Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration

Background: Various procedures have been proposed to treat gingival recession, but few studies compare these procedures to each other. The purpose of this study was to evaluate a clinical comparison of subepithelial connective tissue graft (SCTG) and guided tissue regeneration (GTR) with a collagen...

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Veröffentlicht in:Journal of periodontology (1970) 2000-09, Vol.71 (9), p.1441-1447
Hauptverfasser: Rosetti, Elizabeth P., Marcantonio, Rosemary Adriana C., Rossa, Carlos, Chaves, Eros S., Goissis, Gilberto, Marcantonio, Elcio
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container_end_page 1447
container_issue 9
container_start_page 1441
container_title Journal of periodontology (1970)
container_volume 71
creator Rosetti, Elizabeth P.
Marcantonio, Rosemary Adriana C.
Rossa, Carlos
Chaves, Eros S.
Goissis, Gilberto
Marcantonio, Elcio
description Background: Various procedures have been proposed to treat gingival recession, but few studies compare these procedures to each other. The purpose of this study was to evaluate a clinical comparison of subepithelial connective tissue graft (SCTG) and guided tissue regeneration (GTR) with a collagen membrane in the treatment of gingival recessions in humans. Methods: Twenty‐four defects were treated in 12 patients who presented canine or pre‐molar Miller Class I and/or II bilateral gingival recessions. Both treatments were performed in all patients, and clinical measurements were obtained at baseline and 18 months after surgery. These clinical measurements included gingival recession height (GR), root coverage (RC), probing depth (PD), keratinized tissue width (KT), and final esthetic result. Results: Both SCTG and GTR with a bioabsorbable membrane and bone graft demonstrated significant clinical and esthetic improvement for gingival recession coverage. The SCTG group was statistically significantly better than GTR for height of GR (SCTG = 0.2 mm, GTR = 1.12 mm, P = 0.02) and KT (SCTG = 4.58 mm, GTR = 2.5 mm, P
doi_str_mv 10.1902/jop.2000.71.9.1441
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The purpose of this study was to evaluate a clinical comparison of subepithelial connective tissue graft (SCTG) and guided tissue regeneration (GTR) with a collagen membrane in the treatment of gingival recessions in humans. Methods: Twenty‐four defects were treated in 12 patients who presented canine or pre‐molar Miller Class I and/or II bilateral gingival recessions. Both treatments were performed in all patients, and clinical measurements were obtained at baseline and 18 months after surgery. These clinical measurements included gingival recession height (GR), root coverage (RC), probing depth (PD), keratinized tissue width (KT), and final esthetic result. Results: Both SCTG and GTR with a bioabsorbable membrane and bone graft demonstrated significant clinical and esthetic improvement for gingival recession coverage. The SCTG group was statistically significantly better than GTR for height of GR (SCTG = 0.2 mm, GTR = 1.12 mm, P = 0.02) and KT (SCTG = 4.58 mm, GTR = 2.5 mm, P &lt;0.0001). However, PD was statistically significantly better for GTR than SCTG treatment (GTR = 1.66 mm, SCTG = 1.00, P = 0.01). The 2 procedures were statistically similar in root coverage (SCTG = 95.6%, GTR = 84.2%, P = 0.073). The esthetic condition after both treatments was satisfactory (P = 0.024). Conclusions: It was concluded that the gingival recessions treated with the SCTG group were superior for GR, RC, and KT clinical parameters, while GTR demonstrated better PD reduction. The final esthetic results were similar using both techniques. J Periodontol 2000;71:1441‐1447.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2000.71.9.1441</identifier><identifier>PMID: 11022773</identifier><language>eng</language><publisher>737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA: American Academy of Periodontology</publisher><subject>Absorbable Implants ; Adult ; Collagen ; Comparison studies ; Connective Tissue - transplantation ; connective tissue/surgery ; Dentistry ; Esthetics, Dental ; Female ; Gingiva - transplantation ; Gingival Recession - surgery ; gingival recession/therapy ; grafts, connective tissue ; guided tissue regeneration ; Guided Tissue Regeneration, Periodontal - methods ; Humans ; Male ; Membranes, Artificial ; membranes, barrier ; membranes, bioabsorbable ; Middle Aged ; Oral Surgical Procedures - methods ; Patient Satisfaction ; Surgical Flaps ; Treatment Outcome</subject><ispartof>Journal of periodontology (1970), 2000-09, Vol.71 (9), p.1441-1447</ispartof><rights>2000 American Academy of Periodontology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4141-4311c07685a36e839d3401fa4fa181a53216c28f69991ae668bd071eafff483e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1902%2Fjop.2000.71.9.1441$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1902%2Fjop.2000.71.9.1441$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11022773$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosetti, Elizabeth P.