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 .
Coronally advanced flap with and without connective tissue graft for the treatment of single maxillary gingival recession with loss of inter-dental attachment. A randomized controlled clinical trial.
BACKGROUND The aim of this r and omized clinical trial ( RCT ) was to evaluate the adjunctive benefit of Connective Tissue Graft ( CTG ) to Coronally Advanced Flap ( CAF ) for the treatment of gingival recession associated with inter-dental clinical attachment loss equal or smaller to the buccal attachment loss ( RT2 ) . MATERIAL AND METHODS A total of 29 patients with one recession were enrolled ; 15 patients were r and omly assigned to CAF+CTG while 14 to CAF alone . Measurements were performed by a blind and calibrated examiner . Outcome measures included complete root coverage ( CRC ) , recession reduction ( RecRed ) , Root coverage Esthetic Score ( RES ) , intra-operative and post-operative morbidity , and root sensitivity . RESULTS After 6 months , CAF+CTG result ed in better outcomes in terms of CRC ( adjusted OR = 15.51 , p = 0.0325 ) than CAF alone . CRC was observed in > 80 % of the cases treated with CAF+CTG when the baseline amount of inter-dental CAL was ≤ 3 mm . No difference was detected in term of RecRed  . CAF+CTG was associated with longer surgical-time ( p < 0.0001 ) , higher number of days with post-operative morbidity ( p = 0.0222 ) and the need for a greater number of analgesics ( p = 0.0178 ) than CAF alone . No difference for final RES score was detected ( p = 0.1612 ) . CONCLUSION Both treatments can provide CRC in single gingival recession with inter-dental CAL loss . The application of CTG under CAF result ed in predictable CRC when inter-dental CAL was ≤ 3 mm
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 .