Long term assessment of root coverage stability using connective tissue graft with or without an epithelial collar for gingival recession treatment. A 12-year follow-up from a randomized clinical trial.
follow-up studies
gingival recession
long term care
surgical flaps
tooth root
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
21
04
2019
revised:
10
07
2019
accepted:
21
08
2019
pubmed:
26
8
2019
medline:
18
12
2019
entrez:
26
8
2019
Statut:
ppublish
Résumé
To evaluate the long term root coverage outcomes of coronally advanced flap plus a connective tissue graft with (CAF + CTG) or without an epithelial collar (CAF + ECTG), and evaluate the adjacent treated sites included in the flap. Seventeen of the original 20 subjects included in the randomized clinical trial were available at 12 years (43 sites). Mean root coverage (mRC), keratinized tissue width (KTW), gingival thickness (GT) on the grafted and adjacent sites were evaluated and compared with baseline and 6 months. There was a reduction in the mRC at all sites: 16.52% in the CAF + CTG (p > .05), 19.42% in the CAF + ECTG (p < .05) and 34.12% in the CAF-alone (adjacent treated sites) group (p < .05). No significant differences were observed within the groups for changes in KTW, GT and clinical attachment level (CAL) (p > .05). Keratinized tissue width at baseline and at 6 months was found to be predictors for the stability of the gingival margin in the long term. CAF + CTG and CAF + ECTG were found equally efficacious in maintaining the levels of the gingival margin with a small amount of relapse over the period of 12 years while CAF-alone sites showed a greater gingival recession (GR) reoccurrence.
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1124-1133Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Bates, D., Maechler, M., Bolker, B., & Walker, S. (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67, 1-48. https://doi.org/10.18637/jss.v067.i01
Byun, H. Y., Oh, T. J., Abuhussein, H. M., Yamashita, J., Soehren, S. E., & Wang, H. L. (2009). Significance of the epithelial collar on the subepithelial connective tissue graft. Journal of Periodontology, 80, 924-932. https://doi.org/10.1902/jop.2009.080673
Cairo, F., Nieri, M., Cincinelli, S., Mervelt, J., & Pagliaro, U. (2011). The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: An explorative and reliability study. Journal of Clinical Periodontology, 38, 661-666. https://doi.org/10.1111/j.1600-051X.2011.01732.x
Cairo, F., Rotundo, R., Miller, P. D., & Pini Prato, G. P. (2009). Root coverage esthetic score: A system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. Journal of Periodontology, 80, 705-710. https://doi.org/10.1902/jop.2009.080565
Chambrone, L., & Pini Prato, G. P. (2018). Clinical insights about the evolution of root coverage procedures: The flap, the graft, and the surgery. Journal of Periodontology, 90(1), 9-15. https://doi.org/10.1002/JPER.18-0281
Chambrone, L., Salinas Ortega, M. A., Sukekava, F., Rotundo, R., Kalemaj, Z., Buti, J., & Pini Prato, G. P. (2018). Root coverage procedures for treating localised and multiple recession-type defects. Cochrane Database Systematic Review, 10, CD007161. https://doi.org/10.1002/14651858.CD007161.pub3
Chambrone, L., & Tatakis, D. N. (2015). Periodontal soft tissue root coverage procedures: A systematic review from the AAP Regeneration Workshop. Journal of Periodontology, 86, S8-51. https://doi.org/10.1902/jop.2015.130674
Chambrone, L., & Tatakis, D. N. (2016). Long-term outcomes of untreated buccal gingival recessions: A systematic review and meta-analysis. Journal of Periodontology, 87, 796-808. https://doi.org/10.1902/jop.2016.150625
Cordioli, G., Mortarino, C., Chierico, A., Grusovin, M. G., & Majzoub, Z. (2001). Comparison of 2 techniques of subepithelial connective tissue graft in the treatment of gingival recessions. Journal of Periodontology, 72, 1470-1476. https://doi.org/10.1902/jop.2001.72.11.1470
Cortellini, P., & Bissada, N. F. (2018). Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. Journal of Periodontology, 89(Suppl 1), S204-S213. https://doi.org/10.1002/JPER.16-0671
Cortellini, P., Buti, J., Pini Prato, G., & Tonetti, M. S. (2017). Periodontal regeneration compared with access flap surgery in human intra-bony defects 20-year follow-up of a randomized clinical trial: Tooth retention, periodontitis recurrence and costs. Journal of Clinical Periodontology, 44, 58-66. https://doi.org/10.1111/jcpe.12638
