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| Author(s): |
Lauro Garrastazu Ayub
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Odontologia de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2011-12-16 |
| Examining board members: |
Arthur Belem Novaes Junior;
Eraldo Luiz Batista Junior;
Marcio Fernando de Moraes Grisi
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| Advisor: | Arthur Belem Novaes Junior |
| Abstract | |
Aim: The aim of this randomized, controlled, clinical study was to compare two surgical techniques for root coverage with the acellular dermal matrix graft (ADMG) to evaluate which procedure could provide better root coverage and greater amounts of keratinized tissue. Materials and Methods: Fifteen patients with bilateral Miller Class I or II gingival recessions were selected. Fifteen pairs of recessions were treated and assigned randomly to the test group, and the contralateral recessions were assigned to the control group. The ADMG was used in both groups. In the control group the graft and flap were positioned at the level of the cemento-enamel junction (CEJ), and in the test group the graft was positioned 1mm apical to the CEJ and the flap 1mm coronal to the CEJ. The clinical parameters evaluated were probing depth (PD), relative clinical attachment level (RCAL), gingival recession height (GR) and the width (KT) and thickness of keratinized tissue (TKT).The gingival recession area (GRA), a new parameter, was measured in standardized photographs through a special device and software. The measurements were taken before the surgeries and after 6 months. Results: At baseline, all parameters were similar for both groups. There were statistically significant differences favouring the proposed technique for all parameters except for the amount of keratinized tissue at 6 months. Conclusions: The proposed test technique is more suitable for root coverage procedures with ADMG, and the new parameter evaluated appears valuable for root coverage analysis.(Clinicaltrials.gov Identifier: NCT01175720). (AU) | |
| FAPESP's process: | 10/03886-1 - COMPARISON OF TWO SURGICAL TECHNIQUES FOR USE OF THE ACELLULAR DERMAL MATRIX GRAFT IN THE TREATMENT OF MULTIPLE GINGIVAL RECESSIONS |
| Grantee: | Lauro Garrastazu Ayub |
| Support Opportunities: | Scholarships in Brazil - Master |