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. (22nd January 2014)

• Record Type: Journal Article
• Authors: Zucchelli, Giovanni; Mounssif, Ilham; Mazzotti, Claudio; Stefanini, Martina; Marzadori, Matteo; Petracci, Elisabetta; Montebugnoli, Lucio
• Is Part Of: Journal of clinical periodontology. Volume 41:Number 4(2014:Apr.)
• Page Start: 396
• Page End: 403
• Publication Date: 2014-01-22
• Subjects: Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.12224
• Languages: English
• ISSNs: 0303-6979

Abstract

<abstract abstract-type="main" id="jcpe12224-abs-0001"> <title>Abstract</title> <sec id="jcpe12224-sec-0001" sec-type="section"> <title>Aim</title> <p>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.</p> </sec> <sec id="jcpe12224-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="jcpe12224-sec-0003" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="jcpe12224-sec-0004" sec-type="section"> <title>Conclusions</title> <p>CAF + CTG provided better CRC at 5 years; keloid formation due to graft exposure was responsible for the worse colour match evaluation.</p> </sec> </abstract>