Recession coverage using the modified coronally advanced tunnel and connective tissue graft with or without enamel matrix derivative: 5-year results of a randomised clinical trial.

Stähli, A; Duong, H Y; Imber, J C; Roccuzzo, A; Salvi, G E; Katsaros, C; Ramseier, C A; Sculean, A (2022). Recession coverage using the modified coronally advanced tunnel and connective tissue graft with or without enamel matrix derivative: 5-year results of a randomised clinical trial. (In Press). Clinical oral investigations, pp. 1-9. Springer 10.1007/s00784-022-04691-8

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OBJECTIVES

To evaluate the 5-year results of single and multiple recession type (RT) 1 and 2 (Miller I to III) recessions treated with the modified coronally advanced tunnel (MCAT) and connective tissue graft (CTG) with or without an enamel matrix derivative (EMD). The main outcome variable was the stability of obtained root coverage from 6 months to 5 years.

MATERIALS AND METHODS

In 24 patients, both complete and mean root coverage (CRC and MRC) and gain of keratinised tissue (KT) were assessed at 6 months and 5 years after recession coverage by means of MCAT and CTG with or without EMD. Aesthetic outcomes after 5 years were evaluated using the root coverage aesthetic score (RES).

RESULTS

At 5 years, 24 patients with a total of 43 recessions were evaluated. Eight patients (57.14%) of the test and 6 (60.0%) of the control group showed complete root coverage. MRC revealed no statistically significant differences between the two groups, with 73.87 ± 26.83% (test) and 75.04 ± 22.06% (control), respectively. KT increased from 1.14 ± 0.57 mm to 3.07 ± 2.27 mm in the test group and from 1.24 ± 0.92 mm to 3.02 ± 1.55 mm in the control group, respectively.

CONCLUSION

Treatment of single and multiple RT 1 and 2 recessions by means of MCAT and CTG with or without EMD yielded comparable clinical improvements which could be maintained over a period of 5 years. The additional use of EMD did not influence the clinical outcomes.

CLINICAL RELEVANCE

The use of MCAT + CTG yielded successful coverage of single and multiple RT 1 and 2 gingival recessions, while the additional application of EMD did not seem to influence the results.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Stähli, Alexandra Beatrice; Duong, Ho-Yan; Imber, Jean-Claude; Roccuzzo, Andrea; Salvi, Giovanni Edoardo; Katsaros, Christos; Ramseier, Christoph Andreas and Sculean, Anton

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1436-3771

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

26 Aug 2022 10:11

Last Modified:

23 Nov 2022 00:13

Publisher DOI:

10.1007/s00784-022-04691-8

PubMed ID:

36002594

Uncontrolled Keywords:

Enamel matrix derivative Keratinised tissue gain Modified coronally advanced tunnel Single and multiple adjacent gingival recessions

BORIS DOI:

10.48350/172386

URI:

https://boris.unibe.ch/id/eprint/172386

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