A Patient-Centered Clinical Evaluation of Acellular Dermal Matrix Graft in the Treatment of Gingival Recession Defects

• Autores: Jaya Dixit, Umesh Pratap Verma, Ajay Mahajan
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 12, 2007, págs. 2348-2355
• Idioma: inglés
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• Resumen

  • A Patient-Centered Clinical Evaluation of Acellular Dermal Matrix Graft in the Treatment of Gingival Recession Defects Ajay Mahajan,* Jaya Dixit,* and Umesh Pratap Verma* *Department of Periodontics, King George's University of Dental Sciences, Lucknow, India.

    Correspondence: Dr. Ajay Mahajan, H. No. 36 B, Phase-2, Rabaun, Solan, Himachal Pradesh, India. Fax: 91-522-2258705; e-mail: julius05@rediffmail.com.

    Background: The present randomized controlled trial was conducted to evaluate acellular dermal matrix (ADM) graft in terms of patient satisfaction and its effectiveness and efficiency in the treatment of gingival recession.

    Methods: Fourteen patients (seven males and seven females) with Miller Class I and II recessions ≥3 mm participated in this 6-month clinical study. They were assigned randomly to the ADM group (ADM graft and coronally positioned flap [CPF]) or the CPF group (CPF alone). Results were evaluated based on parameters measuring patient satisfaction and clinical outcomes associated with the two treatment procedures. Significance was set at P <0.05.

    Results: The mean recession was 4.0 ± 1.0 mm and 3.7 ± 0.7 mm for the ADM and CPF groups, respectively. For the ADM group, the defect coverage was 3.85 ± 0.89 mm or 97.14% compared to the CPF group, in which the defect coverage was 2.85 ± 0.89 mm or 77.42%. The difference between the two groups was statistically significant (P <0.05). There were no statistically significant differences between the two groups in the remaining clinical parameters and overall patient satisfaction except in criteria related to patient comfort and cost effectiveness, in which CPF alone produced significantly better results (P <0.03).

    Conclusions: ADM graft is significantly superior with regard to effectiveness and efficiency in the treatment of gingival recession than CPF alone. CPF emerges as a better option than ADM graft in terms of cost effectiveness and patient comfort.

    KEYWORDS: Gingival recession, patient satisfaction, surgical flaps Cited by Leandro Chambrone and Dimitris N. Tatakis. (2015) Periodontal Soft Tissue Root Coverage Procedures: A Systematic Review From the AAP Regeneration Workshop. Journal of Periodontology 86:2-s, S8-S51.

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    CrossRef Cavid Ahmedbeyli, Şebnem Dirikan İpçi, Gokser Cakar, Bahar E. Kuru and Selçuk Yılmaz. (2014) Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype. Journal of Clinical Periodontology 41:10.1111/jcpe.2014.41.issue-3, 303-310.

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    CrossRef Antonio Scarano, Raquel R.M. Barros, Giovanna Iezzi, Adriano Piattelli and Arthur B. Novaes , Jr.. (2009) Acellular Dermal Matrix Graft for Gingival Augmentation: A Preliminary Clinical, Histologic, and Ultrastructural Evaluation. Journal of Periodontology 80:2, 253-259.

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