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By Giuseppe Alessandro, Ph.D. Scardina

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Extra resources for A Window on Surgery and Orthodontics

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Tal H. Subgingival acellular dermal matrix allograft for the treatment of gingival recession. A case report. J. Periodontol. 1999; 70:1118; 1124. Aichelmann Reidy ME, Yukna RA, Evans GH, Nasr HF, Mayer ET. Clinical evaluation of Acellular Allograft dermis for the treatment of human gingival recession. J. Periodontol. 2001; 72(8); 998-1005. Silness J, Loe H. Periodontal disease in pregnancy(II). Corelation between oral hygiene and periodontal conditions. Acta Odontol Scand 1964;22:121-35. Loe H,Silness J.

The mechanical properties of the Stainless Steel were applied using material properties library of the ANSYS Workbench. Models were meshed with 68465 nodes; 28694 10-node-quadratic tetrahedron body elements, 3624 contact elements. (Figure 2) The boundary condition consisted of fixing the bracket bases and avoiding the arch wire distal to the loops from vertical displacements. Arch wire ends were displaced distally 1 mm Loop Position in Anterior Retraction Arch Wire … 23 and medially 0. 1 mm on each side simulating the activation regarding the arch wire form.

ADM was oriented so that the basement membrane side was placed adjacent to the defect [21, 22, 23]. Firm pressure was applied on the graft with a sterile moist gauze pack for 3 to 5 minutes to help the graft adapt and adhere to the recipient wound bed. It was secured to the wound bed with 5-0 Polyglactin vicryl sutures (Ethicon, Inc. Somerville, New Jersey) (Figure 1b). The CTG was harvested from the palate following a trap door flap design [24]. A number 15 Bard Parker blade was used to make a partial thickness horizontal incision with a bevel about 3 mm apical to the gingival margin of the first premolar extending towards first molar (Figure 2a).

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