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Evaluation of two different types of flap associated with connective tissue graft in the treatment of gingival recession: randomized clinical trial

Grant number: 14/00119-0
Support type:Scholarships in Brazil - Master
Effective date (Start): August 01, 2014
Effective date (End): January 31, 2016
Field of knowledge:Health Sciences - Dentistry
Cooperation agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
Principal Investigator:Mauro Pedrine Santamaria
Grantee:Felipe Lucas da Silva Neves
Home Institution: Instituto de Ciência e Tecnologia (ICT). Universidade Estadual Paulista (UNESP). Campus de São José dos Campos. São José dos Campos , SP, Brazil


Gingival recession is a highly prevalent problem and can reach up to 100% of individuals over 50 years of age. The presence of the recession may result in the occurrence of other problems such as dentin hypersensitivity, esthetic complaints, biofilm accumulation, root caries, non-carious cervical lesions among others. In order to cope with recessions, various surgical techniques have been developed. The approach that provides the best results is the Connective Tissue Graft (CTG). However, the literature is full of papers comparing different surgical techniques and little attention has been given to improve this technique that is considered the gold standard. Studies that aim the improvement of esthetic result, once the literature indicates that the majority of patients seek treatment for gingival recession due to aesthetic complaint is highly recommended. Therefore, the aim of this study is to compare clinically, esthetically and patient-centered parameters, two types of flap designs for connective tissue graft in the treatment of gingival recession. For this, a double-blind randomized clinical trial will be carried out following the Consort Statement-2010. Forty patients presenting with gingival recession will be divided in 2 groups: E+CTG: periodontal surgery for root coverage using the envelope flap and graft of connective tissue and group T+CTG: trapezoidal flap and graft of connective tissue. Clinical, esthetics, and comfort of patients parameters will be assessed at 45 days, 2, 3 and 6 months after the procedure. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
SANTAMARIA, MAURO PEDRINE; DA SILVA NEVES, FELIPE LUCAS; SILVEIRA, CAMILA AUGUSTO; MATHIAS, INGRID FERNANDES; FERNANDES-DIAS, STEPHANIE BOTTI; NEVES JARDINI, MARIA APARECIDA; TATAKIS, DIMITRIS N. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial. JOURNAL OF CLINICAL PERIODONTOLOGY, v. 44, n. 5, p. 540-547, MAY 2017. Web of Science Citations: 7.
DA SILVA NEVES, FELIPE LUCAS; SILVEIRA, CAMILA AUGUSTO; FERNANDES DIAS, STEPHANIE BOTTI; SANTAMARIA JUNIOR, MILTON; DE MARCO, ANDREA CARVALHO; KERBAUY, WARLEY DAVID; DE MELO FILHO, ANTONIO BRAULINO; NEVES JARDINI, MARIA APARECIDA; SANTAMARIA, MAURO PEDRINE. Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial. Lasers in Medical Science, v. 31, n. 7, p. 1371-1378, SEP 2016. Web of Science Citations: 7.
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
NEVES, Felipe Lucas da Silva. Comparação de dois tipos de retalho para enxerto de tecido conjuntivo no tratamento de recessões gengivais: estudo clínico controlado randomizado. 2016. 79 f. Master's Dissertation - Universidade Estadual Paulista "Julio de Mesquita Filho" Instituto de Ciência e Tecnologia..

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