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 .
Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession.
BACKGROUND Periodontal root coverage procedures to treat recession areas are indicated for unesthetic , exposed , and /or painful root surfaces . Many methods , most using autogenous soft tissue grafts , have been utilized , but with associated morbidity at the donor sites . An alternative donor material would reduce the morbidity and provide for sufficient available donor tissue . METHODS An acellular allogeneic dermal connective tissue matrix ( AD ) and autogenous palatal connective tissue ( CT ) were compared as subepithelial grafts for the treatment of gingival recession . Twenty-two patients with similar isolated gingival recession of > or = 2 mm on 2 separate teeth were treated with the  subepithelial graft technique . Exposed roots were h and root planed only and , by r and om allocation , either a fitted AD or fitted CT graft was secured in place and covered by coronally positioned flaps . RESULTS Mann Whitney U test analysis found the following changes at 6 months for AD and CT , respectively , compared to presurgical conditions : root coverage of 1.7 + /- 1.2 ( 65.9 % ) and 2.2 + /- 1.1 mm ( 74.1 % ) ( both P<0.01 ) , increase in keratinized tissue ( KT ) of 1.2 + /- 1.3 and 1.6 + /- 1.9 ( both P<0.01 ) , and an increase in gingival thickness with both ; 83.2 % of expected root coverage was obtained with AD and 88.6 % with CT ( P= 0.43 ) . There were no significant differences between treatments for any parameter . Global assessment s by clinicians and patients suggested a more esthetic clinical result with AD . CONCLUSIONS These results suggest that acellular allogeneic dermal matrix may be a useful substitute for autogenous connective tissue grafts in root coverage procedures
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 .