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The effects of connective tissue graft position on clinical and aesthetical outcomes of gingival recession treatment: a controlled randomized clinical trial

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Abstract

Objectives

This randomized controlled clinical trial with 1-year follow-up compared the clinical and aesthetic results of coronally advanced flap (CAF) + connective tissue graft (CTG) positioned apical to the cemento-enamel junction (CEJ) (CAF + CTG-ACEJ) with CAF + CTG positioned on the CEJ (CAF + CTG-CEJ) for treating isolated gingival recession defects.

Materials and methods

Thirty-eight patients with recession type 1 (RT 1) with a depth ≥ 3, gingival recessions were enrolled. Nineteen patients were randomly assigned to the CAF + CTG-ACEJ group or CAF + CTG-CEJ group. Clinical and aesthetical evaluations were made at 6 and 12 months.

Results

While the 6 months results showed that both surgical techniques were similar for clinical outcomes, the results achieved at the 6th month were more stable in the CAF + CTG-ACEJ group at the 12th month with significantly better recession depth, mean, and complete root coverage values and aesthetical results.

Conclusions

Isolated gingival recession defects can be clinically successfully treated by both CAF + CTG-ACEJ and CAF + CTG-CEJ techniques.

Clinical relevance

Limited studies have compared the clinical and aesthetical effects of positioning CTG apical to the CEJ for the treatment of gingival recessions. This randomized clinical study showed that CAF + CTG-ACEJ technique can provide additional benefit for the treatment. The described technique is effective in obtaining better long-term CRC stability and aesthetics.

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Funding

This research was conducted by the investigators who independently performed all phases of the study, including protocol development, clinical procedures, data analysis, result interpretation, and reporting. The study was self-funded.

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Authors and Affiliations

  1. Department of Periodontology, Faculty of Dentistry, Cukurova University, Adana, Turkey

    Onur Ucak Turer, Mustafa Ozcan, Bahar Alkaya, Hatice SelenYildiz & Mehmet Cenk Haytac

  2. Department of Biostatistics, Cukurova University, Adana, Turkey

    Gulsah Seydaoglu

Authors
  1. Onur Ucak Turer
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  2. Mustafa Ozcan
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  3. Bahar Alkaya
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  4. Gulsah Seydaoglu
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  5. Hatice SelenYildiz
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  6. Mehmet Cenk Haytac
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Corresponding author

Correspondence to Mustafa Ozcan.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Turer, O.U., Ozcan, M., Alkaya, B. et al. The effects of connective tissue graft position on clinical and aesthetical outcomes of gingival recession treatment: a controlled randomized clinical trial. Clin Oral Invest 26, 2751–2759 (2022). https://doi.org/10.1007/s00784-021-04250-7

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  • DOI: https://doi.org/10.1007/s00784-021-04250-7

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