a comparative 6-month clinical study of acellular dermal matrix allograft and subepithelial connective tissue graft for root coverage

نویسندگان

s. sadat mansouri associate professor, department of periodontics, islamic azad university, tehran, iran

n. ayoubian assistante professor, department of periodontics, islamic azad university, tehran, iran

m. eslami manouchehri dentist

چکیده

objective: different surgical procedures have been proposed for the treatment of gingival recessions. the goal of this study was to compare the clinical results of gingival recession treatment using subepithelial connective tissue graft and an acellular dermal matrix allograft. materials and methods: the present study was performed on 5 patients with 9 bilateral miller`s class i or ii gingival recessions. this included 15 premolars and 3 canines. in each patient the teeth were randomly divided in two groups of test (adma) and control (sctg). clinical parameters including recession height (rh), recession width (rw), keratinized gingiva (kg), clinical attachment level (cal) and probing depth (pd) were measured at baseline, 2, 4 and 6 months after surgery and data analysis was performed using the wilcoxon signed rank test. results: the mean changes (mm) from baseline to 6 months in sctg and adma were 2.22±0.83 and 1.77±0.66 decrease in rh, 2.55±0.88 and 2.33±0.86 decrease in rw, 1.44±0.88 and 2.0±1.11 increase in kg, 2.33±1.22 and 2.11±0.6 decrease in cal and finally 0.22±0.66 and 0.33±0.7 decrease in pd, respectively. the differences in mean changes were not significant between the two groups in any of the parameters. the percentage of root coverage was 85.7% and 71.1% for the control and test group, respectively. the changes from baseline to the 6 month visit were significant for both groups in all parameters but pd. conclusion: alloderm may be suggested as an acceptable substitute for connective tissue graft considering the root coverage effect and kg width increase.

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منابع مشابه

A Comparative 6-Month Clinical Study of Acellular Dermal Matrix Allograft and Subepithelial Connective Tissue Graft for Root Coverage

OBJECTIVE Different surgical procedures have been proposed for the treatment of gingival recessions. The goal of this study was to compare the clinical results of gingival recession treatment using Subepithelial Connective Tissue Graft and an Acellular Dermal Matrix Allograft. MATERIALS AND METHODS The present study was performed on 5 patients with 9 bilateral Miller's class I or II gingival ...

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comparative clinical evaluation of subepithelial connective tissue graft and acellular dermal matrix allograft for the treatment of gingival recession

statement of problem: various surgical procedures have been used to achieve root coverage and subepithelial connective tissue graft (sctg) is identified as one of the most successful techniques. recently, acellular dermal matrix allograft (adma) has been developed as a substitute for sctg to avoid removing the palatal connective tissue. purpose: the present study compared the clinical efficienc...

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Comparative Clinical Evaluation of Subepithelial Connective Tissue Graft and Acellular Dermal Matrix Allograft for the Treatment of Gingival Recession

Statement of Problem: Various surgical procedures have been used to achieve root coverage and subepithelial connective tissue graft (SCTG) is identified as one of the most successful techniques. Recently, acellular dermal matrix allograft (ADMA) has been developed as a substitute for SCTG to avoid removing the palatal connective tissue. Purpose: The present study compared the clinical efficienc...

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Acellular dermal matrix and subepithelial connective tissue grafts for root coverage: A systematic review

Background The aim of this systematic review was to evaluate whether patients with gingival recession would benefit from an acellular dermal matrix graft (ADMG) in ways that are comparable to the gold standard of the subepithelial connective tissue graft (SCTG). Materials and Methods A systematic review and meta-analysis comparing ADMG to SCTG for the treatment of Miller Class I and II recess...

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Comparative clinical evaluation of acellular dermal matrix allograft and connective tissue graft for the treatment of gingival recession.

AIMS "Gingival recession is a condition reported to occur due to abnormal periodontal anatomy, poor hygiene, excessive occlusal forces, toothbrush abrasion, and even iatrogenic or factitious causes. Though various surgical techniques are available to treat this problem, the most common is the palatal soft tissue autograft. Recently, an acellular dermal matrix allograft (ADMA) has been available...

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عنوان ژورنال:
journal of dentistry, tehran university of medical sciences

جلد ۷، شماره ۳، صفحات ۱۵۶-۱۶۴

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