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TO GRAFT OR NOT to GRAFT? an UPDATE on GINGIVAL GRAFTING DIAGNOSIS and TREATMENT MODALITIES Richard J

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TO GRAFT OR NOT to GRAFT? an UPDATE on GINGIVAL GRAFTING DIAGNOSIS and TREATMENT MODALITIES Richard J October 2018 Gingival Recession Autogenous Soft Tissue Grafting Tissue Engineering JournaCALIFORNIA DENTAL ASSOCIATION TO GRAFT OR NOT TO GRAFT? AN UPDATE ON GINGIVAL GRAFTING DIAGNOSIS AND TREATMENT MODALITIES Richard J. Nagy, DDS Ready to save 20%? Let’s go! Discover The Dentists Supply Company’s online shopping experience that delivers CDA members the supplies they need at discounts that make a difference. Price compare and save at tdsc.com. Price comparisons are made to the manufacturer’s list price. Actual savings on tdsc.com will vary on a product-by-product basis. Oct. 2018 CDA JOURNAL, VOL 46, Nº10 DEPARTMENTS 605 The Editor/Nothing but the Tooth 607 Letter to the Editor 609 Impressions 663 RM Matters/Are Your Patients Who They Say They Are? Preventing Medical Identity Theft 667 Regulatory Compliance/OSHA Regulations: Fire Extinguishers, Eyewash, Exit Signs 609 674 Tech Trends FEATURES 615 To Graft or Not To Graft? An Update on Gingival Grafting Diagnosis and Treatment Modalities An introduction to the issue. Richard J. Nagy, DDS 617 Gingival Recession: What Is It All About? This article reviews factors that enhance the risk for gingival recession, describes at what stage interceptive treatment should be recommended and expected outcomes. Debra S. Finney, DDS, MS, and Richard T. Kao, DDS, PhD 625 Autogenous Soft Tissue Grafting for the Treatment of Gingival Recession This article reviews the use of autogenous soft tissue grafting for root coverage. Advantages and disadvantages of techniques are discussed. Case types provide indications for selection and treatment. Elissa Green, DMD; Soma Esmailian Lari, DMD; and Perry R. Klokkevold, DDS, MS 639 Acellular Dermal Matrix Allografts in Periodontal Therapy This article reviews the material, techniques and rationale for ACD when there is inadequate autogenous donor tissue for the treatment site or the patient prefers a single surgical site. Joan Otomo-Corgel, DDS, MPH; Chanook David Ahn, DMD; and Allen Gunn, DDS 647 The Pinhole Surgical Technique: A Clinical Perspective and Treatment Considerations From a Periodontist This commentary is intended to help guide clinicians in the decision-making process when considering root-coverage strategies. Tina M. Beck, DDS, MS 653 Tissue Engineering for Improving Periodontal Phenotype This article provides clinicians with an understanding of how certain biotechnologies associated with tissue engineering may be incorporated into mucogingival surgery. Cherissa Chong, DMD, MS; Yung-Ting Hsu, DDS, MDSc; Paul Y. Lee, DDS; and Richard T. Kao, DDS, PhD OCTOBER 2018 603 CDA JOURNAL, VOL 46, Nº10 Volume 46, Number 10 JournaCALIFORNIA DENTAL ASSOCIATION October 2018 CDA Classifieds. Free postings. published by the Editorial Production Manuscript California Kerry K. Carney, DDS, CDE Val B. Mina Submissions EDITOR-IN-CHIEF SENIOR GRAPHIC DESIGNER Priceless results. Dental Association www.editorialmanager. 1201 K St., 14th Floor [email protected] com/jcaldentassoc Sacramento, CA 95814 Randi Taylor SENIOR GRAPHIC DESIGNER 800.232.7645 Ruchi K. Sahota, DDS, CDE ASSOCIATE EDITOR cda.org Letters to the Editor Upcoming Topics www.editorialmanager. Brian K. Shue, DDS, CDE November/General Topics com/jcaldentassoc CDA Offi cers ASSOCIATE EDITOR December/Biomaterials Natasha A. Lee, DDS January/CAMBRA/PBRN PRESIDENT Gayle Mathe, RDH Subscriptions SENIOR EDITOR [email protected] Subscriptions are available Advertising only to active members of R. Del Brunner, DDS Richard J. Nagy, DDS Sue Gardner the Association. The PRESIDENT-ELECT GUEST EDITOR ADVERTISING SALES subscription rate is $18 and [email protected] [email protected] is included in membership Andrea LaMattina, CDE 916.554.4952 dues. Nonmembers can PUBLICATIONS MANAGER Richard J. Nagy, DDS view the publication online VICE PRESIDENT at cda.org/journal. Permission and [email protected] Kristi Parker Johnson EDITORIAL SPECIALIST Reprints Manage your subscription Judee Tippett-Whyte, DDS Andrea LaMattina, CDE online: go to cda.org, log in SECRETARY Blake Ellington PUBLICATIONS MANAGER and update any changes to TECH TRENDS EDITOR [email protected] [email protected] your mailing information. 