Inverted Periosteal Technique – A Solution to Multiple Teeth Recession.
Gingival recession causes an esthetic as well as discomfort due to dentinal
hypersensitivity to the patient.
One such autogenous graft material is the periosteum, which is highly cellular, rich in
vascularity and has a high regenerative potential.
Four patients in the age group of 25-40 years reported to the outpatient department of
periodontology who were randomly selected for this procedure.
The four recruited patients had Millers Class I or II recession
defects of ≥3 mm in upper/lower anterior teeth or premolars,
there was no periapical involvement in the selected teeth, and all were systemically
healthy with no contraindications for periodontal surgery.
The patients were explained about the procedure and a written informed consent was
taken. The non-surgical phase included supragingival scaling and root planing, followed by
oral hygiene instructions.
The need for developing newer techniques for root coverage is to increase
predictability, reduce the number of surgical sites, and improve patient
comfort together with the need to reconstruct the lost periodontal tissues.
Without requiring any second surgical site, and has the potential to promote
the regeneration of lost periodontal tissue.
Wound healing after periodontal plastic surgery depends on clotting,
revascularization and maintenance of blood supply.
Also, a vascular graft is more likely to survive on an avascular root surface.
The periosteum has a rich vascular plexus.
A recent study showed that periosteal cells release vascular endothelial
growth factor these qualities make periosteum a suitable graft
over an avascular root surface.
Dent Open J. 2014; 1(1): 10-13. doi: 10.17140/DOJ-1-103
