Naslov
Coronally Advanced Flap Alone or With Connective Tissue Graft in the Treatment of Single Gingival Recession : A Long-Term Randomized Clinical Trial
(Coronally Advanced Flap Alone or With Connective Tissue Graft in the Treatment of Single Gingival Recession : A Long-Term Randomized Clinical Trial.)

Autori
Kuiš, Davor ; Šćiran, Ivana ; Lajnert, Vlatka ; Šnjarić, Damir ; Prpić, Jelena ; Pezelj-Ribarić, Sonja ; Bošnjak, Andrija

Izvornik
Journal of periodontology (0022-3492) 84 (2013), 11; 1576-1585

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
clinical trials; randomized; connective tissue; gingival recession; surgery; plastic; surgical flaps

Sažetak
Numerous surgical approaches for the treatment of single gingival recession (GR) defects are documented in the literature. The aim of this 5-year, split mouth-design, randomized clinical trial was to evaluate the effectiveness of coronally advanced flap (CAF) alone versus CAF with connective tissue graft (CAF+CTG) in the treatment of single Miller Class I and II GR defects. Thirty-seven patients with 114 bilateral, single Miller Class I and II GR defects were treated with CAF on one side of the mouth and CAF+CTG on the other side. Clinical measurements (GR length [REC], keratinized tissue width [KT], complete root coverage [CRC], and percentage of root coverage [PRC]) were evaluated before surgery and after 6, 12, 24, and 60 months. There was a significant reduction of REC and increase of KT after surgery in both groups. CAF+CTG showed significantly better results for all evaluated clinical parameters in all observed follow-up periods. Miller Class I defects showed better results in terms of REC, CRC, and PRC, whereas Miller Class II showed better results in KT, both in favor of CAF+CTG. Miller Class I defects showed better results than Miller Class II GR defects regardless of the surgical procedure used. Both surgical procedures were effective in the treatment of single Miller Class I and II GR defects. The CAF+CTG procedure provided better long-term outcomes (60 months postoperatively) than CAF alone. Long-term stability of the gingival margin is less predictable for Miller Class II GR defects compared to those of Class I.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA