Multiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

Página do item simplificado
dc.contributor.authorSantamaria, Mauro Pedrine [UNESP]
dc.contributor.authorRossato, Amanda [UNESP]
dc.contributor.authorFernanda Ferreira Ferraz, Laís [UNESP]
dc.contributor.authorMaria Viana Miguel, Manuela [UNESP]
dc.contributor.authorVenturoso Simões, Beatriz [UNESP]
dc.contributor.authorPereira Nunes, Marcelo
dc.contributor.authorBresciani, Eduardo [UNESP]
dc.contributor.authorde Sanctis, Massimo
dc.contributor.authorMathias-Santamaria, Ingrid Fernandes [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionCollege of Dentistry
dc.contributor.institutionSão Paulo
dc.contributor.institutionUniversità Vita-Salute San Raffaele
dc.contributor.institutionUniversity of Maryland School of Dentistry
dc.date.accessioned2023-07-29T16:05:07Z
dc.date.available2023-07-29T16:05:07Z
dc.date.issued2023-01-01
dc.description.abstractBackground: This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs). Methods: Seventy-eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non-carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement-enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient-centered, and esthetic outcomes. Results: CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04). Conclusion: CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites.en
dc.description.affiliationSão Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos Campos
dc.description.affiliationUniversity of Kentucky College of Dentistry
dc.description.affiliationProimperio Institute São Paulo
dc.description.affiliationDepartament of Periodontology Università Vita-Salute San Raffaele
dc.description.affiliationDivision of Operative Dentistry Department of General Dentistry University of Maryland School of Dentistry
dc.description.affiliationUnespSão Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos Campos
dc.identifierhttp://dx.doi.org/10.1002/JPER.22-0516
dc.identifier.citationJournal of Periodontology.
dc.identifier.doi10.1002/JPER.22-0516
dc.identifier.issn0022-3492
dc.identifier.scopus2-s2.0-85147528848
dc.identifier.urihttp://hdl.handle.net/11449/249636
dc.language.isoeng
dc.relation.ispartofJournal of Periodontology
dc.sourceScopus
dc.subjectdental esthetic
dc.subjectdentin sensitivity
dc.subjectgingival recession
dc.subjectheterografts
dc.subjecttooth abrasion
dc.subjecttooth cervix
dc.titleMultiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trialen
dc.typeArtigo

Arquivos

Coleções

Artigos - Diagnóstico e Cirurgia - ICT
Artigos - Odontologia Restauradora - ICT