Root Coverage in Miller Classes I and II associated with Subepithelial Connective Tissue Graft: A comparative Clinical Trial of Two Techniques

Spada, Vitor Juliano; Nassar, Patrícia Oehlmeyer; Cardoso, N W J Lopes; Caldato, Khadidjia Mb; Pandini, Jordana H; Randon, Deisy M; Nassar, Carlos Augusto

doi:10.5005/jp-journals-10015-1446

Cited by 3 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to these advantages, already well established in the literature, it was used in this study associated to Tunnel and CPF surgical techniques. When these two techniques were compared in Miller class I and II recessions, researchers obtained effective outcomes in both techniques [22]. While comparing its use in RT2 recessions, good effectiveness and similar outcomes across the parameters analyzed after use of these techniques were observed (Tables 2 and 3).…”

Section: Discussionmentioning

confidence: 84%

“…According to the literature, after 5 months of root coverage with the surgical techniques used in this study, some level of regeneration in periodontal defects can be observed, and formation of new cement, alveolar bone, and periodontal ligament can be obtained, as well as large portions of the root covered by connective tissue and long junctional epithelium [22,[30][31][32]. Though CPF + SCTG present better outcomes in periodontal parameters, they are not statistically significant, demonstrating that both techniques can be recommended for the treatment of RT2 recessions in patients.…”

Section: Discussionmentioning

confidence: 86%

“…Mucogingival plastic surgery procedures represent challenges for the success of gingival recession coverage, in addition to the many systemic, local anatomic and behavior conditions of the patients that may influence the treatment and prognosis of recessions [6,22]. Gingival recessions affect a high percentage of the population.…”

Section: Discussionmentioning

confidence: 99%

“…Eighteen patients with 41 recessions were selected according to inclusion criteria and based on the analysis of sample size calculation made through Graph Pad Prism 8.0® software. The number of patients was based on previous analyses, through 80% test power and 0.05 alpha level, and these data were also based on previous studies by the group of researchers [20][21][22].…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Comparison of Two Surgical Techniques in the Treatment of Cairo RT2 Gingival Recessions Associated to Subepithelial Connective Tissue Graft: Randomized Clinical Trial

Rothen

Silva²,

Bin³

et al. 2022

JAMMR

View full text Add to dashboard Cite

Purpose: The treatment of advanced gingival recessions represents a clinical challenge due to lack of appropriate interdental support. The objective of this study was to compare the outcomes of root coverage in surgical techniques employed for Tunnel root coverage and Coronally Positioned Flap (CPF), both associated to Subepithelial Connective Tissue Graft (SCTG), in patients with Cairo RT2 gingival recession. Methods: Forty-one Cairo RT2 recessions were selected in 18 patients divided in groups to undergo root coverage surgery. The patients were evaluated at 0, 90, and 180 post-operative days for verification of the recession height and width, probing depth, bleeding on probing, clinical attachment level, gingival thickness, and zone of keratinized tissue (P<0.05%). Results: There was 1.84 ± 1.03 mm gain in gingival height in the Tunnel + SCTG group, and 2.33 ± 0.90 mm in CPF + SCTG group, without statistically significant differences between groups, and the coverage average was 62%. Full coverage was obtained in 17% of recessions. Conclusion: The two techniques presented significant improvement in the periodontal parameters evaluated. Only the keratinized gingiva presented better outcomes in the CPF group.

show abstract

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Comparison of Two Surgical Techniques in the Treatment of Cairo RT2 Gingival Recessions Associated to Subepithelial Connective Tissue Graft: Randomized Clinical Trial

Rothen

Silva²,

Bin³

et al. 2022

JAMMR

View full text Add to dashboard Cite

show abstract

“…The calculation of the sample size to the number of gingival recessions was made with t-test for independent samples with test power of 80% and alpha level of 0.05. These data were based on previous studies of the researchers group [16,17,18].…”

Section: Methodsmentioning

confidence: 99%

Advanced Platelet-Rich Fibrin (A-PRF) Associated with the Tunneling Technique in the Treatment of Cairo Type 1 Gingival Recessions: Randomized and Blinded Clinical Study

