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Long‐Term Stability of Root Coverage by Coronally Advanced Flap Procedures
Author(s) -
Jepsen Karin,
Stefanini Martina,
Sanz Mariano,
Zucchelli Giovanni,
Jepsen Søren
Publication year - 2017
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2017.160767
Subject(s) - medicine , dentistry , randomized controlled trial , gingival recession , surgery
Background: This study compared 6‐month and 3‐year outcomes for root coverage (RC) by coronally advanced flap (CAF) procedures in localized gingival recessions. Methods: Two centers, that had participated in a 6‐month multinational multicenter randomized clinical trial (RCT), followed up 18 patients with 36 Miller Class I and II defects that had been treated in a split‐mouth design with CAF procedures or CAF + xenogeneic collagen matrix (CMX). Percentage of RC, complete root coverage (CRC), width, and thickness of keratinized tissue were assessed by the same masked examiners as after the 6‐month RCT. Results: There was a high correlation between 6‐month and 3‐year RC outcomes for both CAF procedures. Mean RC after CAF + CMX amounted to 89.9% after 6 months and 91.7% after 3 years (Pearson’s correlation: 0.91). Corresponding values for CAF were 83.7% versus 82.8% (Pearson’s correlation: 0.94). Likewise, CRC was stable with 61%/61% for CAF + CMX and 39%/39% for CAF after 6 months/3 years, respectively. Conclusions: In this 3‐year follow‐up of a subgroup of patients from a previous 6‐month RCT, there was a high correlation between the results for RC after 6 months and 3 years, indicating their stability. These data suggest that 6‐month outcomes may be useful to predict long‐term outcomes in CAF procedures with or without additional use of CMX.