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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 37 (2017), No. 5     24. Aug. 2017
Int J Periodontics Restorative Dent 37 (2017), No. 5  (24.08.2017)

Online Article, Page 245-252, doi:10.11607/prd.3189, PubMed:28817128

Online Article: Epithelial Inclusions Following a Bilaminar Root Coverage Procedure with a Subepithelial Connective Tissue Graft: A Histologic and Clinical Study
Romano, Federica / Perotto, Stefano / Cricenti, Luca / Gotti, Stefano / Aimetti, Mario
The aim of this study was to histologically examine any epithelial cell inclusions in submerged subepithelial connective tissue graft (SCTG) after clinical healing was achieved. A total of 16 patients with Miller Class I or II gingival recessions were consecutively treated with a bilaminar procedure. At 2 months after surgery, a gingival tissue specimen was harvested from all SCTG-treated sites and stained with hematoxylin-eosin. The histologic evaluation revealed connective tissue in active reorganization without epithelial inclusions in 14 of the 16 tissue specimens. In the remaining 2 specimens, epithelial islands were observed deep in the connective tissue. In one case they developed in a solid cystic space, while in the second case they were strictly integrated in the lamina propria. Complete recession coverage was obtained in 14 of the 16 treated defects, with a mean root coverage of 95.1% ± 14.2% at 12 months.