Guided Creeping Technique (GCT) in Treating Gingival Recession

Guided Creeping Technique (GCT) as a Novel Minimally Invasive Approach in Treating Gingival Recession - Single Arm Preliminary Study

A novel minimally invasive guided creeping technique (GCT) is suggested to treat gingival recessions.

Background: Coronally advanced flap with connective tissue grafting in a conventional or minimally invasive approaches includes massive soft tissue reflection that reduce soft tissue support and compromise vascularity around the grafted material. In an attempt to preserve soft tissue support, graft stability and maximizing graft protection in treating recession defects the present novel minimally invasive guided creeping technique (GCT) is suggested.

Methods: Twelve patients, each contributing a single Cairo RT1 GR defect, were treated by guided creeping technique and completed the 6 months follow up. Clinical, evaluations were performed and differences among groups were analyzed.

Inclusion Criteria:

• Over 18 years of age
• Systemically and periodontally healthy
• Presence of isolated buccal Cairo RT1 gingival recessions
• An identifiable CEJ
• Affected teeth with at least 2mm attached gingiva.

Exclusion Criteria:

• Smokers
• Pregnancy
• Using antiepileptic drugs
• Using antibiotics for at least 20 days before surgery