Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft.

@article{daSilva2004RootCU,
  title={Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft.},
  author={Robert Carvalho da Silva and J{\'u}lio C{\'e}sar Joly and Ant{\^o}nio Fernando Martorelli de Lima and Dimitris N. Tatakis},
  journal={Journal of periodontology},
  year={2004},
  volume={75 3},
  pages={
          413-9
        }
}
BACKGROUND Various surgical techniques have been proposed for treating gingival recession. This randomized clinical trial compared the coronally positioned flap (CPF) alone or in conjunction with a subepithelial connective tissue graft (SCTG) in the treatment of gingival recession. METHODS Eleven non-smoking subjects with bilateral and comparable Miller Class I recession defects were selected. The defects, at least 3.0 mm deep, were randomly assigned to the test (CPF + SCTG) or control group… 

Figures and Tables from this paper

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The modified coronally advanced flap associated with the subepithelial connective tissue graft was effective and predictable to produce root coverage at multiple adjacent gingival recessions associated with gain in the CAL and in the width of KT.

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The findings from this study indicate that the semilunar coronally positioned flap (SCPF) and SCTG can be successfully used to treat Class I gingival recession.

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Coronally Advanced Flap With or Without Subepithelial Connective Tissue Graft for the Treatment of Single Recession: 5-Year Outcomes from a Comparative Study.

The results showed a significant difference between CAF and CAF + CTG techniques for the treatment of single recession with regard to REC; no significant difference was found in the percentage of teeth presenting CRC after 5 years.

Semilunar coronally positioned flap or subepithelial connective tissue graft for the treatment of gingival recession: a 30-month follow-up study.

SCPF and SCTG can be successfully used to treat Class I gingival recession, presenting outcomes with long-term stability, however, patient-oriented outcomes, such as esthetics and root sensitivity, favor SCTg therapy.

Laser-assisted root coverage procedure in gingival recessions: A randomized controlled clinical study

Six months postsurgically, comparable complete root coverage was observed in sites treated with CAF and SCTG with LD and CAF-SCTG alone and LD did not show any added clinical advantage overCAF and CTG in the management of gingival recessions.

IMPACT OF TOOTH LOCATION ON THE TREATMENT OF MULTIPLE GINGIVAL RECESSIONS WITH CONNECTIVE TISSUE GRAFT ASSOCIATED WITH A CORONALLY ADVANCED FLAP

The findings of the current study have shown that the CAF is an effective procedure for the treatment of multible GRs, and the two groups showed similar significant improvements from baseline to 12 months evaluations.

Coronally positioned flap for root coverage: poorer outcomes in smokers.

It can be concluded that CPF provides benefits for both smokers and non-smokers in terms of root coverage of shallow Miller Class I recession defects, however, cigarette smoking negatively impacts the clinical outcomes, specifically residual recession, percent root coverage, and frequency of complete root coverage.

Clinical evaluation of single-stage advanced versus rotated flaps in the treatment of gingival recessions.

The results obtained by CAF in the treatment of Miller Class I maxillary GR are clinically similar to the LPF albeit with more limited gains in WKT.
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