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| Name | Class |
|---|---|
| University of Roma La Sapienza | OTHER |
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This studies evaluate the efficacy of the coronally advanced flap (CAF) with or without connective tissue graft (CTG) for the treatment of single maxillary recession associated to non carious cervical lesion (NCCL).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CAF | Experimental | After the restoration of the enamel patients were treated with a CAF |
|
| CAF + CTG | Experimental | After the restoration of the enamel patients were treated with a CAF + CTG |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CAF | Procedure | After the cementum enamel junction (CEJ) was restorated, a split thickness flap was raised, coronally advanced and sutured to cover the recession |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recession Reduction | Difference between gingival recession at 12 months and baseline, measured with a periodontal probe. | At 12 months |
| Complete Root Coverage (CRC) | Absence or presence of gingival recession at 12 months follow-up. | At 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Root coverage Esthetic Score (RES) | Overall esthetic score from 0 to 10 evaluated by the blinded examiner. Higher values represent a better outcome. (Pini-Prato et al. 2011) | At 12 months |
| Gingival Thickness (GT) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Francesco Cairo, DDS | University of Florence | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28758301 | Background | Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000. 2017 Oct;75(1):296-316. doi: 10.1111/prd.12186. | |
| 27454460 | Background | Cairo F, Pagliaro U, Buti J, Baccini M, Graziani F, Tonelli P, Pagavino G, Tonetti MS. Root coverage procedures improve patient aesthetics. A systematic review and Bayesian network meta-analysis. J Clin Periodontol. 2016 Nov;43(11):965-975. doi: 10.1111/jcpe.12603. Epub 2016 Sep 16. |
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| ID | Term |
|---|---|
| D005889 | Gingival Recession |
| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| CAF + CTG | Procedure | After the cementum enamel junction (CEJ) was restorated, a split thickness flap was raised. Then a connective tissue graft was harvested from the palate and sutured over the exposed root. Finally the flap was coronally advanced and sutured to cover the recession |
|
Gingival thickness in mm, measured with an endodontic file and a digital caliper.
| Baseline - 12 months |
| Keratinized Tissue (KT) | Width of the keratinized gingiva measured in mm from the gingival margin to the muco-gingival-junction using a periodontal probe | Baseline - 6 and 12 months |
| KTgain | Gain of Keratinized Tissue measured as the difference between KT at 12 months and KT baseline | At 12 months |
| Gingival RecesiĆ³n (REC) | The distance between the reconstructed cementum enamel junction and the gingival margin measured in mm with a periodontal probe | Baseline - 6 and 12 months |
| Root sensitivity | Toot sensitivity reported by the patient present or absent | Baseline - 6 and 12 months |
| SensVAS | Toot sensitivity reported by the patient on a 0 to 10 Visual Analogue Scale. Higher values represent worse outcome. | Baseline - 6 and 12 months |
| SurTime | Surgical Time in minutes from the end of anesthesia to the sutures | At surgery |
| Anti-infammTab | Number of tablets of anti-inflammatory drug taken in the first week post-operatively by the patients. | 1 week post-surgery |
| DiscVAS | Post Operative Discomfort reported by the patients on a 0 to 10 Visual Analogue Scale. Higher values represent worse outcome. | 1 week post-surgery |
| AesthVAS | Aesthetic overall satisfaction reported by the patients on a 0 to 10 Visual Analogue Scale. Higher values represent better outcomes. | At 12 months |
| 20967303 | Background | Cairo F, Pini-Prato GP. A technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int J Periodontics Restorative Dent. 2010 Dec;30(6):573-81. |
| 17032103 | Background | Hwang D, Wang HL. Flap thickness as a predictor of root coverage: a systematic review. J Periodontol. 2006 Oct;77(10):1625-34. doi: 10.1902/jop.2006.060107. |
| 19046326 | Background | Cortellini P, Tonetti M, Baldi C, Francetti L, Rasperini G, Rotundo R, Nieri M, Franceschi D, Labriola A, Prato GP. 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. J Clin Periodontol. 2009 Jan;36(1):68-79. doi: 10.1111/j.1600-051X.2008.01346.x. Epub 2008 Nov 20. |
| 19419445 | Background | Santamaria MP, da Silva Feitosa D, Nociti FH Jr, Casati MZ, Sallum AW, Sallum EA. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled clinical trial. J Clin Periodontol. 2009 May;36(5):434-41. doi: 10.1111/j.1600-051X.2009.01389.x. |
| 21542735 | Background | Zucchelli G, Gori G, Mele M, Stefanini M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Non-carious cervical lesions associated with gingival recessions: a decision-making process. J Periodontol. 2011 Dec;82(12):1713-24. doi: 10.1902/jop.2011.110080. Epub 2011 May 4. |
| D055093 |
| Periodontal Atrophy |