The effectivnes of Radiesse in dental practice for prevention and non-surgical treatment of gum recession

Abstract

BACKGROUND: According to clinical and statistical observations, there is the high prevalence of gingival recession in children and adults. Currently, the methods of treating gingival recession are considered as corrective surgical measures. However, all modern corrective techniques are traumatic and force the patient to refuse surgical treatment in the presence of a shallow recession with a depth of no more than 2 mm. The depth of gingival recession in the absence of treatment progresses, which causes clinicians to search for alternative minimally invasive therapy for such patients.

AIM: The aim of our study is to determine the effectiveness of prevention and non-surgical treatment of gum recession using a Radiesse filler (Merz North America, USА).

MATERIAL AND METHODS: 36 patients (men and women) of the young age between 18–44 with thin and intermediate biotype of gums and bones and patients with initial signs of gum recession (not more than 2 mm) have been examined. The state of periodontal tissues and changes in them have been assessed by clinical examination methods; laser Doppler flowmetry and a morphological analysis of tissues have been performed.

RESULTS: Two injections of a Radiess filler have been found to improve the condition of the patients with gum recession compared with the initial values.

CONCLUSIONS: Gingival recession after two injections of a Radiesse filler steadily decreases compared to its initial values. In the absence of treatment, a statistically significant (p < 0.05) increase in the depth of gingival recession has been noted after 12 months from the start of observation. When using a Radiesse dermal filler to support the keratinized zone of the gums, a decrease in microcirculation in the injection zone is observed in the first month, however, after 6 and 12 months, its value significantly increases compared to the initial value and the data of the control group.

Keywords

phenotype / gingival recession / periodontal / microcirculation / fillers / calcium hydroxyapatite

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