Back to Search Start Over

The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: A report of 16 cases.

Authors :
Sculean, Anton
Cosgarea, Raluca
Stähli, Alexandra
Katsaros, Christos
Arweiler, Nicole Birgit
Brecx, Michel
Deppe, Herbert
Source :
Quintessence International; Nov/Dec2014, Vol. 45 Issue 10, p829-835, 7p, 9 Color Photographs
Publication Year :
2014

Abstract

Objectives: To clinically evaluate the healing of mandibular Miller Class I and II isolated gingival recessions treated with the modified coronally advanced tunnel (MCAT) in conjunction with an enamel matrix derivative (EMD) and subepithelial connective tissue graft (SCTG). Method and Materials: Sixteen healthy patients (13 women and 3 men) exhibiting one isolated mandibular Miller Class I and II gingival recessions of a depth of ≥ 3 mm, were consecutively treated with the MCAT in conjunction with EMD and SCTG. Treatment outcomes were assessed at baseline and at 12 months postoperatively. The primary outcome variable was complete root coverage (CRC) (eg, 100% root coverage). Results: Postoperative pain and discomfort were low and no complications such as postoperative bleeding, allergic reactions, abscesses, or loss of SCTG were observed. At 12 months, statistically significant (P < .0001) root coverage was obtained in all 16 defects. CRC was measured in 12 out of the 16 cases (75%) while in the remaining 4 defects root coverage amounted to 90% (in two cases) and 80% (in two cases), respectively. Mean root coverage was 96.25%. Mean keratinized tissue width increased from 1.98 ± 0.8 mm at baseline to 2.5 ± 0.9 mm (P < .0001) at 12 months, while mean probing depth did not show any statistically significant changes (ie, 1.9 ± 0.3 mm at baseline vs 1.8 ± 0.2 mm at 12 months). Conclusion: Within their limits, the present results indicate that the described treatment approach may lead to predictable root coverage of isolated mandibular Miller Class I and II gingival recessions. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00336572
Volume :
45
Issue :
10
Database :
Complementary Index
Journal :
Quintessence International
Publication Type :
Academic Journal
Accession number :
98903326
Full Text :
https://doi.org/10.3290/j.qi.a32636