Pedicle Procedure Use in the Management of Regenerative Therapy Problems
You will receive 1 unit(s) of continuing education credit upon successful completion of this course. The registration fee is only $41.00
This course offers a detailed discussion of the process of regenerating a lost periodontium.
Upon completion of this course, participants should be able to do the following:
- Discuss the advantages of pedicle procedures versus free soft tissue grafts.
- Discuss the detrimental effects of exposing a regenerative site to the oral environment.
- List several combination techniques employed today as regenerative procedures.
- List some of the soft-tissue conditions that are adverse to continuous coverage of the regenerative site.
Regenerating a periodontium that has been lost because of disease has been made possible by the use of demineralized freeze-dried bone allografts (DFDBA), guided tissue regeneration with e-PTFE membranes, and combination therapies involving DFDBA covered by either an e-PTFE membrane or calcium sulfate. During regenerative therapy, problems may arise because of an adverse mucogingival condition, loss of a papilla, or significant exposure of the membrane from soft-tissue recession, slough, or fenestration leading to direct exposure of the site to the oral environment. Pedicle procedures can be used to cover these regenerative sites while providing mucogingival repair.
- Bowers GM, Granet M, Stevens M, et al. Histologic evaluation of new attachment in humans: A preliminary report. J Periodontol. 1985; 57:381-385.
- Mellonig JT: Decalcified freeze-dried bone allograft as an implant material in human periodontal defects. Int J Periodontics Restorative Dent. 1984; 4(6):41-55.
- Gottlow J, Nyman S, Lindhe J, et al. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontol. 1986; 13:604-616.
- Stahl SS, Froum S, Tarnow D. Human histologic responses to guided tissue regenerative techniques in intrabony lesions. J Clin Periodontol. 1990;1 7:191-198.
- McClain PK, Schallhorn RG. Combined osseous composite grafting, root conditioning and guided tissue regeneration. Int J Periodontics Restorative Dent. 1993; 13:9-27.
- Guillemin MR, Mellonig JT, Brunswold MA. Healing in periodontal defects treated by decalcified freeze-dried bone allografts in combination with e-PTFE. J Clin Periodontol. 1993; 20:528-534.
- Sottosanti JS: Calcium sulfate. A biodegradable and biocompatible barrier for guided tissue regeneration. Compend Contin Educ Dent. 1992; 13:226-234.
- Tonetti M, Pini Prato G, Cortellini P. Periodontal regeneration of human intrabony defects (IV): Determinants of the healing response. J Periodontol. 1993; 64:934-940.
- Takei H, Han T, Carranza F, et al. Flap technique for periodontal bone implants: Papilla preservation technique. J Periodontol. 1985; 56:204-210.
- Cortellini P, Pini Prato G, Tonetti MS. The modified papilla preservation technique: A new surgical approach for interproximal regenerative procedures. J Periodontol. 1995; 66:261-266.
- Martin M, Gantes B, Garrett S, et al. Treatment of periodontal furcation defects (I): Bone regeneration in mandibular Class II furcations. J Clin Periodontol. 1988; 15:227-231.
- Gantes B, Martin M, Garrett S, et al: Treatment of periodontal furcation defects (II): Bone regeneration in mandibular Class II defects. J Clin Periodontol. 1988; 15:247-254.
- Ellegaard B, Karring T, Loe H. New periodontal attachment procedures based on retardation of epithelial migration. J Clin Periodontol. 1974;1 :75-88.
- Cortellini P, Pini Prato G, Tonetti M. Interproximal free gingival grafts after membrane removal in guided tissue regeneration treatment of intrabony defects: A randomized controlled clinical trial. J Periodontol. 1995; 66:488-493.
- Bouchard P, Ouhayoun JP, Nilveus RE. Expanded polytetrafluoroethylene membrane and connective tissue grafts support bone regeneration for closing mandibular Class II furcation. J Periodontol; 1993; 64:1193-1198.
- Grupe H, Warren R. Repair of gingival defects by a sliding flap operation. J Periodontol. 1956; 27:92-99.
- Corn H. Edentulous area pedicle grafts in mucogingival surgery. Periodontics. 1964; 2:224-242.
- Pennel BM, Higgason JD, Towner JD, et al. Oblique rotated flap. J Periodontol. 1965; 36:305-308.
- Leis HJ, Leis SN. The papilla rotation flap. J Periodontol. 1978; 49:400-402.
- Grupe HE. Modified technique for the sliding flap operation. J Periodontol. 1966;37: 491-494.
- Nelson SW. The subpedicle connective tissue graft: A bilaminar reconstructive procedure for the covering of denuded root surfaces. J Periodontol. 1987;5 8:95-102.
- Bahat O, Handelsman M, Gordon J. The transpositional flap in mucogingival surgery. Int J Periodontics Restorative Dent. 1990;10:473-482.
- Rosen PS, Marks MH, Bowers GM. Modifications of the subpedicle connective tissue graft technique: A predictable procedure for covering exposed roots. Compend Contin Educ Dent. 1996;17: 440-454.
- Reynolds MA, Bowers GM. Fate of demineralized freeze-dried bone allografts in human intrabony defects. J Periodontol. 1996; 67:150-157.
- Bowers GM, Chadroff B, Carnevale R, et al. Histologic evaluation of new attachment in humans (III). J Periodontol. 1989;6 0:664-674.
- Payne JM, Cobb CM, Rapley JW, et al. Migration of human gingival fiberblasts over guided tissue regeneration barrier materials. J Periodontol. 1996; 67:236-244.
- Cortellini P, Pini Prato G, Tonetti MS. Periodontal regeneration of human intrabony defects with bioresorbable membranes: A controlled clinical trial. J Periodontol. 1996; 67:217-22.
- Sullivan HC, Atkins JH. Free autogenous gingival grafts (III): Utilization of grafts in the treatment of gingival recession. Periodontics. 1968; 6:152-160.
- Mormann W, Meier C, Firestone A. Gingival blood circulation after experimental wounds in man. J Clin Periodontol. 1979; 6:417-424.
- Murphy KG. Incidence, characterization and effect of postoperative surgical complications using GORE-TEX periodontal material (II): Effect of complications upon regeneration. Int J Periodontics Restorative Dent. 1995; 15:549-561.
- Machtei EE, Dunford R, Grossi SG, et al. Gingival recession and exposure of barrier membrane: Effect on guided tissue regeneration of Class II defects. Int J Periodontics Restorative Dent. 1995;15:591-599.
- Selvig KA, Kersten BG, Chamberlin ADH, et al. Regenerative surgery of intrabony periodontal defects using e-PTFE barrier membranes: Scanning electron microscopic evaluation of retrieved membranes versus clinical healing. J Periodontol. 1992; 63: 974-978.
- Nowzari H, Slots J. Periodontal pathogens on polytetrafluoroethylene membrane for guided tissue regeneration inhibit healing. J Clin Periodontol. 1995; 22:469-474.
- Machtei EE, Dunford R, Norderyd OM, et al. Guided tissue regeneration and antiinfective therapy in the treatment of Class II furcation defects. J Periodontol. 1993; 64:968-973.
American Dental Association is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.