Recession, Gingival Clinical Trial
Official title:
Novel Porcine Dermal Matrix Vs. Connective Tissue Graft in the Treatment of Multiple Adjacent Gingival Recessions of Miller Class I and II: a 12-month Randomized Controlled Clinical Trial
The aim of this study was to assess the clinical efficacy of the acellular porcine derived collagen matrix (PADM) in comparison with connective tissue graft (SCTG ) in the treatment of multiple adjacent gingival recessions (MAGR). The primary objectives of the study were to evaluate mean and complete roots coverage. Additionally, the secondary objective was to evaluate and compare the clinical effectiveness of PADM and SCTG for the treatment of MAGR defects applying modified coronally advanced tunnel technique (MCAT).
Treatment of multiple adjacent gingival recessions (MAGR) still presents a challenge for the
clinician. The management of soft tissues becomes more complicated and the wound healing may
be compromised by a variety of factors.
According to the available medical databases, predictable root coverage is possible for
multiple-tooth recession defects using subepithelial connective tissue graft (SCTG)
procedures. However, alternative materials to SCTG are supported by evidence of varying
strength, with the need for additional research to confirm their performance and success
rate. Because of that, the aim of this study was to assess the clinical efficacy of the
acellular porcine derived collagen matrix (PADM) in comparison with connective tissue graft
(SCTG ) in the treatment of multiple adjacent gingival recessions (MAGR).
This study is a randomised controlled clinical trial of 12 months duration. Sixteen patients
with a total of 81 MAGR Miller's Class I or II were enrolled in this study. Recessions were
randomly treated with PADM and SCTG, combined with a modified coronally advanced tunnel
technique (MCAT). Several parameters, such as gingival recession coverage (RC), keratinized
tissue width (KTW), keratinized tissue thickness (KTT) and clinical attachment level (CAL)
were recorded at baseline and one year postoperatively. Healing index (HI) was registered on
1st, 2nd, and 3rd-week post-surgery in order to estimate healing events.
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