Premium
Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: a comparative short‐ and long‐term controlled randomized clinical trial
Author(s) -
Zucchelli Giovanni,
Mounssif Ilham,
Mazzotti Claudio,
Stefanini Martina,
Marzadori Matteo,
Petracci Elisabetta,
Montebugnoli Lucio
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.12224
Subject(s) - medicine , gingival recession , dentistry , periodontist , connective tissue , randomized controlled trial , surgery , pathology
Aim The aim of this study was to compare short‐ and long‐term root coverage and aesthetic outcomes of the coronally advanced flap ( CAF ) alone or in combination with a connective tissue graft ( CTG ) for the treatment of multiple gingival recessions. Methods Fifty patients with multiple (≥2) adjacent gingival recessions (≥2 mm) in the upper jaw were enrolled. Twenty‐five patients were randomly assigned to the control group ( CAF ), and the other 25 patients to the test group ( CAF + CTG ). Clinical outcomes were evaluated at 6 months, 1 and 5 years. The aesthetic evaluations were made 1 and 5 years after the surgery. Results No statistically significant difference was demonstrated between the two groups in terms of Rec Red and complete root coverage ( CRC ) at 6 months and 1 year. At 5 years, statistically greater recession reduction and probability of CRC , greater increase in buccal KTH and better contour evaluation made by an independent periodontist were observed in the CAF + CTG group. Better post‐operative course and better colour match were demonstrated in CAF ‐treated patients both at 1 and 5 years. Conclusions CAF + CTG provided better CRC at 5 years; keloid formation due to graft exposure was responsible for the worse colour match evaluation.