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Article: Does placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial

TitleDoes placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial
Authors
KeywordsRoot coverage
Periodontal surgery
Gingival recession
Clinical trial
Issue Date2009
Citation
Journal of Clinical Periodontology, 2009, v. 36, n. 1, p. 68-79 How to Cite?
AbstractAims: This parallel-group, multi-centre, double-blind, randomized- controlled clinical trial was undertaken to compare the clinical outcomes and patient morbidity of coronally advanced flap (CAF) alone or in combination with a connective tissue graft (CAF+CTG) in single Miller Class I and II gingival recessions. Material and Methods: Three centres enrolled 85 patients with one recession each. Surgery was performed elevating a pedicle flap; 42 sites randomly received a graft under the flap. Measurements were taken by blind and calibrated examiners. Outcome measures included recession reduction, complete root coverage (CRC), intra-operative and post-operative morbidity, dentine sensitivity, and side effects. Results: No differences were noted in the intra-operative and post-operative patient-related variables between the two groups. Surgical time was significantly shorter in the CAF group. Recession reduction was not statistically different between the two groups, even though a model showed a tendency towards improved outcomes in sites treated with CAF+CTG (adjusted difference 0.33 mm, 95% CI=-0.06 to 0.72, p=0.1002). Significantly greater probability of CRC was observed after CAF+CTG (adjusted OR=5.09, 95% CI=1.69-17.57, p=0.0033). Dentine hypersensitivity improved in both the groups. Conclusions: Both treatments were effective in providing a significant reduction of the baseline recession and dentine hypersensitivity, with only limited intra-operative and post-operative morbidity and side effects. Adjunctive application of a CTG under a CAF increased the probability of achieving CRC in maxillary Miller Class I and II defects. © 2009 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/230828
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848

 

DC FieldValueLanguage
dc.contributor.authorCortellini, Pierpaolo-
dc.contributor.authorTonetti, Maurizio-
dc.contributor.authorBaldi, Carlo-
dc.contributor.authorFrancetti, Luca-
dc.contributor.authorRasperini, Giulio-
dc.contributor.authorRotundo, Roberto-
dc.contributor.authorNieri, Michele-
dc.contributor.authorFranceschi, Debora-
dc.contributor.authorLabriola, Antonella-
dc.contributor.authorPini Prato, Giovanpaolo-
dc.date.accessioned2016-09-01T06:06:54Z-
dc.date.available2016-09-01T06:06:54Z-
dc.date.issued2009-
dc.identifier.citationJournal of Clinical Periodontology, 2009, v. 36, n. 1, p. 68-79-
dc.identifier.issn0303-6979-
dc.identifier.urihttp://hdl.handle.net/10722/230828-
dc.description.abstractAims: This parallel-group, multi-centre, double-blind, randomized- controlled clinical trial was undertaken to compare the clinical outcomes and patient morbidity of coronally advanced flap (CAF) alone or in combination with a connective tissue graft (CAF+CTG) in single Miller Class I and II gingival recessions. Material and Methods: Three centres enrolled 85 patients with one recession each. Surgery was performed elevating a pedicle flap; 42 sites randomly received a graft under the flap. Measurements were taken by blind and calibrated examiners. Outcome measures included recession reduction, complete root coverage (CRC), intra-operative and post-operative morbidity, dentine sensitivity, and side effects. Results: No differences were noted in the intra-operative and post-operative patient-related variables between the two groups. Surgical time was significantly shorter in the CAF group. Recession reduction was not statistically different between the two groups, even though a model showed a tendency towards improved outcomes in sites treated with CAF+CTG (adjusted difference 0.33 mm, 95% CI=-0.06 to 0.72, p=0.1002). Significantly greater probability of CRC was observed after CAF+CTG (adjusted OR=5.09, 95% CI=1.69-17.57, p=0.0033). Dentine hypersensitivity improved in both the groups. Conclusions: Both treatments were effective in providing a significant reduction of the baseline recession and dentine hypersensitivity, with only limited intra-operative and post-operative morbidity and side effects. Adjunctive application of a CTG under a CAF increased the probability of achieving CRC in maxillary Miller Class I and II defects. © 2009 The Authors.-
dc.languageeng-
dc.relation.ispartofJournal of Clinical Periodontology-
dc.subjectRoot coverage-
dc.subjectPeriodontal surgery-
dc.subjectGingival recession-
dc.subjectClinical trial-
dc.titleDoes placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1600-051X.2008.01346.x-
dc.identifier.pmid19046326-
dc.identifier.scopuseid_2-s2.0-58449090086-
dc.identifier.volume36-
dc.identifier.issue1-
dc.identifier.spage68-
dc.identifier.epage79-
dc.identifier.eissn1600-051X-

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