Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype
Aim The objective of this study was to compare acellular dermal matrix graft (ADM) combination with coronally advanced flap (CAF) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness (GT)
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Veröffentlicht in: | Journal of clinical periodontology 2014-03, Vol.41 (3), p.303-310 |
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container_title | Journal of clinical periodontology |
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creator | Ahmedbeyli, Cavid İpçi, Şebnem Dirikan Cakar, Gokser Kuru, Bahar E. Yılmaz, Selçuk |
description | Aim
The objective of this study was to compare acellular dermal matrix graft (ADM) combination with coronally advanced flap (CAF) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness (GT) |
doi_str_mv | 10.1111/jcpe.12211 |
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The objective of this study was to compare acellular dermal matrix graft (ADM) combination with coronally advanced flap (CAF) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness (GT) <0.8 mm.
Materials and Methods
Forty‐eight Miller Class I multiple recessions ≥3 mm were divided into test (CAF + ADM) and control (CAF) groups. At baseline and 12 months, recession height (RH), keratinized tissue height (KT), GT, mean and complete defect coverage were evaluated. Patient satisfaction, root coverage aesthetic score (RES) and the correlation between GT and defect coverage were also assessed.
Results
Baseline RH in CAF + ADM and CAF groups was 3.25 ± 0.34 mm and 3.21 ± 0.26 mm, respectively. Mean and complete defect coverage were 94.84% and 83.33% in test group, 74.99% and 50.00% in control group, respectively. Inter‐group differences were found to be statistically significant for RH reduction, attachment gain, KT and GT increase, mean defect coverage and RES in favour of test group (p < 0.05). There was a significant positive correlation between GT and mean defect coverage (p < 0.05).
Conclusion
Coronally advanced flap in association with ADM can be proposed as a valid approach for the treatment of multiple recessions with thin tissue biotype.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.12211</identifier><identifier>PMID: 24304099</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>acellular dermal matrix graft ; Acellular Dermis ; Acid Etching, Dental - methods ; Adult ; coronally advanced flap ; Dental Plaque Index ; Dentistry ; Esthetics, Dental ; Female ; Follow-Up Studies ; Gingiva - pathology ; Gingiva - surgery ; Gingival Recession - classification ; Gingival Recession - surgery ; gingival thickness ; Humans ; Keratins ; Male ; multiple recessions ; Orthodontics ; Patient Satisfaction ; Periodontal Attachment Loss - classification ; Periodontal Index ; root coverage aesthetic score ; Root Planing - methods ; Surgical Flaps - surgery ; Tooth Root - surgery ; Treatment Outcome ; Wound Healing - physiology ; Young Adult</subject><ispartof>Journal of clinical periodontology, 2014-03, Vol.41 (3), p.303-310</ispartof><rights>2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3951-ecc50b3ce9a3284bf4949fb03e77be62eb81b7ed3c35b739722a663eef1134423</citedby><cites>FETCH-LOGICAL-c3951-ecc50b3ce9a3284bf4949fb03e77be62eb81b7ed3c35b739722a663eef1134423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.12211$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.12211$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24304099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmedbeyli, Cavid</creatorcontrib><creatorcontrib>İpçi, Şebnem Dirikan</creatorcontrib><creatorcontrib>Cakar, Gokser</creatorcontrib><creatorcontrib>Kuru, Bahar E.</creatorcontrib><creatorcontrib>Yılmaz, Selçuk</creatorcontrib><title>Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Aim
The objective of this study was to compare acellular dermal matrix graft (ADM) combination with coronally advanced flap (CAF) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness (GT) <0.8 mm.
Materials and Methods
Forty‐eight Miller Class I multiple recessions ≥3 mm were divided into test (CAF + ADM) and control (CAF) groups. At baseline and 12 months, recession height (RH), keratinized tissue height (KT), GT, mean and complete defect coverage were evaluated. Patient satisfaction, root coverage aesthetic score (RES) and the correlation between GT and defect coverage were also assessed.
Results
Baseline RH in CAF + ADM and CAF groups was 3.25 ± 0.34 mm and 3.21 ± 0.26 mm, respectively. Mean and complete defect coverage were 94.84% and 83.33% in test group, 74.99% and 50.00% in control group, respectively. Inter‐group differences were found to be statistically significant for RH reduction, attachment gain, KT and GT increase, mean defect coverage and RES in favour of test group (p < 0.05). There was a significant positive correlation between GT and mean defect coverage (p < 0.05).
