Document Detail


Comparative 6-month clinical study of a subepithelial connective tissue graft and acellular dermal matrix graft for the treatment of gingival recession.
MedLine Citation:
PMID:  11759858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Different techniques have been proposed for the treatment of gingival recessions. This study compared the clinical results of gingival recession treatment using a subepithelial connective tissue graft and an acellular dermal matrix allograft. METHODS: Nine patients with bilateral Miller Class I or II gingival recessions were selected. A total of 30 recessions were treated and randomly assigned to the test group and the contralateral recession to the control group. In the control group, the exposed root surfaces were treated by the placement of a connective tissue graft in combination with a coronally positioned flap; in the test group, an acellular dermal matrix allograft was used as a substitute for palatal donor tissue. Probing depth, clinical attachment level, gingival recession, and width of keratinized tissue were measured 2 weeks prior to surgery and 3 and 6 months postsurgery. RESULTS: There were no statistically significant differences between the test group and the control group in terms of recession reduction, clinical attachment gain, and reduction in probing depth. The control group had a statistically significant increased area of keratinized tissue after 3 months compared to the test group. Both procedures, however, produced an increase in keratinized tissue after 6 months, with no statistically significant difference. CONCLUSION: The acellular dermal matrix allograft may be a substitute for palatal donor tissue in root coverage procedures.
Authors:
A B Novaes; D C Grisi; G O Molina; S L Souza; M Taba; M F Grisi
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of periodontology     Volume:  72     ISSN:  0022-3492     ISO Abbreviation:  J. Periodontol.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-12-10     Completed Date:  2002-02-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1477-84     Citation Subset:  D; IM    
Affiliation:
Department of Buco-Maxillofacial Surgery and Traumatology and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil. novaesjr@.forp.usp.br
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MeSH Terms
Descriptor/Qualifier:
Adult
Connective Tissue / transplantation
Female
Follow-Up Studies
Gingiva / pathology,  transplantation*
Gingival Recession / classification,  pathology,  surgery*
Humans
Keratins
Male
Middle Aged
Periodontal Attachment Loss / pathology,  surgery
Periodontal Pocket / pathology,  surgery
Reproducibility of Results
Skin Transplantation / methods*
Statistics, Nonparametric
Surgical Flaps
Tooth Root / pathology
Transplantation, Homologous
Chemical
Reg. No./Substance:
68238-35-7/Keratins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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