916.554.5950 Email questions or other Steven J. Kend, DDS Jack F. Conley, DDS changes to membership@ TREASURER EDITOR EMERITUS cda.org. [email protected] CDA classifiedsclassifieds workwork harder to Robert E. Horseman, DDS HUMORIST EMERITUS bbringring you resuresults.lts. SeSellinglling a practice Craig S. Yarborough, DDS, MBA or a piece ooff equipment? Now you SPEAKER OF THE HOUSE [email protected] Stay Connected cda.org/journal can include photos to help buyers Clelan G. Ehrler, DDS see the potential. IMMEDIATE PAST PRESIDENT [email protected] And if you’re hiring, candidates Journal of the California Dental Association (ISSN 1043–2256) is published monthly by the Management California Dental Association, 1201 K St., 14th Floor, Sacramento, CA 95814, 916.554.5950. anywhere can apply right from Periodicals postage paid at Sacramento, Calif. Postmaster: Send address changes to Journal Peter A. DuBois of the California Dental Association, P.O. Box 13749, Sacramento, CA 95853. the site. Looking for a job? You can EXECUTIVE DIRECTOR post that, too. And the best part— The California Dental Association holds the copyright for all articles and artwork published Carrie E. Gordon herein. The Journal of the California Dental Association is published under the supervision of it’s free to all CDA members. CHIEF STRATEGY OFFICER CDA’s editorial staff . Neither the editorial staff , the editor, nor the association are responsible for any expression of opinion or statement of fact, all of which are published solely on the authority Kristine Allington of the author whose name is indicated. The association reserves the right to illustrate, reduce, All of these features are designed to VICE PRESIDENT, MARKETING revise or reject any manuscript submitted. Articles are considered for publication on condition AND MEMBERSHIP help you get the results you need, that they are contributed solely to the Journal. faster than ever. Check it out for Alicia Malaby Copyright 2018 by the California Dental Association. All rights reserved. COMMUNICATIONS yourself at cda.org/classifieds. DIRECTOR 604 OCTOBER 2018 Editor CDA JOURNAL, VOL 46, Nº10 Nothing but the Tooth Kerry K. Carney, DDS, CDE “ picture is worth a thousand words.” Some might say that is an understatement. There What if we zoom in on that tooth and consider was a graduate student in nothing but the tooth. What is it about that small anthropology who wrote organ, the tooth, that makes it so special? Aher entire master’s thesis based on one photograph. Her advisor had given her an old photo of the studio of a well-known artist from a northwest coast Native American culture. She meticulously The tooth endures. It can last Tooth enamel samples divulge that cataloged every identifi able item in the millions of years. The enamel of more than 3 million years ago our photo of the cluttered studio. She devised teeth in fossilized remains is the ancestors had diversifi ed their diet a relative ruler and gave the dimensions original enamel that was laid down beyond that of chimpanzees. of the visible artworks. She researched during the developmental period The tooth is a tool. It is a tool for the motifs used in the sculptures and of the individual’s lifetime. Enamel mastication as well as a cultural tool. It their cultural relevance. She was able demarcation lines can be delineated can tell us what kind of food it can best to track down some of the pieces and and counted. The enamel lines are process: meat, grains, grasses. It can tell us place them in the three-dimensional somewhat similar to tree rings. They how it was used and abused. We can tell world of today. That picture was worth seem to demarcate a short daily if it was worn down by the incorporation much more than a thousand words. pattern and a longer eight-day period. of abrasives like sand into the daily diet. In the same way that a tattered If the individual died before the This can tell us something about how and photograph was a repository of volumes of tooth was completely developed, it is where food was gathered and processed. data, which needed only to be recognized possible to count the lines from the We can tell from the wear marks on and interpreted, so too can a single tooth birth demarcation line and estimate a tooth if it was used in the preparation be worth more than a thousand words. the individual’s age at death and of materials for clothing or in the The tooth is the basic unit of our compare rates of maturation with adapting of materials for building or science. In the profession of dentistry we modern Homo sapiens. That rate food gathering or cultivating. Wear are usually interested in a more “macro” can be contrasted with nonhuman patterns may indicate if sinew or view. Our attention is focused not so much primate maturation. The tooth plant fi bers were chewed or scraped on the single tooth but on how each tooth supplies evidence that our prehistoric to prepare them for use in the making functions together with the other teeth, the ancestors manifested a change in the of clothing, baskets or weapons. supporting periodontal structures and how rate of maturation. The prolongation The tooth is a thing of beauty. We they fulfi ll the functional requirements of of childhood that we observe today can tell if it was adapted or adorned oral health. In an expanded view, all the can be seen in the fossil record and for cultural reasons. Was it fi led into teeth perform their part in the psychosocial documented through enamel lines. a point to refl ect a cultural preference health of the individual through a healthy The tooth is a biochemical archive. for or admiration of a dagger smile? smile.
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