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Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype
Author(s) -
Ahmedbeyli Cavid,
İpçi Şebnem Dirikan,
Cakar Gokser,
Kuru Bahar E.,
Yılmaz Selçuk
Publication year - 2014
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/jcpe.12211
Subject(s) - medicine , dentistry , gingival recession
Abstract Aim The objective of this study was to compare acellular dermal matrix graft ( ADM ) combination with coronally advanced flap ( CAF ) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness ( GT ) <0.8 mm. Materials and Methods Forty‐eight Miller Class I multiple recessions ≥3 mm were divided into test ( CAF + ADM ) and control ( CAF ) groups. At baseline and 12 months, recession height ( RH ), keratinized tissue height ( KT ), GT , mean and complete defect coverage were evaluated. Patient satisfaction, root coverage aesthetic score ( RES ) and the correlation between GT and defect coverage were also assessed. Results Baseline RH in CAF + ADM and CAF groups was 3.25 ± 0.34 mm and 3.21 ± 0.26 mm, respectively. Mean and complete defect coverage were 94.84% and 83.33% in test group, 74.99% and 50.00% in control group, respectively. Inter‐group differences were found to be statistically significant for RH reduction, attachment gain, KT and GT increase, mean defect coverage and RES in favour of test group ( p < 0.05). There was a significant positive correlation between GT and mean defect coverage ( p < 0.05). Conclusion Coronally advanced flap in association with ADM can be proposed as a valid approach for the treatment of multiple recessions with thin tissue biotype.