Patient morbidity and root coverage outcomes after the application of a subepithelial connective tissue graft in combination with a coronally advanced flap or via a tunneling technique: a randomized controlled clinical trial

Abstract

The results of this study may influence the surgeon's choice on which root coverage procedure should be performed considering the need of more chair time and more painkiller assumption with the tunneling technique.

Esthetic evaluation and patient‐centered outcomes in root‐coverage procedures

“…The data obtained confirm the results of previous studies (124,126), in which less patient morbidity was reported in coronally advanced flaps and connective tissue grafts of reduced thickness and height compared with the large graft group (126), and free gingival grafts with a thinner dimension and the extra-oral removal of epithelium are often preferred over thick grafts harvested using a trapdoor technique (124). In a recent study, Gobbato et al (46) ( Table 3) pointed out that in most instances, the focus of pain assessment revolves around the tissue donor site, which is normally the palatal region proximal to the maxillary premolars, and minimal attention is paid to the perception of pain from the recipient area or the overall oral cavity. More trivial postoperative symptoms, such as pain, discomfort, swelling and mild bleeding, are experienced routinely by patients undergoing mucogingival surgery (48,52).…”

Xenogenous Collagen Matrix and/or Enamel Matrix Derivative for Treatment of Localized Gingival Recessions: A Randomized Clinical Trial. Part I: Clinical Outcomes

“…The combination of a subepithelial connective tissue graft (SCTG) with a coronally advanced flap (CAF) has been demonstrated to have the highest probability to achieve complete root coverage (CRC) and the best esthetic outcomes at the professional and patient level for localized gingival recessions (GRs) by randomized clinical trials (RCTs) and systematic reviews 3‐5 . However, the wound at the donor site for harvesting the SCTG is frequently associated with discomfort, swelling, and occasionally pain 4,6,7 …”

Papilla and pontic area regeneration in patient with gingival smile: A clinical case

“…The fixed prosthesis is thus a less risky option than implants when the patient lacks the necessary amount of soft and hard tissues. Although periodontal factors do not usually have a direct effect on the survival rate of a fixed prosthesis, harmony between the prosthesis and the periodontium is critical to aesthetics; otherwise, the longevity of the prosthesis and the periodontium will be compromised ( 3 , 4 ).…”

“…The temporary bridge did not place too much pressure on the graft (Fig. 1 c- 1 f) ( 1 - 4 ). Four months were allocated in order to achieve mature tissue.…”

“…To achieve an aesthetic and harmonious smile, it is necessary to balance prosthetic restoration with gingival architecture and the patient’s lips and face. Several mucogingival techniques have been proposed for covering gingival recessions ( 1 - 4 ). The interdental papilla protects the periodontal structures, but it also plays an important role in aesthetics.…”