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TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
UCLA SCHOOL OF DENTISTRY




                           2
Presents
           Dr. E. Barrie Kenney
           Professor & Chairman
           Section of Periodontics




                                     3
E. Barrie Kenney B.D.Sc., D.D.S., M.S., F.R.A.C.D.S.
Tarrson Family Endowed Chair in Periodontics.

Professor and Chairman Division of Associated Clinical Specialties UCLA
School of Dentistry
Gingival Grafts



                  5
Treatment of Gingival Recession
                             Adequate                    Recession More         Adequate              Adequate
 Esthetic Problem     Yes                     Yes                         Yes   Adjacent       No     Palatal
                             Keratinized                 than 2 mm.
      No                     Gingiva                                            Donor Site            Donor Site
  Adequate                                                    No                                     Yes
  Keratinized                                                                    Yes
                                No                                                           Connective
  Gingiva                                                  Coronally                                         No
                            Gingival Graft for Root                             Lateral      Tissue Graft
  Yes            No                                        Repositioned         Sliding
                            Coverage or Gingival Graft
                                                           Semi-Lunar Flap      Flap                Coronally
3 Month                     and Coronally Repositioned
                 Gingival                                                                           Repositioned
Evaluation for              Flap
                 Graft                                                                              Flap with
Progression                                                                                         Membrane or
                                                                                                    Emdogain
Treatment of Gingival Recession
                             Adequate                    Recession More         Adequate              Adequate
 Esthetic Problem     Yes                     Yes                         Yes   Adjacent       No     Palatal
                             Keratinized                 than 2 mm.
      No                     Gingiva                                            Donor Site            Donor Site
  Adequate                                                    No                                     Yes
  Keratinized                                                                    Yes
                                No                                                           Connective
  Gingiva                                                  Coronally                                         No
                            Gingival Graft for Root                             Lateral      Tissue Graft
  Yes            No                                        Repositioned         Sliding
                            Coverage or Gingival Graft
                                                           Semi-Lunar Flap      Flap                Coronally
3 Month                     and Coronally Repositioned
                 Gingival                                                                           Repositioned
Evaluation for              Flap
                 Graft                                                                              Flap with
Progression                                                                                         Membrane or
                                                                                                    Emdogain
Gingival Grafts
AlloDerm
•   Processed human skin          •Basement membrane side white, rough and dull
•   Developed in 1994 for burns   •Collagen elastin and ground substance
•   Cells removed                 •No epithelium
•   Antiviral treatment           •Vessels intact
•   Freeze-dried                  •All donors
•   Dermal side red, shiny        Negative for HIV, hepatitis B & C, syphilis
UCLA SCHOOL OF DENTISTRY




                           28
• THE END

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1996 ucla gingival grafts

  • 1. TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
  • 2. UCLA SCHOOL OF DENTISTRY 2
  • 3. Presents Dr. E. Barrie Kenney Professor & Chairman Section of Periodontics 3
  • 4. E. Barrie Kenney B.D.Sc., D.D.S., M.S., F.R.A.C.D.S. Tarrson Family Endowed Chair in Periodontics. Professor and Chairman Division of Associated Clinical Specialties UCLA School of Dentistry
  • 6. Treatment of Gingival Recession Adequate Recession More Adequate Adequate Esthetic Problem Yes Yes Yes Adjacent No Palatal Keratinized than 2 mm. No Gingiva Donor Site Donor Site Adequate No Yes Keratinized Yes No Connective Gingiva Coronally No Gingival Graft for Root Lateral Tissue Graft Yes No Repositioned Sliding Coverage or Gingival Graft Semi-Lunar Flap Flap Coronally 3 Month and Coronally Repositioned Gingival Repositioned Evaluation for Flap Graft Flap with Progression Membrane or Emdogain
  • 7. Treatment of Gingival Recession Adequate Recession More Adequate Adequate Esthetic Problem Yes Yes Yes Adjacent No Palatal Keratinized than 2 mm. No Gingiva Donor Site Donor Site Adequate No Yes Keratinized Yes No Connective Gingiva Coronally No Gingival Graft for Root Lateral Tissue Graft Yes No Repositioned Sliding Coverage or Gingival Graft Semi-Lunar Flap Flap Coronally 3 Month and Coronally Repositioned Gingival Repositioned Evaluation for Flap Graft Flap with Progression Membrane or Emdogain
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  • 17.
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  • 23. AlloDerm • Processed human skin •Basement membrane side white, rough and dull • Developed in 1994 for burns •Collagen elastin and ground substance • Cells removed •No epithelium • Antiviral treatment •Vessels intact • Freeze-dried •All donors • Dermal side red, shiny Negative for HIV, hepatitis B & C, syphilis
  • 24.
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  • 28. UCLA SCHOOL OF DENTISTRY 28