Comparison Of Modified Suspensory Suturing and Anchoring Suturing Technique for Gingival Recession Coverage by Tunnelling and Pouch Technique
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Keywords
Gingival Recessions, Suture Technique, Gingiva
Abstract
Background: Over the years there is a constant evolution in surgical and suturing techniques for gingival recession coverage, aiming at greater predictability and success. With advancement new suture materials and suturing techniques are being developed to enhance the outcome of the surgery. This study discusses a modified anchored suturing technique for management of a multiple gingival recession defect with tunnel and pouch technique.
Materials and methods: Subjects with multiple gingival recession defects were treated using pouch and tunnel technique with connective tissue graft. The coronal displacement of tissue was achieved with a modified anchored suturing technique and anchored suturing technique. A total of 20 subjects selected and were divided into 2 groups Group 1: Anchored suture technique Group 2: Modified anchored suture. This facilitated more coronal displacement of tissue and drastic reduction of mechanical contact between the tissue and the modified anchored suture, which preserved the tissue integrity. Prior to Surgery, baseline evaluation of the following clinical parameters were recorded: gingival index, plaque index, probing depth, clinical attachment level. After surgery, healing index, cleft formation, tissue necrosis index, Reduction in Recession depth and Mean Recession coverage was evaluated. Mean and Standard Deviation were assessed and P Values are assessed by using SPSS software 23.0 version.
Results: At 3rd day, 7th day, 14th day, 1-month, plaque index, gingival index, healing index was assessed. After 1 month Tissue necrosis index and Cleft formation was assessed. Follow up showed complete recession coverage with excellent aesthetic outcome. The significance of statistical tests for Gingival Index, Plaque index, Healing index at Baseline, 3rd day, 7th day for both groups are not significant p>0.05; for the 14th day and 1 month it is significant p<0.05 for both the groups. The significance of statistical tests for cleft formation and Tissue necrosis score at 1 month for both groups is significant p<0.05. The significance of statistical tests for Mean Recession coverage at Baseline is not significant p>0.05 ; and for 1 month both groups are significant p<0.05.
Conclusion: The modified anchored suturing technique anchored around incisal contact point facilitates adequate coronal displacement of gingival margins and drastically reduces the mechanical contact between tissue and suture thereby preserving the tissue integrity and enhancing outcome.
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