Background: Generally, esthetic outcomes following root‐coverage procedures are not assessed. This article proposes a score for evaluating the outcome surgery. Methods: Thirty‐one patients with Miller Class I and II recession defects treated were evaluated. Esthetic assessed using root coverage (RES) 6 months after evaluates five variables: level of gingival margin, marginal tissue contour, soft texture, mucogingival junction alignment, color. Because complete was primary treatment goal,...

Background: An assessment of the factors affecting clinical outcome root coverage procedures may be useful in decision making. The aim this study is to investigate whether post‐surgical location gingival margin relative cemento‐enamel junction (CEJ) can influence recession reduction (RecRed) and complete (CRC) following coronally advanced flap procedure (CAF). Methods: Sixty patients, aged between 22 57 years, 15 males 45 females, each showing maxillary buccal recessions (≥2 mm) identified...

Abstract Aims: This parallel‐group, multi‐centre, double‐blind, randomized‐controlled clinical trial was undertaken to compare the outcomes and patient morbidity of coronally advanced flap (CAF) alone or in combination with a connective tissue graft (CAF+CTG) single Miller Class I II gingival recessions. Material Methods: Three centres enrolled 85 patients one recession each. Surgery performed elevating pedicle flap; 42 sites randomly received under flap. Measurements were taken by blind...

Pini‐Prato GP, Cairo F, Nieri M, Franceschi D, Rotundo R, Cortellini P. Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split‐mouth study with 5‐year follow‐up. J Clin Periodontol 2010; 37: 644–650. doi: 10.1111/j.1600‐051X.2010.01559.x Abstract Aim: The aim this long‐term was to compare clinical outcomes coronally (CAF) alone plus (CAF+CTG) recessions using design over 5 years Materials and Methods: A total 13 patients (mean age...

A clinical classification of surface defects in gingival recession area is proposed.Two factors were evaluated to set up a system: presence (A) or absence (B) cemento-enamel junction (CEJ) and (+) (-) dental discrepancy caused by abrasion (step). Four classes (A+, A-, B+, B-) identified on the basis these variables. To validate three different calibrated examiners applied proposed system 46 recessions kappa statistics performed. The was used 1,010 from 353 patients examine distribution four...

Background: Gingival augmentation procedures are indicated primarily to increase an insufficient amount of gingiva and sometimes halt the progression gingival recession. The aim this retrospective long‐term study was evaluate changes in keratinized tissue (KT) position margin after free graft over a period 10 25 years. Methods: One hundred three subjects presenting with 224 sites completely lacking attached associated recessions were treated private practice. experimental (free grafts)....

This clinical study was designed to determine if mechanical instrumentation (root planing) of the exposed root is useful in treating gingival recession caused by traumatic toothbrushing following a coronally advanced flap (CAF). Ten patients with high levels oral hygiene (full‐mouth plaque score <20%), from 25 57 years age, were selected for study. Each patient showed 2 bilateral Class I or II maxillary recessions. A total 20 recessions treated. The difference ≤1 mm. In each patient, one...

Rotundo R, Nieri M, Cairo F, Franceschi D, Mervelt J, Bonaccini Esposito Pini‐Prato G. Lack of adjunctive benefit Er:YAG laser in non‐surgical periodontal treatment: a randomized split‐mouth clinical trial. J Clin Periodontol 2010; 37: 526–533. doi: 10.1111/j.1600‐051X.2010.01560.x. Abstract Aim: This split‐mouth, randomized, trial aimed to evaluate the efficacy erbium‐doped:yttrium–aluminium–garnet (Er:YAG) application treatment. Materials and Methods: A total 27 patients underwent four...

Background: The aim of this retrospective long‐term split‐mouth study was to compare the periodontal conditions sites treated with gingival‐augmentation procedures untreated homologous contralateral over a long period time (10 27 years). Methods: Fifty‐five subjects 73 (test group) lacking attached gingiva associated recessions were by means submarginal free gingival grafts (SMFGGs) and marginal (MFGGs). (control group), or without recession gingiva, not treated. Patients recalled every 4...