Silva,

Nadal,

Rothen

et al. 2023

JAMMR

View full text Add to dashboard Cite

The use of advanced platelet-rich fibrin (A- PRF) has presented good results in periodontal plastic surgery for treatment of gingival recessions. The present study aims at assessing the effectiveness of the use of A-PRF in root coverage and periodontal clinical parameters of patients with Cairo Type 1 gingival recession. Forty four (44) bilateral Cairo Type 1 gingival recessions were selected. The recessions were split in two groups according to the surgical procedure made (n=44): SCTG: Subepithelial Connective Tissue Graft and A-PRF, using tunnel surgical technique in both sides. The patients were monitored on 0, 90, and 180 days for assessment of the recession height and width; probing depth and bleeding on probing; clinical attachment level; keratinized tissue band width; thickness of keratinized gingival tissue and sensitivity level. The data obtained were initially analyzed and assessed with SHAPIRO-WILK test for normality and later ANOVA and TUKEY tests were used for normal data, or KRUSKALL-WALLIS and DUNN test for non-normal data. For analysis of sensitivity parameter, the test chosen was KRUSKALL-WALLIS and DUNN, with 5% significance level. In the analysis across groups the Student’s t-test was conducted. Both groups presented improvement in periodontal parameters, however without significant statistical difference between them, which suggests that A-PRF can be an alternative to SCTG in root coverage surgeries of Cairo type 1 recession.

show abstract

Comparison Between the Use of Advanced Platelet-Rich Fibrin (A-PRF) and Connective Tissue Graft in the Treatment of Cairo Type 1 Gingival Recession Associated with the Coronally Advanced Flap

Nadal,

Nassar,

Bin

et al. 2024

Current Research in Dentistry

View full text Add to dashboard Cite

The effects of Advanced Platelet Rich Fibrin (A-PRF) are promising in periodontal surgeries because of the high number of cells and growth factors due to slower centrifugation. Then, the aim of the present study was to evaluate the efficacy of A-PRF in combination with Coronally Advanced (CAF) and compare it with the use of Connective Tissue Graft (CTG) also associated with CAF in Cairo type 1 gingival recession. The study was approved by the Human Research Ethics Committee of the University and patients signed the informed consent. Forty gingival recessions were selected, with 20 belonging to the CAF + A-PRF group (test group) and 20 to the CAF + CTG group. The height of the gingival recession, height, and thickness of the attached gingiva, probing depth, level of clinical insertion, and tooth sensitivity were evaluated at the beginning and 6 months after surgery. GraphPad Prism 8.0 program® was used for statistical analysis. The normality was assessed through Shapiro-Wilk. Tstudent was performed for the parametric data and MANN-WHITNEY test for the non-parametric. The significance level was set at 5%. There was a gain in gingival height of 1.45±0.96 mm in the CAF + CTG group and 1.04±0.95 mm in the CAF + A-PRF group, resulting in a coverage of 54.3% in the test group and 73% in the control group. Complete coverage (100%) of the recessions was found at 7 sites (35%) in the group with A-PRF and 10 sites (50%) with the CTG. In both groups, there was a significant improvement in tooth sensitivity (p<0.05). Regarding the other clinical parameters evaluated, there was no statistically significant difference; however, slightly higher rates of gum gain were observed in both height and thickness in the control group. After 180 days, both techniques showed significant improvement in the evaluation + ed periodontal parameters, concluding that both can be used for treating Cairo type I gingival recessions.

show abstract

Root Coverage in Miller Classes I and II associated with Subepithelial Connective Tissue Graft: A comparative Clinical Trial of Two Techniques

Cited by 3 publications

References 27 publications

Clinical Comparison of Two Surgical Techniques in the Treatment of Cairo RT2 Gingival Recessions Associated to Subepithelial Connective Tissue Graft: Randomized Clinical Trial

Clinical Comparison of Two Surgical Techniques in the Treatment of Cairo RT2 Gingival Recessions Associated to Subepithelial Connective Tissue Graft: Randomized Clinical Trial

Advanced Platelet-Rich Fibrin (A-PRF) Associated with the Tunneling Technique in the Treatment of Cairo Type 1 Gingival Recessions: Randomized and Blinded Clinical Study

Comparison Between the Use of Advanced Platelet-Rich Fibrin (A-PRF) and Connective Tissue Graft in the Treatment of Cairo Type 1 Gingival Recession Associated with the Coronally Advanced Flap

Contact Info

Product

Resources

About