Cortellini, P., Tonetti, M., Baldi, C., Francetti, L., Rasperini, G., Rotundo, R., … Prato, G. P. (2009). Does placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial. Journal of Clinical Periodontology, 36, 68-79. https://doi.org/10.1111/j.1600-051X.2008.01346.x
Dodge, A., Garcia, J., Luepke, P., Lai, Y. L., Kassab, M., & Lin, G. H. (2018). The effect of partially exposed connective tissue graft on root-coverage outcomes: A systematic review and meta-analysis. European Journal of Oral Sciences, 126, 84-92. https://doi.org/10.1111/eos.12401
Francetti, L., Weinstein, R., Taschieri, S., & Corbella, S. (2018). Coronally advanced flap with or without subepithelial connective tissue graft for the treatment of single recession: 5-year outcomes from a comparative study. The International Journal of Periodontics and Restorative Dentistry, 38, 819-825. https://doi.org/10.11607/prd.3036
Han, J. S., John, V., Blanchard, S. B., Kowolik, M. J., & Eckert, G. J. (2008). Changes in gingival dimensions following connective tissue grafts for root coverage: Comparison of two procedures. Journal of Periodontology, 79, 1346-1354. https://doi.org/10.1902/jop.2008.070472
Jepsen, K., Stefanini, M., Sanz, M., Zucchelli, G., & Jepsen, S. (2017). Long-term stability of root coverage by coronally advanced flap procedures. Journal of Periodontology, 88, 626-633. https://doi.org/10.1902/jop.2017.160767
Kim, D. M., & Neiva, R. (2015). Periodontal soft tissue non-root coverage procedures: A systematic review from the AAP Regeneration Workshop. Journal of Periodontology, 86, S56-72. https://doi.org/10.1902/jop.2015.130684
Kuis, D., Sciran, I., Lajnert, V., Snjaric, D., Prpic, J., Pezelj-Ribaric, S., & Bosnjak, A. (2013). Coronally advanced flap alone or with connective tissue graft in the treatment of single gingival recession defects: A long-term randomized clinical trial. Journal of Periodontology, 84, 1576-1585. https://doi.org/10.1902/jop.2013.120451
Leknes, K. N., Amarante, E. S., Price, D. E., Boe, O. E., Skavland, R. J., & Lie, T. (2005). Coronally positioned flap procedures with or without a biodegradable membrane in the treatment of human gingival recession. A 6-year follow-up study. Journal of Clinical Periodontology, 32, 518-529. https://doi.org/10.1111/j.1600-051X.2005.00706.x
Maroso, F. B., Gaio, E. J., Rosing, C. K., & Fernandes, M. I. (2015). Correlation between gingival thickness and gingival recession in humans. Acta Odontol Latinoam, 28, 162-166. https://doi.org/10.1590/S1852-48342015000200011
McGuire, M. K., Scheyer, E. T., & Nunn, M. (2012). Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue: Comparison of clinical parameters at 10 years. Journal of Periodontology, 83, 1353-1362. https://doi.org/10.1902/jop.2012.110373
McGuire, M. K., Scheyer, E. T., & Snyder, M. B. (2014). Evaluation of recession defects treated with coronally advanced flaps and either recombinant human platelet-derived growth factor-BB plus beta-tricalcium phosphate or connective tissue: Comparison of clinical parameters at 5 years. Journal of Periodontology, 85, 1361-1370. https://doi.org/10.1902/jop.2014.140006
Moslemi, N., Mousavi Jazi, M., Haghighati, F., Morovati, S. P., & Jamali, R. (2011). Acellular dermal matrix allograft versus subepithelial connective tissue graft in treatment of gingival recessions: A 5-year randomized clinical study. Journal of Clinical Periodontology, 38, 1122-1129. https://doi.org/10.1111/j.1600-051X.2011.01789.x
Nickles, K., Ratka-Kruger, P., Neukranz, E., Raetzke, P., & Eickholz, P. (2010). Ten-year results after connective tissue grafts and guided tissue regeneration for root coverage. Journal of Periodontology, 81, 827-836. https://doi.org/10.1902/jop.2010.090632
Pini Prato, G. P., Franceschi, D., Cortellini, P., & Chambrone, L. (2018). Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. Journal of Periodontology, 89, 1290-1299. https://doi.org/10.1002/JPER.17-0619
Pini Prato, G. P., Magnani, C., & Chambrone, L. (2018). Long-term evaluation (20 years) of the outcomes of coronally advanced flap in the treatment of single recession-type defects. Journal of Periodontology, 89, 265-274. https://doi.org/10.1002/JPER.17-0379
Pini Prato, G., Rotundo, R., Franceschi, D., Cairo, F., Cortellini, P., & Nieri, M. (2011). Fourteen-year outcomes of coronally advanced flap for root coverage: Follow-up from a randomized trial. Journal of Clinical Periodontology, 38, 715-720. https://doi.org/10.1111/j.1600-051X.2011.01744.x
