Long‐term comparison of root coverage procedures at single RT2 maxillary gingival recessions: Ten‐year extension results from a randomized, controlled clinical trial

Aim The purpose of the present study was to assess root coverage outcomes 10 years after connective tissue graft plus coronally advanced flap (CTG + CAF) or CAF alone, at single RT2 maxillary gingival recession. Materials and Methods Twenty‐one of the original 29 patients (11 treated with CAF + CTG...

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Bibliographic Details
Published in:Journal of clinical periodontology 2023-04, Vol.50 (4), p.511-519
Main Authors: Cairo, Francesco, Cortellini, Pierpaolo, Barbato, Luigi, Masseti, Lorenzo, Mervelt, Jana, Nieri, Michele, Pini Prato, Giovan Paolo, Tonetti, Maurizio S.
Format: Article
Language:English
Subjects:
Clinical trials
Connective Tissue - transplantation
connective tissue graft
Connective tissues
coronally advanced flap
Esthetics, Dental
Follow-Up Studies
Gingiva - transplantation
gingival recession
Gingival Recession - surgery
Humans
Maxilla
Patient satisfaction
Patients
Periodontal Attachment Loss - surgery
randomized clinical trial
root coverage
Tooth Root - surgery
Treatment Outcome
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Summary:Aim The purpose of the present study was to assess root coverage outcomes 10 years after connective tissue graft plus coronally advanced flap (CTG + CAF) or CAF alone, at single RT2 maxillary gingival recession. Materials and Methods Twenty‐one of the original 29 patients (11 treated with CAF + CTG and 10 with CAF alone) were available for the 10‐year follow‐up. A blinded and calibrated examiner performed all the measurements. Outcome measures included complete root coverage (CRC), recession reduction (RecRed), root coverage aesthetic score (RES), and keratinized tissue (KT) gain. A visual analogue scale was used to evaluate patient satisfaction. Results CRC was maintained in 63% of the test group and 20% of the control group after 10 years, with a significant difference favouring CAF + CTG (p = .030). Furthermore, the addition of CTG was associated with greater KT gain (p = .0002) and greater papilla tip recession (p = .023) than with CAF at the last follow‐up. No difference was detected regarding RecRed, RES, and patient satisfaction. Conclusions Adding CTG under CAF improved the probability of maintaining complete root coverage 10 years after single maxillary RT2 recession treatment.
ISSN:0303-6979
1600-051X
DOI:10.1111/jcpe.13778