Multiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix : A randomized clinical trial
© 2023 American Academy of Periodontology..
BACKGROUND: This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs).
METHODS: Seventy-eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non-carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement-enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient-centered, and esthetic outcomes.
RESULTS: CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04).
CONCLUSION: CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:94 |
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| Enthalten in: |
Journal of periodontology - 94(2023), 6 vom: 27. Juni, Seite 731-741 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Santamaria, Mauro Pedrine [VerfasserIn] |
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| Links: |
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| Themen: |
Dental esthetic |
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| Anmerkungen: |
Date Completed 22.06.2023 Date Revised 03.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/JPER.22-0516 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM351477128 |
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| 041 | |a eng | ||
| 100 | 1 | |a Santamaria, Mauro Pedrine |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Multiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix |b A randomized clinical trial |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 22.06.2023 | ||
| 500 | |a Date Revised 03.07.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 American Academy of Periodontology. | ||
| 520 | |a BACKGROUND: This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs) | ||
| 520 | |a METHODS: Seventy-eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non-carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement-enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient-centered, and esthetic outcomes | ||
| 520 | |a RESULTS: CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04) | ||
| 520 | |a CONCLUSION: CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a dental esthetic | |
| 650 | 4 | |a dentin sensitivity | |
| 650 | 4 | |a gingival recession | |
| 650 | 4 | |a heterografts | |
| 650 | 4 | |a tooth abrasion | |
| 650 | 4 | |a tooth cervix | |
| 700 | 1 | |a Rossato, Amanda |e verfasserin |4 aut | |
| 700 | 1 | |a Fernanda Ferreira Ferraz, Laís |e verfasserin |4 aut | |
| 700 | 1 | |a Maria Viana Miguel, Manuela |e verfasserin |4 aut | |
| 700 | 1 | |a Venturoso Simões, Beatriz |e verfasserin |4 aut | |
| 700 | 1 | |a Pereira Nunes, Marcelo |e verfasserin |4 aut | |
| 700 | 1 | |a Bresciani, Eduardo |e verfasserin |4 aut | |
| 700 | 1 | |a de Sanctis, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Mathias-Santamaria, Ingrid Fernandes |e verfasserin |4 aut | |
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