Produção Nacional
Revisado por pares
Root Coverage for Single Deep Gingival Recessions: Outcomes Based on a Decision-Making Algorithm
2019; Hindawi Publishing Corporation; Volume: 2019; Linguagem: Inglês
10.1155/2019/1830765
ISSN1687-8736
AutoresJoão Batista César Neto, Marília Cabral CAVALCANTI, Ricardo Takiy Sekiguchi, Cláudio Mendes Pannuti, Giuseppe Alexandre Romito, Dimitris N. Tatakis,
Tópico(s)Dental Implant Techniques and Outcomes
ResumoThe aim of this study is to report root coverage outcomes in single deep gingival recessions (GR) following a proposed decision-making algorithm.A retrospective, practice-based study included single deep (≥5 mm) Miller Class II and III defects. The step-by-step decision-making algorithm led to a choice among three different flap designs (coronally advanced flap (CAF), double papilla envelope flap (DPE) or modified lateral sliding flap (LSF)) used with a connective tissue graft. Recession depth (RD) at 6 months follow-up and the corresponding root coverage (RC) were the primary outcomes assessed.Sixteen GR defects were included, with baseline RD of 6.7 ± 1.8 mm. Six months postoperatively, RD was significantly reduced to 1.2 ± 0.8 mm (p < 0.05). Mean RC was 81.7 ± 13.0%, without significant differences between Miller Class II (87.1 ± 9.2%; n=9) and Class III (74.6 ± 14.5%; n=7) GRs (p=0.07). Postoperatively, keratinized tissue width increase was greater for LSF (3.5 ± 1.1) and DPE (4.2 ± 1.4 mm) than for CAF (1.9 ± 0.9 mm).Following the proposed decision-making algorithm, root coverage outcomes for GR defects ≥5 mm were comparable to outcomes reported for shallow defects. Prospective clinical trials are needed to validate the proposed approach and techniques.The proposed algorithm allows the clinician to select the appropriate surgical technique for treatment of single deep gingival recessions with good predictability.
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