Semilunar Coronally Positioned Flap or Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A 30‐Month Follow‐Up Study

Background: The objective of this prospective, controlled clinical trial was to evaluate the long‐term outcomes of subepithelial connective tissue graft (SCTG) or semilunar coronally positioned flap (SCPF) for the treatment of Miller Class I gingival recession defects. Methods: Seventeen patients wi...

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Bibliographic Details
Published in:Journal of periodontology (1970) 2009-07, Vol.80 (7), p.1076-1082
Main Authors: Bittencourt, Sandro, Ribeiro, Érica Del Peloso, Sallum, Enilson A., Sallum, Antônio W., Nociti, Francisco H., Casati, Márcio Zaffalon
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Connective Tissue - transplantation
Dentistry
Esthetics, Dental
Female
Follow-Up Studies
Gingiva - surgery
Gingival Recession - classification
Gingival Recession - surgery
gingival recession/therapy
Gingivoplasty - methods
Humans
longitudinal studies
Male
Maxilla
Medical sciences
Middle Aged
Mouth Mucosa - transplantation
Otorhinolaryngology. Stomatology
Palate
Patient Satisfaction
Prospective Studies
Single-Blind Method
Surgical Flaps
tooth root/surgery
Treatment Outcome
Young Adult
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Summary:Background: The objective of this prospective, controlled clinical trial was to evaluate the long‐term outcomes of subepithelial connective tissue graft (SCTG) or semilunar coronally positioned flap (SCPF) for the treatment of Miller Class I gingival recession defects. Methods: Seventeen patients with bilateral Miller Class I gingival recessions (≤4.0 mm) in maxillary canines or premolars were selected. The recessions were randomly assigned to receive SCPF or SCTG. Recession height (RH), recession width (RW), width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), probing depth (PD), and clinical attachment level (CAL) were measured at baseline and at 6 and 30 months post‐surgery. Patient satisfaction with esthetics and root sensitivity was also evaluated. Results: The root‐coverage outcomes obtained at 6 months were maintained throughout the study. At the 30‐month examination, the average percentage of root coverage was 89.25% for SCPF and 96.83% for SCTG (P >0.05); complete root coverage was observed in 58.82% and 88.24% of patients, respectively. SCTG maintained a statistically significant increase in TKT (P
ISSN:0022-3492
1943-3670
DOI:10.1902/jop.2009.080498