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Tunnel technique versus coronally advanced flap with acellular dermal matrix graft in the treatment of multiple gingival recessions
Author(s) -
Ozenci Ilknur,
Ipci Sebnem Dirikan,
Cakar Gokser,
Yilmaz Selcuk
Publication year - 2015
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.12477
Subject(s) - medicine , dentistry , gingival recession , patient satisfaction , surgery
Aim The aim of this randomized controlled clinical study was to evaluate the outcomes of acellular dermal matrix ( ADM ) graft in combination with tunnel technique ( TUN ) on root coverage, aesthetics, and patient satisfaction and to compare with coronally advanced flap ( CAF )+ ADM in the treatment of multiple gingival recessions. Material and Methods A total of 20 patients with 58 Miller Class I multiple recessions ≥3 mm were included and divided into TUN + ADM and CAF + ADM groups. At baseline and 12 months, probing depth ( PD ), clinical attachment level ( CAL ), recession height ( RH ) and width ( RW ), keratinized tissue height ( KT ), gingival thickness, and complete and mean root coverage ( CRC , MRC ) were evaluated. Patient satisfaction and root coverage aesthetic scores ( RES ) were also assessed. Results Mean root coverage was 75.72% in TUN + ADM and 93.81% in CAF + ADM . Intragroup comparisons revealed significant differences at 12 months for all parameters in both groups ( p < 0.05). Intergroup differences were found to be statistically significant for RH and RW reduction, KT increase, CAL gain, MRC , CRC , and RES in favour of CAF + ADM group ( p < 0.05). Conclusion Both techniques were effective in root coverage of multiple recessions; however, better clinical results were achieved with CAF and ADM combination.