, and 2.2 mm at 12 months. The periosteum eversion technique is suitable for the treatment of gingival recessions resulting in good gingival function and a clear improvement in aesthetics.

Keywords: periosteoplasty, periodontal surgery, gingival recession

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]