Pini-Prato, G. P., Cairo, F., Nieri, M., Franceschi, D., Rotundo, R., & Cortellini, P. (2010). Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: A split-mouth study with a 5-year follow-up. Journal of Clinical Periodontology, 37, 644-650. https://doi.org/10.1111/j.1600-051X.2010.01559.x
Pini-Prato, G., Franceschi, D., Rotundo, R., Cairo, F., Cortellini, P., & Nieri, M. (2012). Long-term 8-year outcomes of coronally advanced flap for root coverage. Journal of Periodontology, 83, 590-594. https://doi.org/10.1902/jop.2011.110410
Rasperini, G., Acunzo, R., Cannalire, P., & Farronato, G. (2015). Influence of periodontal biotype on root surface exposure during orthodontic treatment: A preliminary study. The International Journal of Periodontics and Restorative Dentistry, 35, 665-675. https://doi.org/10.11607/prd.2239
Rasperini, G., Acunzo, R., Pellegrini, G., Pagni, G., Tonetti, M., Pini Prato, G. P., & Cortellini, P. (2018). Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9 years results of a randomized controlled clinical trial. Journal of Clinical Periodontology, 45, 1107-1117. https://doi.org/10.1111/jcpe.12932
Romano, F., Perotto, S., Cricenti, L., Gotti, S., & Aimetti, M. (2017). Epithelial inclusions following a bilaminar root coverage procedure with a subepithelial connective tissue graft: A histologic and clinical study. The International Journal of Periodontics and Restorative Dentistry, 37, e245-e252. https://doi.org/10.11607/prd.3189
Salhi, L., Lecloux, G., Seidel, L., Rompen, E., & Lambert, F. (2014). Coronally advanced flap versus the pouch technique combined with a connective tissue graft to treat Miller’s class I gingival recession: A randomized controlled trial. Journal of Clinical Periodontology, 41, 387-395. https://doi.org/10.1111/jcpe.12207
Scheyer, E. T., Sanz, M., Dibart, S., Greenwell, H., John, V., Kim, D. M., … Rasperini, G. (2015). Periodontal soft tissue non-root coverage procedures: A consensus report from the AAP Regeneration Workshop. Journal of Periodontology, 86, S73-76. https://doi.org/10.1902/jop.2015.140377
Tavelli, L., Barootchi, S., Di Gianfilippo, R., Modarressi, M., Cairo, F., Rasperini, G., & Wang, H. L. (2019). Acellular dermal matrix and coronally advanced flap or tunnel technique in the treatment of multiple adjacent gingival recessions. A 12-year follow-up from a randomized clinical trial. Journal of Clinical Periodontology, https://doi.org/10.1111/jcpe.13163
Tavelli, L., Barootchi, S., Greenwell, H., & Wang, H. L. (2019). Is a soft tissue graft harvested from the maxillary tuberosity-The approach of choice in an isolated site? Journal of Periodontology, https://doi.org/10.1002/JPER.18-0615
Tonetti, M. S., Fourmousis, I., Suvan, J., Cortellini, P., Bragger, U., Lang, N. P. & European Research Group on Periodontology (ERGOPERIO) (2004). Healing, post-operative morbidity and patient perception of outcomes following regenerative therapy of deep intrabony defects. Journal of Clinical Periodontology, 31, 1092-1098. https://doi.org/10.1111/j.1600-051X.2004.00615.x
Wickham, H., Francois, R., Henry, L., & Müller, K. (2017). dplyr: A Grammar of Data Manipulation. R package version 0.7.4.
Zucchelli, G., Felice, P., Mazzotti, C., Marzadori, M., Mounssif, I., Monaco, C., & Stefanini, M. (2018). 5-year outcomes after coverage of soft tissue dehiscence around single implants: A prospective cohort study. European Journal of Oral Implantology, 11, 215-224.
Zucchelli, G., Mounssif, I., Mazzotti, C., Stefanini, M., Marzadori, M., Petracci, E., & Montebugnoli, L. (2014). Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: A comparative short- and long-term controlled randomized clinical trial. Journal of Clinical Periodontology, 41, 396-403. https://doi.org/10.1111/jcpe.12224
Zucchelli, G., Tavelli, L., Barootchi, S., Stefanini, M., Rasperini, G., Valles, C., … Wang, H. L. (2019). The influence of tooth location on the outcomes of multiple adjacent gingival recessions treated with coronally advanced flap: A multicenter Re-Analysis study. Journal of Periodontology. https://doi.org/10.1002/JPER.18-0732. [Epub ahead of print].
Zucchelli, G., Tavelli, L., Ravida, A., Stefanini, M., Suarez-Lopez Del Amo, F., & Wang, H. L. (2018). Influence of tooth location on coronally advanced flap procedures for root coverage. Journal of Periodontology, 89, 1428-1441. https://doi.org/10.1002/JPER.18-0201