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

Background: 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 defec...

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Autores: Santamaria, Mauro Pedrine [UNESP], Rossato, Amanda [UNESP], Fernanda Ferreira Ferraz, Laís [UNESP], Maria Viana Miguel, Manuela [UNESP], Venturoso Simões, Beatriz [UNESP], Pereira Nunes, Marcelo, Bresciani, Eduardo [UNESP], de Sanctis, Massimo, Mathias-Santamaria, Ingrid Fernandes [UNESP]
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Recursos:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/249636
Acesso em linha:http://dx.doi.org/10.1002/JPER.22-0516
http://hdl.handle.net/11449/249636
Access Level:acceso abierto
Palavra-chave:dental esthetic
dentin sensitivity
gingival recession
heterografts
tooth abrasion
tooth cervix
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spelling 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 trialdental estheticdentin sensitivitygingival recessionheterograftstooth abrasiontooth cervixBackground: 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.São Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos CamposUniversity of Kentucky College of DentistryProimperio Institute São PauloDepartament of Periodontology Università Vita-Salute San RaffaeleDivision of Operative Dentistry Department of General Dentistry University of Maryland School of DentistrySão Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos CamposUniversidade Estadual Paulista (UNESP)College of DentistrySão PauloUniversità Vita-Salute San RaffaeleUniversity of Maryland School of Dentistry2023-07-29T16:05:07Z2023-07-29T16:05:07Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1002/JPER.22-0516Journal of Periodontology.0022-3492http://hdl.handle.net/11449/24963610.1002/JPER.22-05162-s2.0-85147528848Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Periodontologyinfo:eu-repo/semantics/openAccessSantamaria, Mauro Pedrine [UNESP]Rossato, Amanda [UNESP]Fernanda Ferreira Ferraz, Laís [UNESP]Maria Viana Miguel, Manuela [UNESP]Venturoso Simões, Beatriz [UNESP]Pereira Nunes, MarceloBresciani, Eduardo [UNESP]de Sanctis, MassimoMathias-Santamaria, Ingrid Fernandes [UNESP]2024-11-18T18:51:21Zoai:repositorio.unesp.br:11449/249636Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-11-18T18:51:21Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
Santamaria, Mauro Pedrine [UNESP]
dental esthetic
dentin sensitivity
gingival recession
heterografts
tooth abrasion
tooth cervix
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv Santamaria, Mauro Pedrine [UNESP]
Rossato, Amanda [UNESP]
Fernanda Ferreira Ferraz, Laís [UNESP]
Maria Viana Miguel, Manuela [UNESP]
Venturoso Simões, Beatriz [UNESP]
Pereira Nunes, Marcelo
Bresciani, Eduardo [UNESP]
de Sanctis, Massimo
Mathias-Santamaria, Ingrid Fernandes [UNESP]
author Santamaria, Mauro Pedrine [UNESP]
author_facet Santamaria, Mauro Pedrine [UNESP]
Rossato, Amanda [UNESP]
Fernanda Ferreira Ferraz, Laís [UNESP]
Maria Viana Miguel, Manuela [UNESP]
Venturoso Simões, Beatriz [UNESP]
Pereira Nunes, Marcelo
Bresciani, Eduardo [UNESP]
de Sanctis, Massimo
Mathias-Santamaria, Ingrid Fernandes [UNESP]
author_role author
author2 Rossato, Amanda [UNESP]
Fernanda Ferreira Ferraz, Laís [UNESP]
Maria Viana Miguel, Manuela [UNESP]
Venturoso Simões, Beatriz [UNESP]
Pereira Nunes, Marcelo
Bresciani, Eduardo [UNESP]
de Sanctis, Massimo
Mathias-Santamaria, Ingrid Fernandes [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
College of Dentistry
São Paulo
Università Vita-Salute San Raffaele
University of Maryland School of Dentistry
dc.subject.por.fl_str_mv dental esthetic
dentin sensitivity
gingival recession
heterografts
tooth abrasion
tooth cervix
topic dental esthetic
dentin sensitivity
gingival recession
heterografts
tooth abrasion
tooth cervix
description Background: 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.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-29T16:05:07Z
2023-07-29T16:05:07Z
2023-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1002/JPER.22-0516
Journal of Periodontology.
0022-3492
http://hdl.handle.net/11449/249636
10.1002/JPER.22-0516
2-s2.0-85147528848
url http://dx.doi.org/10.1002/JPER.22-0516
http://hdl.handle.net/11449/249636
identifier_str_mv Journal of Periodontology.
0022-3492
10.1002/JPER.22-0516
2-s2.0-85147528848
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal of Periodontology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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score 15.301603

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