Conclusion
Coronally advanced flap in association with ADM can be proposed as a valid approach for the treatment of multiple recessions with thin tissue biotype.</description><subject>acellular dermal matrix graft</subject><subject>Acellular Dermis</subject><subject>Acid Etching, Dental - methods</subject><subject>Adult</subject><subject>coronally advanced flap</subject><subject>Dental Plaque Index</subject><subject>Dentistry</subject><subject>Esthetics, Dental</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gingiva - pathology</subject><subject>Gingiva - surgery</subject><subject>Gingival Recession - classification</subject><subject>Gingival Recession - surgery</subject><subject>gingival thickness</subject><subject>Humans</subject><subject>Keratins</subject><subject>Male</subject><subject>multiple recessions</subject><subject>Orthodontics</subject><subject>Patient Satisfaction</subject><subject>Periodontal Attachment Loss - classification</subject><subject>Periodontal Index</subject><subject>root coverage aesthetic score</subject><subject>Root Planing - methods</subject><subject>Surgical Flaps - surgery</subject><subject>Tooth Root - surgery</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><subject>Young Adult</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhiMEokNhwwMgS2wQUoovSVwvUdSWoikXCQQ7y3FOZjw4cWo7087z9cXwTNouWODNkeXP3zn2n2WvCT4haX3Y6BFOCKWEPMkWpMI4xyX5_TRbYIZZXgkujrIXIWwwJpwx9jw7ogXDBRZikd3V1gxGK4tgq-ykonEDch3SzrtBWbtDqt2qQUOLOqtGdGPiGjl_qG6KSGmwdrLKoxZ8nzS9it7copVXXUTJpV0_WoiQzjvQMe234NUKUJcscQ0oelCxhyHu2_aTjSbxaGWGlUkTIQ8aQkhThbl3XJsBRRPCBKgxLu5GeJk965QN8Oq-Hmc_z89-1J_y5deLy_rjMtdMlCQHrUvcMA1CMXpaNF0hCtE1mAHnDVQUmlPScGiZZmXDmeCUqqpiAB0hrCgoO87ezd7Ru-sJQpS9Cfv3qwHcFCQphCCEU1Yl9O0_6MZNPn3ogSoopgKLRL2fKe1dCB46OXrTK7-TBMt9tHIfrTxEm-A398qp6aF9RB-yTACZgRtjYfcflfxcfzt7kObzHRMi3D7eUf6PrDjjpfz15UJ-pzVdnhdX8or9BVjqwmU</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Ahmedbeyli, Cavid</creator><creator>İpçi, Şebnem Dirikan</creator><creator>Cakar, Gokser</creator><creator>Kuru, Bahar E.</creator><creator>Yılmaz, Selçuk</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype</title><author>Ahmedbeyli, Cavid ; İpçi, Şebnem Dirikan ; Cakar, Gokser ; Kuru, Bahar E. ; Yılmaz, Selçuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3951-ecc50b3ce9a3284bf4949fb03e77be62eb81b7ed3c35b739722a663eef1134423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>acellular dermal matrix graft</topic><topic>Acellular Dermis</topic><topic>Acid Etching, Dental - methods</topic><topic>Adult</topic><topic>coronally advanced flap</topic><topic>Dental Plaque Index</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gingiva - pathology</topic><topic>Gingiva - surgery</topic><topic>Gingival Recession - classification</topic><topic>Gingival Recession - surgery</topic><topic>gingival thickness</topic><topic>Humans</topic><topic>Keratins</topic><topic>Male</topic><topic>multiple recessions</topic><topic>Orthodontics</topic><topic>Patient Satisfaction</topic><topic>Periodontal Attachment Loss - classification</topic><topic>Periodontal Index</topic><topic>root coverage aesthetic score</topic><topic>Root Planing - methods</topic><topic>Surgical Flaps - surgery</topic><topic>Tooth Root - surgery</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmedbeyli, Cavid</creatorcontrib><creatorcontrib>İpçi, Şebnem Dirikan</creatorcontrib><creatorcontrib>Cakar, Gokser</creatorcontrib><creatorcontrib>Kuru, Bahar E.</creatorcontrib><creatorcontrib>Yılmaz, Selçuk</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmedbeyli, Cavid</au><au>İpçi, Şebnem Dirikan</au><au>Cakar, Gokser</au><au>Kuru, Bahar E.</au><au>Yılmaz, Selçuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2014-03</date><risdate>2014</risdate><volume>41</volume><issue>3</issue><spage>303</spage><epage>310</epage><pages>303-310</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim
The objective of this study was to compare acellular dermal matrix graft (ADM) combination with coronally advanced flap (CAF) on complete defect coverage, aesthetics and patient satisfaction with CAF alone for multiple recessions with gingival thickness (GT) <0.8 mm.
Materials and Methods
Forty‐eight Miller Class I multiple recessions ≥3 mm were divided into test (CAF + ADM) and control (CAF) groups. At baseline and 12 months, recession height (RH), keratinized tissue height (KT), GT, mean and complete defect coverage were evaluated. Patient satisfaction, root coverage aesthetic score (RES) and the correlation between GT and defect coverage were also assessed.
Results
Baseline RH in CAF + ADM and CAF groups was 3.25 ± 0.34 mm and 3.21 ± 0.26 mm, respectively. Mean and complete defect coverage were 94.84% and 83.33% in test group, 74.99% and 50.00% in control group, respectively. Inter‐group differences were found to be statistically significant for RH reduction, attachment gain, KT and GT increase, mean defect coverage and RES in favour of test group (p < 0.05). There was a significant positive correlation between GT and mean defect coverage (p < 0.05).
Conclusion
Coronally advanced flap in association with ADM can be proposed as a valid approach for the treatment of multiple recessions with thin tissue biotype.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24304099</pmid><doi>10.1111/jcpe.12211</doi><tpages>8</tpages></addata></record> |
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subjects | acellular dermal matrix graft Acellular Dermis Acid Etching, Dental - methods Adult coronally advanced flap Dental Plaque Index Dentistry Esthetics, Dental Female Follow-Up Studies Gingiva - pathology Gingiva - surgery Gingival Recession - classification Gingival Recession - surgery gingival thickness Humans Keratins Male multiple recessions Orthodontics Patient Satisfaction Periodontal Attachment Loss - classification Periodontal Index root coverage aesthetic score Root Planing - methods Surgical Flaps - surgery Tooth Root - surgery Treatment Outcome Wound Healing - physiology Young Adult |
title | Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype |
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