</creatorcontrib><creatorcontrib>Marcantonio, Rosemary Adriana C.</creatorcontrib><creatorcontrib>Rossa, Carlos</creatorcontrib><creatorcontrib>Chaves, Eros S.</creatorcontrib><creatorcontrib>Goissis, Gilberto</creatorcontrib><creatorcontrib>Marcantonio, Elcio</creatorcontrib><title>Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background: Various procedures have been proposed to treat gingival recession, but few studies compare these procedures to each other. The purpose of this study was to evaluate a clinical comparison of subepithelial connective tissue graft (SCTG) and guided tissue regeneration (GTR) with a collagen membrane in the treatment of gingival recessions in humans. Methods: Twenty‐four defects were treated in 12 patients who presented canine or pre‐molar Miller Class I and/or II bilateral gingival recessions. Both treatments were performed in all patients, and clinical measurements were obtained at baseline and 18 months after surgery. These clinical measurements included gingival recession height (GR), root coverage (RC), probing depth (PD), keratinized tissue width (KT), and final esthetic result. Results: Both SCTG and GTR with a bioabsorbable membrane and bone graft demonstrated significant clinical and esthetic improvement for gingival recession coverage. The SCTG group was statistically significantly better than GTR for height of GR (SCTG = 0.2 mm, GTR = 1.12 mm, P = 0.02) and KT (SCTG = 4.58 mm, GTR = 2.5 mm, P &lt;0.0001). However, PD was statistically significantly better for GTR than SCTG treatment (GTR = 1.66 mm, SCTG = 1.00, P = 0.01). The 2 procedures were statistically similar in root coverage (SCTG = 95.6%, GTR = 84.2%, P = 0.073). The esthetic condition after both treatments was satisfactory (P = 0.024). Conclusions: It was concluded that the gingival recessions treated with the SCTG group were superior for GR, RC, and KT clinical parameters, while GTR demonstrated better PD reduction. The final esthetic results were similar using both techniques. J Periodontol 2000;71:1441‐1447.</description><subject>Absorbable Implants</subject><subject>Adult</subject><subject>Collagen</subject><subject>Comparison studies</subject><subject>Connective Tissue - transplantation</subject><subject>connective tissue/surgery</subject><subject>Dentistry</subject><subject>Esthetics, Dental</subject><subject>Female</subject><subject>Gingiva - transplantation</subject><subject>Gingival Recession - surgery</subject><subject>gingival recession/therapy</subject><subject>grafts, connective tissue</subject><subject>guided tissue regeneration</subject><subject>Guided Tissue Regeneration, Periodontal - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Membranes, Artificial</subject><subject>membranes, barrier</subject><subject>membranes, bioabsorbable</subject><subject>Middle Aged</subject><subject>Oral Surgical Procedures - methods</subject><subject>Patient Satisfaction</subject><subject>Surgical Flaps</subject><subject>Treatment Outcome</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFP2zAYhq2JaS2wP7DD5BO3BH-2m8S7sYoVUKWh0p0tN_ncuUrsLE5APe2vk9KiXXeybD_vc3gI-QIsBcX49S60KWeMpTmkKgUp4QOZgpIiEVnOzsiUMc4TIRWfkPMYd-MVpGCfyARg_MlzMSV_1x2avkHf02DpwvmtezY1XWGJMbrgv9F5aFrTmd49I33qh2pPv2P_gujp07DB1vW_sXbjZB68x_INW7sYB6SLztieGl_RxeAqrN7fV7hFjwdl8JfkozV1xM-n84L8-nG7nt8ly5-L-_nNMiklSEikAChZnhUzIzIshKqEZGCNtAYKMDPBISt5YTOlFBjMsmJTsRzQWGtlIVBckKujt-3CnwFjrxsXS6xr4zEMUedcMKWy2QjyI1h2IcYOrW4715hur4HpQ3Y9ZteH7DoHrfQh-zj6erIPmwarf5NT5xEojsCLq3H_H0r98Hi7enO_Al4HkRI</recordid><startdate>200009</startdate><enddate>200009</enddate><creator>Rosetti, Elizabeth P.</creator><creator>Marcantonio, Rosemary Adriana C.</creator><creator>Rossa, Carlos</creator><creator>Chaves, Eros S.