Patient-Reported Outcomes After MCAT with Connective Tissue Graft: A Retrospective Pooled Analysis of Three...

Area of Science:

• Periodontal Plastic Surgery
• Biomaterials Science
• Patient-Reported Outcome Measures

Background:

• Patient-reported outcome measures (PROMs) are crucial for evaluating postoperative morbidity and patient-centered value in periodontal plastic surgery.
• Assessing PROMs after modified coronally advanced tunnel (MCAT) combined with subepithelial connective tissue graft (SCTG) and various biomaterials is essential.

Purpose of the Study:

• To evaluate patient-reported outcomes (PROMs) following the modified coronally advanced tunnel (MCAT) procedure combined with subepithelial connective tissue graft (SCTG).
• To compare the effects of different adjunctive biomaterials (saline, EDTA, EMD, HA) on early postoperative morbidity and long-term patient satisfaction.

Main Methods:

• Retrospective pooled secondary analysis of 64 patients with 275 gingival recessions.
• PROMs including pain and swelling (VAS) assessed on days 1, 2, 4, 7, and 14.
• Evaluation of patient satisfaction, esthetic perception, and willingness to recommend at 12 months.

Main Results:

• Significant differences in early postoperative pain and swelling were observed between groups (p < 0.05).
• Hyaluronic acid (HA) group reported lower pain on days 2 and 4; EDTA group experienced greater early discomfort.
• Long-term satisfaction, esthetics, willingness to recommend, and root coverage were high and comparable across all groups (p > 0.05).

Conclusions:

• MCAT + SCTG yields predictable and stable outcomes for multiple gingival recessions, irrespective of the adjunctive biomaterial used.
• PROMs highlight variations in early postoperative morbidity, underscoring their importance in clinical decision-making.
• Integrating PROMs with clinician-reported outcomes provides a comprehensive assessment of periodontal plastic surgery effectiveness.