This long-term 14-year-randomized split-mouth study aimed at evaluating (1) the outcomes of two different methods root surface modifications (root polishing versus planing) used in combination with a coronally advanced flap (CAF) and (2) results CAF performed for treatment single gingival recessions.Ten patients similar bilateral recessions ≥2 mm were selected randomized design study. Exposed surfaces assigned to receive (test sites) or planing (control sites). A multilevel model was analyse...

The aims of this study were to verify patients' perception buccal recessions and their requests for treatment.The patients filled out a questionnaire dealing with demographic variables gingival recessions. A calibrated examiner checked recorded the clinical variables. Then, asked explain what they believed be causes whether interested in obtaining treatment lesions. Descriptive statistics multilevel logistic models used.Of 120 enrolled patients, 96 presented 783 recessions, which 565...

The great challenge in clinical periodontology is assigning a prognosis to periodontally affected patient. Many different factors can affect the long-term maintenance of compromised teeth. main questions usually considered by periodontist are: 1) Will tooth lose more bone future? 2) itself be lost purpose this retrospective study was evaluate value some clinical, genetic, and radiographic variables predicting loss periodontal patients (aged 40 60 years) treated maintained for 10 years.Sixty...

Background: This long‐term 8‐year case series study aims at evaluating the results of outcomes coronally advanced flap (CAF) procedures performed for treatment single gingival recessions (GRs). Methods: Sixty patients with maxillary GRs ≥2 mm, without loss interproximal soft and hard tissue, treated CAF procedure evaluated 6 months in a previously published article, were followed 8 years. Complete root coverage, recession reduction, amount keratinized tissue (KT) analyzed using descriptive...

To compare the efficacy of two different techniques for vertical bone regeneration at implant placement with particulate autogenous 6 years after loading by means a double-blind, superiority, parallel-group randomized clinical trial.The study was conducted in private center Italy between April 2004 and December 2011. Patients whom augmentation indicated combination single or multiple implants were eligible inclusion this trial. to receive either resorbable collagen barriers supported an...

An autologous cell hyaluronic acid graft was used for gingival augmentation in mucogingival surgery.Seven sites from 6 patients were this study. Five (5 sites) needed prior to prosthetic rehabilitation, and one patient (2 because of pain during daily toothbrushing. Full-mouth plaque score (FMPS), full-mouth bleeding (FMBS), probing depth (PD), clinical attachment level (CAL) recorded the at baseline 3 months after surgery. The amount keratinized tissue (KT) measured mesial, middle, distal...

The aim of this study was to explore possible causal relationships among several variables in the coronally advanced flap for root coverage procedure using structural learning Bayesian networks.Sixty consecutive patients with maxillary buccal recessions (>or=2 mm) were enrolled. All defects treated procedure. Age, gender, smoking habits, recession depth, width keratinized tissue, probing distance between incisal margin and cemento-enamel junction, sensitivity, gingival junction recorded...

To evaluate the superiority of coronally advanced flaps (CAFs) when used in combination with a xenogeneic collagen matrix (CMX) for root coverage multiple adjacent gingival recessions.Participants at least 2 upper teeth exhibiting recession depth ≥2 mm were recruited and randomized to CAF (test) or without (control) CMX, respectively. Mean complete coverage, amount keratinized tissue (KTw), thickness (GThick) patient-reported outcomes (PROMs) recorded baseline, 3, 6 12 months.Twenty-four...

A difference in genetic susceptibility to plaque accumulation has been advocated explain different responses periodontal therapy. The purpose of this study is assess the role interleukin-1 (IL-1) polymorphism on rate bone and tooth loss non-smoking periodontally treated patients during maintenance.Sixty consecutive (mean age 46.8 +/- 5.0) with moderate severe periodontitis, maintained for over 10 years were selected. At baseline (T0), radiographic evaluation (cemento-enamel junction...