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Treatment of class III multiple gingival recessions: a randomized‐clinical trial
Author(s) -
Aroca Sofia,
Keglevich Tibor,
Nikolidakis Dimitris,
Gera Istvan,
Nagy Katalin,
Azzi Robert,
Etienne Daniel
Publication year - 2010
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2009.01492.x
Subject(s) - enamel matrix derivative , medicine , gingival recession , dentistry , randomized controlled trial , clinical trial , orthodontics , surgery , regeneration (biology) , biology , microbiology and biotechnology
Background: The aim of this controlled randomized split‐mouth study was to evaluate whether a modified tunnel/connective tissue graft (CTG) technique – enamel matrix derivative (EMD) combination will improve the treatment of multiple class III recession when compared with the same technique alone. Materials and Methods: Twenty healthy subjects with a mean age of 31.7 years, were enrolled for the trial in a university periodontal clinic. Patients with at least three adjacent gingival recessions on both sides of the mouth were treated with a modified tunnel/CTG technique. On the test side, an EMD was used in addition. Clinical parameters were measured at baseline, 28 days, 3, 6 and 12 months after the surgery. Results are presented at the subject level. Results: The mean root coverage from baseline to 1 year post‐surgery was 82% for the test group and 83% for the control group. Complete root coverage was achieved at 1 year in eight (38%) of the 20 surgeries (experimental and control group). Conclusions: One‐year results indicate that the modified tunnel/CTG technique is predictable for the treatment of multiple class III recession‐type defects. The addition of EMD does not enhance the mean clinical outcomes.