Clinical comparison of coronally-advanced flap plus amniotic membrane or subepithelial connective tissue in the treatment of Miller’s class I and II gingival recessions: A split-mouth study
Autor: | Fariba Salehsaber, Amir Eskandari, Ardeshir Lafzi, Masoumeh Faramarzi, Masoumeh Eyvazi, Nader Abolfazli |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
Test group Connective tissue Dentistry Amniotic membrane Surgical operation 03 medical and health sciences 0302 clinical medicine Statistical significance medicine General Dentistry Gingival recession connective tissue business.industry Healthy subjects Attachment level 030206 dentistry Root coverage gingival recession lcsh:RK1-715 030104 developmental biology medicine.anatomical_structure lcsh:Dentistry Original Article medicine.symptom business |
Zdroj: | Journal of Dental Research, Dental Clinics, Dental Prospects, Vol 10, Iss 3, Pp 162-168 (2016) Journal of Dental Research, Dental Clinics, Dental Prospects |
ISSN: | 2008-2118 |
Popis: | Background. The aim of the present study was to compare coronally advanced flap (CAF) plus amniotic membrane (AM) to CAF with connective tissue graft (CTG) in the treatment of Miller’s class I and II gingival recessions. Methods. Eleven healthy subjects with thirty Miller’s class І and ІІ gingival recessions ≥3 mm, were selevted for this re-search and randomly assigned to two groups in a split-mouth design. In the control group gingival recessions were treated with CAF and CTG; however, in the test group the lesions were treated with (AM) and CAF. The clinical parameters, in-cluding recession depth (RD), recession width (RW), keratinized tissue width (WKT), probing depth (PD) and clinical attachment level (CAL), were measured at baseline and 1, 3 and 6 months postoperatively. Statistical significance was set at P < 0.01. Results. Position changes of RD, RW, CAL, and MGJ were significant between baseline and one month after surgery (P < 0.01) in both the test and control groups and these values remained unchanged at 3- and 6-month follow-ups. There were no statistically significant differences in PD and WKT between baseline and 1-, 3- and 6-months intervals postoperatively. The mean root coverage values after 6 months were 75.5% and 63.1% for two groups, respectively. The mean recession depth reductions were 2.63±0.63 mm and 2±1.4 mm in the test and control groups, respectively. Conclusion. The results of this research showed that application of AM instead of connective tissue decreased surgical operation time and patient discomfort but the amount of root coverage was not significantly different between the two methods. |
Databáze: | OpenAIRE |
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