ICMFS 2019

New Bone Grafting Technique for Soft Tissue Repositioning and Radicular and / or Implant Bone Defect Replacement

Samuel Tacher
Director, APRENDE

This innovative minimally invasive bone grafting technique was developed 8 years ago to provide bone support for repositioning soft tissues that had recessions that ranged from 2 mm to 13 mm.
Small horizontal incisions are done apical to the recession area, carefull mucoperiosteal dissection is done with bold instruments to liberate the gingival tissue including the papillae, particulate bone graft , placement and condensation of the graft is in a coronal-apical and lateral to medial direction is performed.
Providing both vertical and horizontal bone anatomy will return gingival tissue to a normal anatomic position, disappearing recessions, creating support for gingival repositioning and solid support for dental organs that present moderate to severe mobility, and implants with no mobility.
The first patient 8 years ago had mobility type 3 in teeth 42 to 32, and 3mm to 8 mm recessions, this patient has to date preserve all four dental organs and has minimal recessions in that area.
The objective of this study was to evaluate 100 recessions that ranged from 1 tooth to full arches, measurements for stability of gingival architecture and type of mobility of supporting structures.
The method of the study consisted in measuring clinical, radiological and tomographic evaluations that were conducted at specific time periods 6 months, 12 months and 18 months.
The results obtained were of more than 95% success rate where non to 1 mm recessions were measured after 18 months and 89% success rate after 3 years. Clinical, radiological and histopathological results were used to measure success rate.
Histopathological analysis was not done in all subjects, only on 38 treated areas, normal bone replacement was seen. These results corroborate our clinical findings

Samuel Tacher
Samuel Tacher








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