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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
Published on: January 12, 2019
Root coverage in isolated gingival recessions using autograft versus allograft: a pilot study.
Julio C Joly1, Alexandre M Carvalho, Robert C da Silva
1Department of Periodontics, São Leopoldo Mandic Dental Research Center, Campinas, SP, Brazil. joly@vivax.com.br
Journal of Periodontology
|June 2, 2007
Summary
Subepithelial connective tissue grafts showed superior results over acellular dermal matrix for treating gingival recession, achieving better root coverage and clinical attachment levels.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Gingival recession treatment involves various surgical techniques.
- This study compares coronally positioned flaps with subepithelial connective tissue grafts (SCTG) versus acellular dermal matrix (ADM) for isolated gingival defects.
Purpose of the Study:
- To compare the clinical outcomes of treating gingival recession using a coronally positioned flap with either SCTG or ADM.
Main Methods:
- Ten subjects with bilateral Miller Class I or II gingival defects underwent random assignment to either SCTG or ADM treatment.
- Clinical parameters including probing depth (PD), clinical attachment level (CAL), gingival recession depth (GRD), and keratinized tissue (KT) width and thickness (GT) were assessed at baseline and 6 months.
Main Results:
- Mean root coverage was 79.5% with SCTG and 50% with ADM, a statistically significant difference (P <0.05).
- SCTG group demonstrated significantly greater gains in CAL, GRD, and GT compared to the ADM group (P ≤ 0.05).
Conclusions:
- Both SCTG and ADM with coronally positioned flaps are effective for root coverage.
- SCTG yielded more favorable clinical outcomes in treating gingival recession compared to ADM.
