Document Detail


Acellular dermal matrix graft with or without enamel matrix derivative for root coverage in smokers: a randomized clinical study.
MedLine Citation:
PMID:  22409423     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: The aim of this randomized controlled clinical study was to compare the use of an acellular dermal matrix graft (ADMG) with or without the enamel matrix derivative (EMD) in smokers to evaluate which procedure would provide better root coverage.
MATERIAL AND METHODS: Nineteen smokers with bilateral Miller Class I or II gingival recessions ≥3 mm were selected. The test group was treated with an association of ADMG and EMD, and the control group with ADMG alone. Probing depth, relative clinical attachment level, gingival recession height, gingival recession width, keratinized tissue width and keratinized tissue thickness were evaluated before the surgeries and after 6 months. Wilcoxon test was used for the statistical analysis at significance level of 5%.
RESULTS: No significant differences were found between groups in all parameters at baseline. The mean gain recession height between baseline and 6 months and the complete root coverage favored the test group (p = 0.042, p = 0.019 respectively).
CONCLUSION: Smoking may negatively affect the results achieved through periodontal plastic procedures; however, the association of ADMG and EMD is beneficial in the root coverage of gingival recessions in smokers, 6 months after the surgery.
Authors:
Luciana B Alves; Priscila P Costa; Sérgio Luís Scombatti de Souza; Márcio F de Moraes Grisi; Daniela B Palioto; Mario Taba; Arthur B Novaes
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Publication Detail:
Type:  Journal Article     Date:  2012-02-05
Journal Detail:
Title:  Journal of clinical periodontology     Volume:  39     ISSN:  1600-051X     ISO Abbreviation:  J. Clin. Periodontol.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0425123     Medline TA:  J Clin Periodontol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  393-9     Citation Subset:  D; IM    
Copyright Information:
© 2012 John Wiley & Sons A/S.
Affiliation:
Department of Oral Surgery and Periodontology, Ribeirão Preto School of Dentistry, University of São Paulo, São Paulo, Brazil.
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