Clinical evaluation of the use of Alloderm®, connective tissue graft and coronally advanced flap in treatment of gengival recession

Submitted by Boris Flegr (boris@uerj.br) on 2021-01-07T14:55:32Z No. of bitstreams: 1 TESE_FINAL_ESIO_DE_OLIVIEIRA_VIEIRA.pdf: 1032115 bytes, checksum: 69921b7c595d2f8be452fcb6e923afef (MD5) Made available in DSpace on 2021-01-07T14:55:32Z (GMT). No. of bitstreams: 1 TESE_FINAL_ESIO_DE_OLIVIEIRA_VIEIRA.pdf: 1032115 bytes, checksum: 69921b7c595d2f8be452fcb6e923afef (MD5) Previous issue date: 2006-11-24 The aim of the present study was to clinically evaluate the subepithelial connective tissue graft (CTG), Alloderm (ALL) and coronally advanced flap (CAF) in the treatment of gingival recessions Class I of Miller. 30 patients were included in the study, and were divided in 3 groups of 10 patients. 10 patients with mean age of 38.7 (± 10,3) years were treated with CAF, including 18 defects. 10 patients with mean age of 40.2(± 9.9) years were treated with CTG, including 23 defects, while 10 patients with mean age of 37.7(±11.2) were treated with ALL, including 18 gingival recessions. The patients should not have caries over the denuded root surface, the cementoename junction should visible and easily identified, should not have received any surgical treatment during the last 24 months, and not have periodontal pockets or endodontic treatment at the tested teeth. The following measurements were performed: Plaque index (PI), gingival index (GI), probing pocket depth (PPD), probing attachment level (PAL), width of keratinized gingiva (KG), depth of gingival recession (GR) and position of the mucogingival junction (MGJ). PI, GI, PPD, PAL, KG, GR, MGJ were made with a calibrated periodontal probe on days 0, 30, 60, 90, 120 and 180. PPD and PAL were not measured on day 30. Subjective evaluations were performed by the patient and the dentist on day 180. Paired T Test was used to observe differences within the groups in the different time periods, and ANOVA was performed to analyze differences between the 3 surgical procedures (p