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Unveiling the best: A comparative analysis of three grafted materials for root coverage - A randomized controlled
V R Balaji1, D Manikandan1, Jane Carolyn Maansingh1
1Department of Periodontics and Implant Dentistry, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India.
Introduction:
Subepithelial connective tissue grafts (CTGs) represent the gold standard of treatment for gingival recession; however, the method is associated with some limitations, stemming from necessity of a donor site and the inherent complexity of the harvesting technique. The present study utilizes Mucoderm® (porcine-derived collagen matrix) and amnion membrane (allograft), as a substitute approach for root coverage.
Objectives:
The purpose of the study is to evaluate the efficaciousness of the root coverage outcomes when employing Mucoderm® and amniotic membrane (AM) versus CTG.
Materials And Method:
A randomized clinical trial was conducted comparing coronally advanced flap with Mucoderm®, AM and CTG was conducted involving 15 patients subdivided into groups of five. The periodontal pocket depth, clinical attachment level, recession depth, and keratinized tissue width were measured preoperatively and at 1 and 3 months postoperatively.
Results:
Statistical analysis showed that Mucoderm® showed statistically significant results compared to CTG with regard to clinical parameters and complete coverage, whereas AM showed poorer results in terms of thickness of the gingiva.
Conclusion:
The study results indicated that Mucoderm® and AM could serve as viable alternatives CTGs in root coverage procedures.
