Clinical comparison of coronary displaced flap and sub-epithelial connective tissue graft with or without enamel matrix protein derivative for gingival recession coverage. Clinical case presentation
| Autor: | Socorro Aída Borges Yáñez, Ana Patricia Vargas Casillas, Blanca Itzel Mendoza Espinosa |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Materials science
Recesión gingival enamel matrix derivatives Dentistry Connective tissue Derivative Gingival recession regeneración periodontal Enamel matrix derivative medicine injerto subepitelial de tejido conectivo Enamel paint business.industry coronary-advanced flap periodontal regeneration General Medicine Tissue Graft Root coverage derivado de la matriz del esmalte medicine.anatomical_structure colgajo de avance coronal visual_art visual_art.visual_art_medium Clinical case medicine.symptom business connective tissue sub-epithelial graft |
| Zdroj: | Revista Odontológica Mexicana. 19:e259-e268 |
| ISSN: | 1870-199X |
| DOI: | 10.1016/j.rodmex.2015.10.018 |
| Popis: | The present article described a clinical case where it was assessed whether aggregation of enamel matrix derivative (EMD) to the procedure of coronary-advanced flap with sub-epithelial connective tissue graft (CAF + SCTG) would improve the amount of root coverage in Miller's class I and II gingival recessions when compared to the same isolated procedure in a patient suffering multiple gingival recessions, in a 6 month time-span. Twelve gingival recessions were included in the study: six treated with (CAF + SCTG + EMD) and six treated with (CAF + SCTG) in different quadrants. At beginning of procedure as well as six months later, the following clinical parameters were measured: gingival recession depth (RD), depth to probing (PD), clinical insertion level (CIL) and width of keratinized tissue (KT) in apex-coronary direction. A p < 0.05 was considered statistically significant. Results established that after a six month procedure CAF + SCTG + EMD and CAF + SCTG produced significant root coverage, respective averages were 2.83 ± 1.16mm (p = 0.001) and 2.50 ± 0.83mm (p = .002). All gingival recessions treated with EMD experienced 100% root coverage, sites treated with CAF + SCTG + EMD exhibited coverage of only 65.3%. When comparing results at six months, better results were observed with CAF + SCTG + EMD with respect to clinical insertion level (p = .02) and root coverage (p = .06). Nevertheless, neither the difference of clinical level insertion nor the gain in root coverage resulted significant. Additionally, no significant differences were observed between PD and KT. Conclusion: The present clinical case did not show additional benefits when EMD were aggregated to the CAF + SCTG in the coverage of multiple Miller's class I and class II gingival recessions. |
| Databáze: | OpenAIRE |
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