A two-year prospective study of coronally positioned flap with or without acellular dermal matrix graft

被引:68
作者
de Queiroz Cortes, Antonieta [1 ]
Sallum, Antonio Wilson [1 ]
Casati, Marcio Z. [1 ]
Nociti, Francisco H., Jr. [1 ]
Sallum, Enilson A. [1 ]
机构
[1] Univ Estadual Campinas, Sch Dent Piracicaba, Dept Periodont & Prosthodont, Div Periodont, Sao Paulo, Brazil
关键词
acellular dermal matrix graft; gingival recession; mucogingival surgery; root coverage;
D O I
10.1111/j.1600-051X.2006.00969.x
中图分类号
R78 [口腔科学];
学科分类号
1003 [口腔医学];
摘要
Aim: Evaluation of the treatment of gingival recessions with coronally positioned flap with or without acellular dermal matrix allograft (ADM) after a period of 24 months. Methods: Thirteen patients with bilateral gingival recessions were included. The defects were randomly assigned to one of the treatments: coronally positioned flap plus ADM or coronally positioned flap alone. The clinical measurements were taken before the surgeries and after 6, 12 and 24 months. Results: At baseline, the mean values for recession height were 3.46 and 3.58 mm for the defects treated with and without the graft, respectively (p > 0.05). No significant differences between the groups were observed after 6 and 12 months in this parameter. However, after 24 months, the group treated with coronally positioned flap alone showed a greater recession height when compared with the group treated with ADM (1.62 and 1.15 mm, respectively - p < 0.05). A significant increase in the thickness of keratinized tissue was observed in the group treated with ADM as compared with coronally positioned flap alone (p < 0.05). Conclusions: ADM may reduce the residual gingival recession observed after 24 months in defects treated with coronally positioned flap. In addition, a greater gingival thickness may be achieved when the graft is used.
引用
收藏
页码:683 / 689
页数:7
相关论文
共 34 条
[1]
Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession [J].
Aichelmann-Reidy, ME ;
Yukna, RA ;
Evans, GH ;
Nasr, HF ;
Mayer, ET .
JOURNAL OF PERIODONTOLOGY, 2001, 72 (08) :998-1005
[2]
AINAMO A, 1992, J CLIN PERIODONTOL, V19, P49
[3]
CORONAL POSITIONING OF EXISTING GINGIVA - SHORT-TERM RESULTS IN THE TREATMENT OF SHALLOW MARGINAL TISSUE RECESSION [J].
ALLEN, EP ;
MILLER, PD .
JOURNAL OF PERIODONTOLOGY, 1989, 60 (06) :316-319
[4]
Coronally positioned flap procedures with or without a bioabsorbable membrane in the treatment of human gingival recession [J].
Amarante, ES ;
Leknes, KN ;
Skavland, J ;
Lie, T .
JOURNAL OF PERIODONTOLOGY, 2000, 71 (06) :989-998
[5]
Decision-making in aesthetics: root coverage revisited [J].
Bouchard, P ;
Malet, J ;
Borghetti, A .
PERIODONTOLOGY 2000, 2001, 27 :97-120
[6]
Citric acid demineralization and subepithelial connective tissue grafts [J].
Caffesse, RG ;
De LaRosa, M ;
Garza, M ;
Munne-Travers, A ;
Mondragon, JC ;
Weltman, R .
JOURNAL OF PERIODONTOLOGY, 2000, 71 (04) :568-572
[7]
Comparison of 2 techniques of subepithelial connective tissue graft in the treatment of gingival recessions [J].
Cordioli, G ;
Mortarino, C ;
Chierico, A ;
Grusovin, MG ;
Majzoub, Z .
JOURNAL OF PERIODONTOLOGY, 2001, 72 (11) :1470-1476
[8]
Côrtes AD, 2004, J PERIODONTOL, V75, P1137
[9]
Dodge JR, 1998, PERIODONTAL INSIGHTS, V5, P5
[10]
Acellular dermal matrix for mucogingival surgery: A meta-analysis [J].
Gapski, R ;
Parks, CA ;
Wang, HL .
JOURNAL OF PERIODONTOLOGY, 2005, 76 (11) :1814-1822