Treatment of class III multiple gingival recessions

A randomized-clinical trial: Clinical Innovation

Sofia Aroca, T. Keglevich, Dimitris Nikolidakis, I. Gera, K. Nagy, Robert Azzi, Daniel Etienne

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, Etienne D. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol 2010; 37: 88-97. doi: 10.1111/j.1600-051X.2009.01492. x. Abstract Background: The aim of this controlled randomized split-mouth study was to evaluate whether a modified tunnel/connective tissue graft (CTG) technique - enamel matrix derivative (EMD) combination will improve the treatment of multiple class III recession when compared with the same technique alone. Materials and Methods: Twenty healthy subjects with a mean age of 31.7 years, were enrolled for the trial in a university periodontal clinic. Patients with at least three adjacent gingival recessions on both sides of the mouth were treated with a modified tunnel/CTG technique. On the test side, an EMD was used in addition. Clinical parameters were measured at baseline, 28 days, 3, 6 and 12 months after the surgery. Results are presented at the subject level. Results: The mean root coverage from baseline to 1 year post-surgery was 82% for the test group and 83% for the control group. Complete root coverage was achieved at 1 year in eight (38%) of the 20 surgeries (experimental and control group). Conclusions: One-year results indicate that the modified tunnel/CTG technique is predictable for the treatment of multiple class III recession-type defects. The addition of EMD does not enhance the mean clinical outcomes.

Original languageEnglish
Pages (from-to)88-97
Number of pages10
JournalJournal of Clinical Periodontology
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2010

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Gingival Recession
Dental Enamel
Connective Tissue
Randomized Controlled Trials
Transplants
Mouth
Control Groups
Healthy Volunteers
Therapeutics

Keywords

  • Connective tissue graft
  • Coronally advanced modified tunnel
  • Enamel matrix derivative
  • Miller's class III recessions
  • Multiple gingival recessions

ASJC Scopus subject areas

  • Periodontics

Cite this

Treatment of class III multiple gingival recessions : A randomized-clinical trial: Clinical Innovation. / Aroca, Sofia; Keglevich, T.; Nikolidakis, Dimitris; Gera, I.; Nagy, K.; Azzi, Robert; Etienne, Daniel.

In: Journal of Clinical Periodontology, Vol. 37, No. 1, 01.2010, p. 88-97.

Research output: Contribution to journalArticle

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