| Autor: |
Maheshwari, Shubhra, Prashant, Bhusari, Verma, Shiras, Verma, Esha, Jain, Amiyavardhan, Bhuasri, Chitra |
| Předmět: |
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| Zdroj: |
International Journal of Clinical Dentistry; 2015, Vol. 8 Issue 3, p189-206, 18p |
| Abstrakt: |
Background: Different techniques have been proposed for the treatment of gingival recessions. This study compared the clinical results of gingival recession treatment using coronally advanced flap with and without connective tissue graft. Methods: Thirty patients with Miller I and II gingival recessions were selected. A total of 30 recessions were treated and randomly assigned to the test and the control group. In the control group, the exposed root surfaces were treated by coronally advanced flap only (CAF); in the test group, connective tissue graft was used in combination with coronally advanced flap (CAF+CTG). Probing depth (PD), gingival recession depth (RD), width of keratinized gingiva (WKG), width of attached gingiva (WKG-PD) and thickness of gingiva (GT) were measured at base line and 1,2 and 3 months postsurgically. Results: All 30 patients completed the study. The RD at 3 months was significantly reduced from 2.93 ± o.70 mm to o.80 ± 0.94 mm in the CAF group (p < 0.000) and from 3.06 ± 0.59 mm to 0.26 ± 0.59 mm in CAF+CTG group (p<0.000). The mean root coverage was 72.8% in CAF group and 92.7% in CAF+CTG group (p<0.000).Seven sites out of 15 (46.6%) in CAF group showed 100% root coverage while 12 sites out of 15 (80%) in CAF+CTG group showed 100% root coverage at the 3 months postoperative follow-up. Conclusion: It can be concluded that both the techniques could provide significant root coverage in Miller Class I and II gingival recessions: however CAF+CTG provided significantly more favorable clinical outcome. More expanded studies are needed to confirm the present findings. [ABSTRACT FROM AUTHOR] |
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