Root Coverage for Single Deep Gingival Recessions: Outcomes Based on a Decision-Making Algorithm
Joint Authors
Tatakis, Dimitris N.
César Neto, João B.
Cavalcanti, Marília C.
Sekiguchi, Ricardo T.
Pannuti, Claudio M.
Romito, Giuseppe A.
Source
International Journal of Dentistry
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-22
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Aim.
The aim of this study is to report root coverage outcomes in single deep gingival recessions (GR) following a proposed decision-making algorithm.
Materials and Methods.
A retrospective, practice-based study included single deep (≥5 mm) Miller Class II and III defects.
The step-by-step decision-making algorithm led to a choice among three different flap designs (coronally advanced flap (CAF), double papilla envelope flap (DPE) or modified lateral sliding flap (LSF)) used with a connective tissue graft.
Recession depth (RD) at 6 months follow-up and the corresponding root coverage (RC) were the primary outcomes assessed.
Results.
Sixteen GR defects were included, with baseline RD of 6.7 ± 1.8 mm.
Six months postoperatively, RD was significantly reduced to 1.2 ± 0.8 mm (p<0.05).
Mean RC was 81.7 ± 13.0%, without significant differences between Miller Class II (87.1 ± 9.2%; n=9) and Class III (74.6 ± 14.5%; n=7) GRs (p=0.07).
Postoperatively, keratinized tissue width increase was greater for LSF (3.5 ± 1.1) and DPE (4.2 ± 1.4 mm) than for CAF (1.9 ± 0.9 mm).
Conclusions.
Following the proposed decision-making algorithm, root coverage outcomes for GR defects ≥5 mm were comparable to outcomes reported for shallow defects.
Prospective clinical trials are needed to validate the proposed approach and techniques.
Practical Implications.
The proposed algorithm allows the clinician to select the appropriate surgical technique for treatment of single deep gingival recessions with good predictability.
American Psychological Association (APA)
César Neto, João B.& Cavalcanti, Marília C.& Sekiguchi, Ricardo T.& Pannuti, Claudio M.& Romito, Giuseppe A.& Tatakis, Dimitris N.. 2019. Root Coverage for Single Deep Gingival Recessions: Outcomes Based on a Decision-Making Algorithm. International Journal of Dentistry،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1158903
Modern Language Association (MLA)
César Neto, João B.…[et al.]. Root Coverage for Single Deep Gingival Recessions: Outcomes Based on a Decision-Making Algorithm. International Journal of Dentistry No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1158903
American Medical Association (AMA)
César Neto, João B.& Cavalcanti, Marília C.& Sekiguchi, Ricardo T.& Pannuti, Claudio M.& Romito, Giuseppe A.& Tatakis, Dimitris N.. Root Coverage for Single Deep Gingival Recessions: Outcomes Based on a Decision-Making Algorithm. International Journal of Dentistry. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1158903
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1158903