期刊
JOURNAL OF CLINICAL PERIODONTOLOGY
卷 41, 期 6, 页码 582-592出版社
WILEY
DOI: 10.1111/jcpe.12178
关键词
patient-centred outcomes; aesthetic outcomes; gingival recession; tunnel technique; root coverage; randomized controlled trial; digital measurements
Aim The aim of this randomized clinical trial (RCT) was to introduce 3D digital measuring methods for evaluating the outcomes after surgical root coverage (RC) and to assess the clinical performance of the tunnel technique with subepithelial connective tissue graft (TUN) versus the coronally advanced flap (CAF) with enamel matrix derivative in the treatment of shallow localized gingival recession defects. Material and Methods Twenty-four patients contributed a total of 47 Miller class I or II recessions for scientific evaluation. Clinical outcomes were evaluated at 6 and 12months. Precise study models gained at baseline and follow-up examinations were optically scanned and virtually superimposed for digital evaluation of clinical outcome measures including percentage of RC and complete root coverage (CRC). Patient-centred outcomes were evaluated with questionnaires. Final aesthetic outcomes were assessed using the root coverage esthetic score (RES). Results At 12months, RC was 98.4% for TUN-treated and 71.8% for CAF-treated defects (p=0.0004). CRC was observed in 78.6% (TUN) and 21.4% (CAF) of the cases (p=0.0070). Results for patient-centred outcomes were equivalent for both groups but evaluation of the final aesthetic outcomes using the RES revealed a significant difference (9.06 versus 6.92, p=0.0034) in favour of TUN. Conclusions TUN resulted in significantly better clinical outcomes compared with CAF. The new measuring method provided high accuracy and unforeseen precision in the evaluation of treatment outcomes after surgical RC.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据