Periodontal Plastic Surgery ( PPS ) techniques applying grafts underneath CAF with or without the adding of EMD are associated with improved aesthetics assessed by final patient perception and RES as professional evaluation system
BACKGROUND The aim of this study was to perform a systematic review ( SR ) of r and omized controlled trials ( RCTs ) to explore if periodontal plastic surgery procedures for the treatment of single and multiple gingival recessions ( Rec ) may improve aesthetics at patient and professional levels .
Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a controlled randomized clinical trial.
BACKGROUND The aim of this study was to evaluate whether the combination of enamel matrix derivative ( EMD ) with subepithelial connective tissue graft ( SCTG ) plus coronally advanced flap ( CAF ) would improve the treatment outcomes of Miller class I and II gingival recessions when compared with the same technique ( SCTG plus CAF ) alone . METHODS The study was design ed as a r and omized , parallel , controlled , double-blinded clinical trial . Forty-two patients were r and omly assigned in the test group ( SCTG plus EMD ) and in the control group ( SCTG ) . Patients had at least one gingival recession ≥ 2 mm .  The clinical parameters were evaluated at baseline and at 14 d , 1 , 3 , 6 and 12 mo follow-up time points . RESULTS Forty-two patients , 21 in the test group ( SCTG plus EMD  ) and 21 in the control group ( SCTG ) , aged 21 - 48 years ( mean age 31 ± 8.56 ) were initially included in the study . Both treatments , STCG plus EMD and SCTG , result ed in a significant final mean root coverage ( 2.91 ± 0.95 mm and 2.91 ± 1.29 mm , respectively ) ( p < 0.001 ) and in a high mean percentage of root coverage ( 82.25 ± 22.20 % and 89.75 ± 17.33 % , respectively ) ( p < 0.001 ) , 1 year after surgery . The differences in mean root coverage recorded for the two techniques after 1 year , were not statistically significant ( p = 0.19 ) . Complete root coverage was achieved in 56.5 % of patients treated with SCTG plus EMD and in 70.6 % of patients treated with SCTG ( p = 0.275 ) , 1 year after treatment . CONCLUSIONS The present study failed to demonstrate any additional clinical benefits when EMD was added to SCTG plus CAF
Periodontal Plastic Surgery ( PPS ) techniques applying grafts underneath CAF with or without the adding of EMD are associated with improved aesthetics assessed by final patient perception and RES as professional evaluation system
BACKGROUND The aim of this study was to perform a systematic review ( SR ) of r and omized controlled trials ( RCTs ) to explore if periodontal plastic surgery procedures for the treatment of single and multiple gingival recessions ( Rec ) may improve aesthetics at patient and professional levels .