The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: a report of 16 cases.

Sculean, Anton; Cosgarea, Raluca; Stähli, Alexandra Beatrice; Katsaros, Christos; Arweiler, Nicole Birgit; Brecx, Michel; Deppe, Herbert (2014). The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: a report of 16 cases. Quintessence international, 45(10), pp. 829-835. Quintessenz Verlags-GmbH 10.3290/j.qi.a32636

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OBJECTIVES To clinically evaluate the healing of mandibular Miller Class I and II isolated gingival recessions treated with the modified coronally advanced tunnel (MCAT) in conjunction with an enamel matrix derivative (EMD) and subepithelial connective tissue graft (SCTG). METHOD AND MATERIALS Sixteen healthy patients (13 women and 3 men) exhibiting one isolated mandibular Miller Class I and II gingival recessions of a depth of ≥ 3 mm, were consecutively treated with the MCAT in conjunction with EMD and SCTG. Treatment outcomes were assessed at baseline and at 12 months postoperatively. The primary outcome variable was complete root coverage (CRC) (eg, 100% root coverage). RESULTS Postoperative pain and discomfort were low and no complications such as postoperative bleeding, allergic reactions, abscesses, or loss of SCTG were observed. At 12 months, statistically significant (P < .0001) root coverage was obtained in all 16 defects. CRC was measured in 12 out of the 16 cases (75%) while in the remaining 4 defects root coverage amounted to 90% (in two cases) and 80% (in two cases), respectively. Mean root coverage was 96.25%. Mean keratinized tissue width increased from 1.98 ± 0.8 mm at baseline to 2.5 ± 0.9 mm (P < .0001) at 12 months, while mean probing depth did not show any statistically significant changes (ie, 1.9 ± 0.3 mm at baseline vs 1.8 ± 0.2 mm at 12 months). CONCLUSION Within their limits, the present results indicate that the described treatment approach may lead to predictable root coverage of isolated mandibular Miller Class I and II gingival recessions.

Item Type:

Journal Article (Original Article)

Division/Institute:

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

UniBE Contributor:

Sculean, Anton; Stähli, Alexandra Beatrice and Katsaros, Christos

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0033-6572

Publisher:

Quintessenz Verlags-GmbH

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

24 Nov 2014 17:01

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.3290/j.qi.a32636

PubMed ID:

25191672

Uncontrolled Keywords:

enamel matrix derivative, isolated mandibular gingival recessions, modified coronally advanced tunnel, root coverage, subepithelial connective tissue graft

BORIS DOI:

10.7892/boris.60571

URI:

https://boris.unibe.ch/id/eprint/60571

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