Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes

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dc.contributor.authorDos Santos, Manuela Rocha
dc.contributor.authorSangiorgio, João Paulo Menck
dc.contributor.authorDa Silva Neves, Felipe Lucas
dc.contributor.authorFrança-Grohmann, Isabela Lima
dc.contributor.authorNociti, Francisco Humberto
dc.contributor.authorRuiz, Karina Gonzales Silverio
dc.contributor.authorSantamaria, Mauro Pedrine
dc.contributor.authorSallum, Enilson Antonio
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2022-04-28T19:07:09Z
dc.date.available2022-04-28T19:07:09Z
dc.date.issued2017-12-01
dc.description.abstractBackground: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetic dissatisfaction. The aim is to evaluate the effect of root coverage procedure with a xenogenous collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with a coronally advanced flap (CAF) on CDH, esthetics, and oral health-related quality of life (OHRQoL) of patients with GR. Methods: Sixty-eight participants with single Miller Class I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17), and CAF + CM + EMD (n = 17). CDH was assessed by evaporative stimuli using a visual analog scale (VAS) and a Schiff scale. Esthetics outcome was assessed with VAS and the Questionnaire of Oral Esthetic Satisfaction. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to assess OHRQoL. All parameters were evaluated at baseline and after 6 months. Results: Intragroup analysis showed statistically significant reduction in CDH and esthetic dissatisfaction with no intergroup significant differences (P >0.05). The impact of oral health on QoL after 6 months was significant for CAF + CM, CAF + EMD, and CAF + CM + EMD (P <0.05). Total OHIP-14 score and psychologic discomfort, psychologic disability, social disability, and handicap dimensions showed negative correlation with esthetics. OHIP-14 physical pain dimension had positive correlation with CDH (P <0.05). OHIP-14 showed no correlation with percentage of root coverage, keratinized tissue width, or keratinized tissue thickness (P >0.05). Conclusion: Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD.en
dc.description.affiliationDepartment of Prosthesis and Periodontology Division of Periodontics Piracicaba Dental School State University of Campinas, Avenida Limeira, 901-Areião, PO Box 52
dc.description.affiliationDepartment of Diagnosis and Surgery Division of Periodontics State University of São Paulo Campus
dc.format.extent1319-1328
dc.identifierhttp://dx.doi.org/10.1902/jop.2017.170127
dc.identifier.citationJournal of Periodontology, v. 88, n. 12, p. 1319-1328, 2017.
dc.identifier.doi10.1902/jop.2017.170127
dc.identifier.issn0022-3492
dc.identifier.scopus2-s2.0-85035327587
dc.identifier.urihttp://hdl.handle.net/11449/220973
dc.language.isoeng
dc.relation.ispartofJournal of Periodontology
dc.sourceScopus
dc.subjectDentin sensitivity
dc.subjectEsthetics, dental
dc.subjectGingival recession
dc.subjectQuality of life
dc.subjectSurgery, oral
dc.titleXenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomesen
dc.typeArtigo

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