Comparison of two surgical techniques for root coverage in smokers: a clinical, laboratory and histological study in humans

• Grant number: 07/08591-7
• Support Opportunities: Regular Research Grants
• Start date: March 01, 2009
• End date: February 28, 2011
• Field of knowledge: Health Sciences - Dentistry - Periodontology
• Principal Investigator: Sérgio Luís Scombatti de Souza
• Grantee: Sérgio Luís Scombatti de Souza
• Host Institution: Faculdade de Odontologia de Ribeirão Preto (FORP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• City of the host institution: Ribeirão Preto

Abstract

The demand for periodontal plastic surgeries has increased in the last years. It is estimated that 50% of the adult population in Brazil and U.S.A. present gingival recessions, what explains the search for aesthetical procedures. Surgeries for root coverage are indicated because they decrease bacterial biofilm retention, tooth hypersensitivity and the occurrence of dental caries in root, and also for patient's aesthetical complaints. Tobacco consumption has recently been considered one of the factors that predispose to the occurrence of gingival recessions. Thus, the search for these aesthetical procedures tends to increase, because there is a high prevalence of smokers all over the world, and they present more recessions than non-smokers. However, many studies have shown that smokers are not the ideal patients for surgical treatments, because they have less vascularization, lower activity of neutrophils and fibroblasts, decreased production of inflammatory mediators and antibodies; which leads to worse periodontal healing, worse clinical results and higher occurrence of complications. The development of techniques and procedures to minimize the adverse effects of the tobacco and improve the results of different therapies is one of the possibilities for periodontal research, although we should always stimulate the patient to quit the use of tobacco. The purpose of this study is to compare the surgical technique of Langer & Langer with that described by Barros et al., evaluating root coverage in smokers, analyzing clinical, laboratory and histomorphometric parameters. (AU)

Scientific publications

(The scientific publications listed on this page originate from the Web of Science or SciELO databases. Their authors have cited FAPESP grant or fellowship project numbers awarded to Principal Investigators or Fellowship Recipients, whether or not they are among the authors. This information is collected automatically and retrieved directly from those bibliometric databases.)

DANILO M. REINO; ARTHUR B. NOVAES JR; LUCIANA P. MAIA; DANIELA B. PALIOTO; MÁRCIO F. M. GRISI; MÁRIO TABA JR; SÉRGIO L. S. SOUZA. Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial. Brazilian Dental Journal, v. 23, n. 1, p. 59-67, 2012-00-00. (07/08591-7)

REINO, DANILO M.; MAIA, LUCIANA P.; NOVAES, JR., ARTHUR B.; SOUZA, SERGIO L. S.. Comparative study of two surgical techniques for root coverage of large recessions in heavy smokers. INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY, v. 10, n. 3, p. 456-467, FAL 2015. (07/08591-7)