medigraphic.com
ISSN 1561-297X (Print)

2022, Number 2

<< Back Next >>

Rev Cubana Estomatol 2022; 59 (2)

Coronally repositioned flap with and without connective tissue graft to treat gingival recession

Anco VC, Romero RC, Bermudez MJ, Alvarez MR, Tinedo LPL

Language: Spanish
References: 20
Page:
PDF size: 477.33 Kb.


ABSTRACT

Introduction: Gingival recession is a very common gum condition which may result in aesthetic alterations and dentin hypersensitivity, and increase the probability of cervical lesions. It is necessary to cover the root surface using periodontal regeneration techniques.
/Objective: Compare the amount of root coverage, probing depth and clinical insertion level, using coronally repositioned flap techniques with and without connective tissue graft in patients with Miller I and II gingival recessions.
Methods: A total 16 patients with Miller class I and II gingival recessions were included in the study, from whom 50 teeth were selected which had been treated surgically to cover the recessions. The techniques used were coronally repositioned flap with and without connective tissue graft. Clinical measurements were compared at the start of the postoperative period and three months later.
/Results: Three months after surgery, root coverage, probing depth and clinical insertion level were 0.96 ± 1.33; 0.87 ± 0.63; 1.83 ± 1.7, respectively, for coronally repositioned flap with connective tissue graft, and 1.44 ± 1.19; 1.04 ± 0.52; 2.48 ± 1.48, respectively, for coronally repositioned flap. Root coverage intergroup comparison did not find any significant differences (p = 0.11). However, intergroup comparison of probing depth (p = 0.04) and clinical insertion level (p = 0.001), and all the intragroup clinical measurements (p = 0.001) did find significant differences.
Conclusions: Coronally repositioned flap technique with and without connective tissue graft showed significant differences in terms of probing depth and clinical insertion level in Miller I and II gingival recessions. At three months' follow-up, no root coverage significant differences were observed for either technique.


REFERENCES

  1. Pini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol. 2018;89(11):1290-9.

  2. Cortellini P, Bissada N. Mucogingival Conditions in the Natural Dentition: Narrative Review, Case Definitions, and Diagnostic Considerations. J Periodontol. 2018;89:S204-S213.

  3. Cruz R, Caballero D. Injerto de tejido conectivo subepitelial y colgajo reposicionado coronal modificado para tratamiento de recesiones periodontales. Revista Cubana de Estomatología. 2019. [acceso: 21/11/2019];56(4):[aprox. 10 pp.] Disponible en: Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/2137 3. .

  4. Francetti L, Weinstein R, Taschieri S, Corbella S. Coronally Advanced Flap With or Without Subepithelial Connective Tissue Graft for the Treatment of Single Recession: 5-Year Outcomes from a Comparative Study. Int J Periodontics Restorative Dent. 2018;38(6):819-25.

  5. Cairo F, Barootchi S, Tavelli L, Barbato L, Wang H, Rasperini G, et al5. . Aesthetic-And patient-related outcomes following root coverage procedures: A systematic review and network meta-analysis. J Clin Periodontol. 2020;47(11):1403-15.

  6. Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Kalemaj Z, Buti J, et al6. . Root coverage procedures for treating localized and multiple recession-type defects. Cochrane Database Syst Rev. 2018;10(10):CD007161.

  7. Rasperini G, Acunzo R, Pellegrini G, Pagni G, Tonetti M, Pini Prato GP, et al7. . Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9 years results of a randomized controlled clinical trial. J Clin Periodontol. 2018;45(9):1107-17.

  8. Chambrone L, Pannuti CM, Tu Y, Chambrone L. Evidence-Based Periodontal Plastic Surgery. II. An Individual Data Meta-Analysis for Evaluating Factors in Achieving Complete Root Coverage. J Periodontol. 2012, 83(4):477-90.

  9. Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. Journal Clin Periodontol. 2014;41:S44-62.

  10. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015;86 (2):S8-51.

  11. Huang J, Liu J, Wu Y, Chen L, Ding P. Efficacy of xenogeneic collagen matrix in the treatment of gingival recessions: A systematic review and meta-analysis. Oral Dis. 2019;25(4):996-1008.

  12. Moraschini V, Calasans-Maia M, Dias A, de Carvalho Formiga M, Sartoretto S, Sculean A, Shibli J. Effectiveness of connective tissue graft substitutes for the treatment of gingival recessions compared with coronally advanced flap: a network meta-analysis. Clin Oral Investig. 2020;24(10):3395-406.

  13. Cairo F, Cortellini P, Nieri M, Pilloni A, Barbato L, Pagavino G, et al13. . Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial. J Clin Periodontol. 2020;47(3):362-71.

  14. Pini-Prato G, Baldi C, Nieri M. Coronally advanced flap: The post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol. 2005;76:713-22.

  15. Adam K, Staufenbiel I, Geurtsen W, Günay H. Root coverage using a connective tissue graft with epithelial striation in combination with enamel matrix derivatives - a long-term retrospective clinical interventional study. BMC Oral Health. 2019;19:148-56.

  16. Cairo F, Cortellini P, Nieri M, Pilloni A, Barbato L, Pagavino G, et al16. . Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial. J Clin Periodontol. 2020;47(3):362-71.

  17. Moreira A, Santamaria M, Silvério K, Casati M, Nociti Junior F, Sculean A, et al17. . Coronally advanced flap with or without porcine collagen matrix for root coverage: a randomized clinical trial. Clin Oral Investig. 2016;20(9):2539-49.

  18. Zucchelli G, Amore C, Sforzal N, Montebugnoli L, De Sanctis M. Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. J Clin Periodontol. 2003; 30(10):862-70.

  19. Da Silva RC, Joly JC, de Lima AF, Tatakis DN. Root Coverage Using the Coronally Positioned Flap With or Without a Subepithelial Connective Tissue Graft. J Periodontol. 2004;75:413-9.

  20. Pini-Prato G, Magnani C, Zaheer F, Buti J, Rotundo R. Critical evaluation of complete root coverage as a successful endpoint of treatment for gingival recessions. Int J Periodontics Restorative Dent. 2015;35:655-63.




2020     |     www.medigraphic.com