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Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split‐mouth study with a 5‐year follow‐up
Author(s) -
PiniPrato Giovan Paolo,
Cairo Francesco,
Nieri Michele,
Franceschi Debora,
Rotundo Roberto,
Cortellini Pierpaolo
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.2010.01559.x
Subject(s) - medicine , gingival recession , dentistry , connective tissue , pathology
Pini‐Prato GP, Cairo F, Nieri M, Franceschi D, Rotundo R, Cortellini P. Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split‐mouth study with a 5‐year follow‐up. J Clin Periodontol 2010; 37: 644–650. doi: 10.1111/j.1600‐051X.2010.01559.x Abstract Aim: The aim of this long‐term study was to compare the clinical outcomes of coronally advanced flap (CAF) alone versus coronally advanced flap plus connective tissue graft (CAF+CTG) in the treatment of multiple gingival recessions using a split‐mouth design over 5 years of follow‐up. Materials and Methods: A total of 13 patients (mean age 31.4 years) showing multiple bilateral gingival recessions were treated. On one side, CAF+CTG was used, while in the contra‐lateral side, a CAF alone was applied. Clinical outcomes were evaluated at the 6‐month, 1‐year and 5‐year follow‐ups. Results: A total of 93 Miller class I, II and III gingival recessions were treated. In the CAF+CTG‐treated sites, the baseline gingival recession was 3.6 ± 1.3 mm, while in the CAF‐treated sites, it was 2.9 ± 1.3 mm ( p =0.0034). No difference in terms of the number of sites with complete root coverage (CRC) was reported (OR=0.49, p =0.1772) at the 6‐month follow‐up. At the 5‐year follow‐up, CAF+CTG‐treated sites showed a higher percentage of sites with CRC (52%) than CAF‐treated sites (35%) (OR=3.94; p =0.0239). An apical relapse of the gingival margin in CAF‐treated sites was observed while a coronal improvement of the margin was noted in CAF+CTG‐treated sites between the 6‐month and the 5‐year follow‐ups. Conclusions: CAF+CTG provided better CRC than CAF alone in the treatment of multiple gingival recessions at the 5‐year follow‐up.