English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Analysis of the treatment of multiple gingival recessions with subepithelial connective tissue graft removed from the palatine area with predominance of lamina propria and with predominance of submucosa Introduction: Subepithelial connective tissue graft (SCTG) is considered the gold standard for root coverage of Miller class I and II gingival recessions. However, depending on the area and technique of the graft removal on the palate, grafts may present anatomical characteristics, geometric forms and distinct histological compositions. Literature screening suggests that different SCTG patterns, although predominantly of connective tissue, may present different volumetric stability, histological pattern and revascularization. Materials and Methods: This randomized, split-mouth of non-inferiority study aimed to evaluate clinical periodontal parameters including probing depth (PD), recession depth (RD), clinical attachment level (CAL), recession width (RW), keratinized tissue thickness (KTT) and keratinized tissue width (KTW) up to 6 months postoperatively, as well as root coverage rates (RRC) and complete root coverage (CRC). The sites that received the de-epithelized graft (DE) by the Bosco and Bosco technique (2007) were compared to the sites with grafts removed by the double blade scalpel (BLD), according to Harris (1992) technique. Participants were invited, at all follow-up visits, to respond to aesthetic satisfaction questionnaires by Visual Analogue Scale (VAS) and also to assess morbidity / pain. Experienced and blinded periodontists in the experimental groups were asked to observe the clinical results and to answer an aesthetics questionnaire Results: 21 patients underwent two surgeries (DE and BLD), in a total of 84 sites with gingival recessions. There was no statistically significant difference in RRT between groups (SD) and (BLD), presenting 82.5 ± 21.8 and 78 ± 22.2, respectively. The PR, NCI, LR and FMC parameters showed significant differences between the initial and 6-month periods, but no difference was found between DE and BLD groups. The PD did not present significant differences in the intergroup analysis, nor between the evaluation periods. In the analysis of pain and morbidity, lower values were observed in the BLD group (4.66 ± 2.31), in relation to the DE group (7.86 ± 1.24). Aesthetic analysis by the patient (DE: 8.48 ± 1.72, BLD: 8.57 ± 1.57) and by the periodontist (DE: 8.86 ± 1.28, BLD: 8.57 ± 1.07) did not present statistically significant differences after 6 postoperative months between the two techniques. However, aesthetics was significantly superior after 6 months for the two grafts compared to the initial period (DE: 3.24 ± 1.97; BLD: 2.43 ± 1.80) in the analysis of the patient and the periodontist (DE: 4.05 ± 1.12, BLD: 3.57 ± 1.08). Conclusions: Both techniques proved to be efficient for root coverage in multiple adjacent gingival recessions, but with lower postoperative morbidity for the BLD group, which is an important criterion to be considered in the decision-making process to choose the SCTG removal technique.

Análise do tratamento de recessões gengivais múltiplas com enxerto de tecido conjuntivo subepitelial removido de área palatina com predomínio de lâmina própria e com predomínio de submucosa