Microsurgical Instruments in Laterally Moved, Coronally Advanced Flap for Miller Class III Isolated Recession Defects: A Randomized Controlled Clinical Trial


Ucak O. , ÖZCAN M. , SEYDAOĞLU G. , HAYTAÇ M. C.

INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY, cilt.37, ss.109-115, 2017 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 37 Konu: 1
  • Basım Tarihi: 2017
  • Doi Numarası: 10.11607/prd.2547
  • Dergi Adı: INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY
  • Sayfa Sayısı: ss.109-115

Özet

The aim of this study was to evaluate the laterally moved coronally advanced flap (LMCAF) technique in which magnified vision was used in conjunction with microsurgical instruments (LMCAF-M), and to compare the results with conventional LMCAF technique (LMCAF-C) in Miller Class Ill isolated recessiontype defects. A total of 50 patients with recessions located at incisors and canines were treated with LMCAF-M or LMCAF-C. Outcome parameters (complete root coverage [CRC] and mean root coverage [MRC]) were assessed 6 months postoperatively. Of the 25 defects in each group, 13 in the LMCAF-M (92.0%) and 17 in the LMCAF-C group (68.0%) exhibited CRC (P <.007). MRC scores were 90.48% for the LMCAF-C group and 9764% for the LMCAF-M group (P <.04). Patient satisfaction with esthetics and postoperative morbidity were better in the LMCAF-M group (P <.032). This study indicates that performing LMCAF with microsurgical instruments offers definite advantages in terms of CRC and MRC, decreased postoperative morbidity, and increased acceptance by patients.