</creator><creator>Goissis, Gilberto</creator><creator>Marcantonio, Elcio</creator><general>American Academy of Periodontology</general><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>7X8</scope></search><sort><creationdate>200009</creationdate><title>Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration</title><author>Rosetti, Elizabeth P. ; Marcantonio, Rosemary Adriana C. ; Rossa, Carlos ; Chaves, Eros S. ; Goissis, Gilberto ; Marcantonio, Elcio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4141-4311c07685a36e839d3401fa4fa181a53216c28f69991ae668bd071eafff483e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Absorbable Implants</topic><topic>Adult</topic><topic>Collagen</topic><topic>Comparison studies</topic><topic>Connective Tissue - transplantation</topic><topic>connective tissue/surgery</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Female</topic><topic>Gingiva - transplantation</topic><topic>Gingival Recession - surgery</topic><topic>gingival recession/therapy</topic><topic>grafts, connective tissue</topic><topic>guided tissue regeneration</topic><topic>Guided Tissue Regeneration, Periodontal - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Membranes, Artificial</topic><topic>membranes, barrier</topic><topic>membranes, bioabsorbable</topic><topic>Middle Aged</topic><topic>Oral Surgical Procedures - methods</topic><topic>Patient Satisfaction</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosetti, Elizabeth P.</creatorcontrib><creatorcontrib>Marcantonio, Rosemary Adriana C.</creatorcontrib><creatorcontrib>Rossa, Carlos</creatorcontrib><creatorcontrib>Chaves, Eros S.</creatorcontrib><creatorcontrib>Goissis, Gilberto</creatorcontrib><creatorcontrib>Marcantonio, Elcio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosetti, Elizabeth P.</au><au>Marcantonio, Rosemary Adriana C.</au><au>Rossa, Carlos</au><au>Chaves, Eros S.</au><au>Goissis, Gilberto</au><au>Marcantonio, Elcio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2000-09</date><risdate>2000</risdate><volume>71</volume><issue>9</issue><spage>1441</spage><epage>1447</epage><pages>1441-1447</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: Various procedures have been proposed to treat gingival recession, but few studies compare these procedures to each other. The purpose of this study was to evaluate a clinical comparison of subepithelial connective tissue graft (SCTG) and guided tissue regeneration (GTR) with a collagen membrane in the treatment of gingival recessions in humans. Methods: Twenty‐four defects were treated in 12 patients who presented canine or pre‐molar Miller Class I and/or II bilateral gingival recessions. Both treatments were performed in all patients, and clinical measurements were obtained at baseline and 18 months after surgery. These clinical measurements included gingival recession height (GR), root coverage (RC), probing depth (PD), keratinized tissue width (KT), and final esthetic result. Results: Both SCTG and GTR with a bioabsorbable membrane and bone graft demonstrated significant clinical and esthetic improvement for gingival recession coverage. The SCTG group was statistically significantly better than GTR for height of GR (SCTG = 0.2 mm, GTR = 1.12 mm, P = 0.02) and KT (SCTG = 4.58 mm, GTR = 2.5 mm, P &lt;0.0001). However, PD was statistically significantly better for GTR than SCTG treatment (GTR = 1.66 mm, SCTG = 1.00, P = 0.01). The 2 procedures were statistically similar in root coverage (SCTG = 95.6%, GTR = 84.2%, P = 0.073). The esthetic condition after both treatments was satisfactory (P = 0.024). Conclusions: It was concluded that the gingival recessions treated with the SCTG group were superior for GR, RC, and KT clinical parameters, while GTR demonstrated better PD reduction. The final esthetic results were similar using both techniques. J Periodontol 2000;71:1441‐1447.</abstract><cop>737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA</cop><pub>American Academy of Periodontology</pub><pmid>11022773</pmid><doi>10.1902/jop.2000.71.9.1441</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Absorbable Implants
Adult
Collagen
Comparison studies
Connective Tissue - transplantation
connective tissue/surgery
Dentistry
Esthetics, Dental
Female
Gingiva - transplantation
Gingival Recession - surgery
gingival recession/therapy
grafts, connective tissue
guided tissue regeneration
Guided Tissue Regeneration, Periodontal - methods
Humans
Male
Membranes, Artificial
membranes, barrier
membranes, bioabsorbable
Middle Aged
Oral Surgical Procedures - methods
Patient Satisfaction
Surgical Flaps
Treatment Outcome
title Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration
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