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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

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Author(s):
Danilo M. Reino [1] ; Arthur B. Novaes Jr [2] ; Luciana P. Maia [3] ; Daniela B. Palioto [4] ; Márcio F. M. Grisi [5] ; Mário Taba Jr [6] ; Sérgio L. S. Souza [7]
Total Authors: 7
Affiliation:
[1] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[2] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[3] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[4] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[5] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[6] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
[7] University of São Paulo. Ribeirão Preto Dental School. Department of Surgery, Oral and Maxillofacial Traumatology and Periodontology - Brasil
Total Affiliations: 7
Document type: Journal article
Source: Brazilian Dental Journal; v. 23, n. 1, p. 59-67, 2012-00-00.
Abstract

Smokers have small root coverage which is associated with bad vascularity of periodontal tissues. This study evaluated a technique that can increase the blood supply to the periodontal tissues compared with a traditional technique. Twenty heavy smokers (10 males and 10 females) with two bilateral Miller class I gingival recessions received coronally positioned flaps in one side (Control group)and extended flap technique in the other side (Test group). Clinical measurements (probing pocket depth, clinical attachment level, bleeding on probing, gingival recession height, gingival recession width, amount of keratinized tissue, and width and height of the papillae adjacent to the recession) were determined at baseline, 3 and 6 months postoperatively. Salivary cotinina samples were taken as an indicator of the nicotine exposure level. No statistically significant differences (p>0.05) were detected for the clinical measurements or smoke exposure. Both techniques promoted low root coverage (Control group: 43.18% and Test group: 44.52%). In conclusion, no difference was found in root coverage between the techniques. Root coverage is possible and uneventful even, if rather low, in heavy smoker patients with low plaque and bleeding indices. (AU)

FAPESP's process: 07/08591-7 - Comparison of two surgical techniques for root coverage in smokers: a clinical, laboratory and histological study in humans
Grantee:Sérgio Luís Scombatti de Souza
Support Opportunities: Regular Research Grants