The effects of connective tissue graft position on clinical and aesthetical outcomes of gingival recession treatment: a controlled randomized clinical trial.

Turer O., ÖZCAN M., ALKAYA B., SEYDAOĞLU G., SelenYildiz H. S., HAYTAÇ M. C.

Clinical oral investigations, vol.26, no.3, pp.2751-2759, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.1007/s00784-021-04250-7
  • Journal Name: Clinical oral investigations
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Page Numbers: pp.2751-2759
  • Keywords: Root coverage, Aesthetical evaluation, Connective tissue graft, CORONALLY ADVANCED FLAP, ROOT-COVERAGE PROCEDURES, DEFECTS, THERAPY, LASER
  • Çukurova University Affiliated: Yes

Abstract

Objectives This randomized controlled clinical trial with 1-year follow-up compared the clinical and aesthetic results of coronally advanced flap (CAF) + connective tissue graft (CTG) positioned apical to the cemento-enamel junction (CEJ) (CAF + CTG-ACEJ) with CAF + CTG positioned on the CEJ (CAF + CTG-CEJ) for treating isolated gingival recession defects. Materials and methods Thirty-eight patients with recession type 1 (RT 1) with a depth >= 3, gingival recessions were enrolled. Nineteen patients were randomly assigned to the CAF + CTG-ACEJ group or CAF + CTG-CEJ group. Clinical and aesthetical evaluations were made at 6 and 12 months. Results While the 6 months results showed that both surgical techniques were similar for clinical outcomes, the results achieved at the 6th month were more stable in the CAF + CTG-ACEJ group at the 12th month with significantly better recession depth, mean, and complete root coverage values and aesthetical results. Conclusions Isolated gingival recession defects can be clinically successfully treated by both CAF + CTG-ACEJ and CAF + CTG-CEJ techniques.