Article (Scientific journals)
Coronally advanced flap versus the pouch technique combined with a connective tissuegraft to treat Miller's class I gingival recession: a randomized controlled trial
SALHI, Leila; LECLOUX, Geoffrey; Seidel, Laurence et al.
2013In Journal of Clinical Periodontology
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Keywords :
Connective tissue graft; Dental root coverage; Mucogingival surgery; Periodontal plastic surgery
Abstract :
[en] AIM: The objective of this study was to compare two different periodontal plastic surgery procedures to treat Miller's class I recession: a coronally advanced flap (control group) versus the pouch technique (test group), both of which were associated with connective tissue graft. METHODS: Forty consecutive patients were included, with 20 patients being allocated for each group. The level of recession coverage, the keratinized tissue (KT) quantity, gingival aesthetics (PES) and post-operative outcomes were assessed for a follow-up period of 6 months. RESULTS: After 6 months, both techniques allowed for the excellent mean root coverage of 96.3 ± 12.1% in the control group and of 91.3 ± 17.6% in the test group. Complete root coverage was achieved in 89.5% (17/19) and 79% (15/19) of the recession cases in the control and the test groups respectively. A significant increase in KT height (p = 0.0011) was observed in the test group. A significant improvement in the pink aesthetic score was found in the two groups, but gingival texture displayed significantly better results in the test group (p < 0.0001). No significant difference between the two groups was found in terms of the morbidity outcomes. Pain killer consumption was similar in the two groups and significantly decreased over time. CONCLUSIONS: Both surgical techniques are relevant in treating Miller's class I recession. The pouch technique seems to increase the height of KT better and provides good gingival-related aesthetic outcomes.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège
Disciplines :
Dentistry & oral medicine
Author, co-author :
SALHI, Leila  ;  Centre Hospitalier Universitaire de Liège - CHU > Médecine dentaire
LECLOUX, Geoffrey ;  Centre Hospitalier Universitaire de Liège - CHU > Médecine dentaire
Seidel, Laurence  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
ROMPEN, Eric ;  Centre Hospitalier Universitaire de Liège - CHU > Médecine dentaire
LAMBERT, France ;  Centre Hospitalier Universitaire de Liège - CHU > Médecine dentaire
Language :
English
Title :
Coronally advanced flap versus the pouch technique combined with a connective tissuegraft to treat Miller's class I gingival recession: a randomized controlled trial
Publication date :
06 December 2013
Journal title :
Journal of Clinical Periodontology
ISSN :
0303-6979
eISSN :
1600-051X
Publisher :
Wiley
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 September 2014

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