Multiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorCollege of Dentistry-
Autor(es): dc.contributorSão Paulo-
Autor(es): dc.contributorUniversità Vita-Salute San Raffaele-
Autor(es): dc.contributorUniversity of Maryland School of Dentistry-
Autor(es): dc.creatorSantamaria, Mauro Pedrine-
Autor(es): dc.creatorRossato, Amanda-
Autor(es): dc.creatorFernanda Ferreira Ferraz, Laís-
Autor(es): dc.creatorMaria Viana Miguel, Manuela-
Autor(es): dc.creatorVenturoso Simões, Beatriz-
Autor(es): dc.creatorPereira Nunes, Marcelo-
Autor(es): dc.creatorBresciani, Eduardo-
Autor(es): dc.creatorde Sanctis, Massimo-
Autor(es): dc.creatorMathias-Santamaria, Ingrid Fernandes-
Data de aceite: dc.date.accessioned2025-08-21T19:11:37Z-
Data de disponibilização: dc.date.available2025-08-21T19:11:37Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1002/JPER.22-0516-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/249636-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/249636-
Descrição: dc.descriptionBackground: This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs). Methods: Seventy-eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non-carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement-enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient-centered, and esthetic outcomes. Results: CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04). Conclusion: CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites.-
Descrição: dc.descriptionSão Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos Campos-
Descrição: dc.descriptionUniversity of Kentucky College of Dentistry-
Descrição: dc.descriptionProimperio Institute São Paulo-
Descrição: dc.descriptionDepartament of Periodontology Università Vita-Salute San Raffaele-
Descrição: dc.descriptionDivision of Operative Dentistry Department of General Dentistry University of Maryland School of Dentistry-
Descrição: dc.descriptionSão Paulo State University (Unesp). Division of Periodontics Institute of Science and Technology São José dos Campos-
Idioma: dc.languageen-
Relação: dc.relationJournal of Periodontology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectdental esthetic-
Palavras-chave: dc.subjectdentin sensitivity-
Palavras-chave: dc.subjectgingival recession-
Palavras-chave: dc.subjectheterografts-
Palavras-chave: dc.subjecttooth abrasion-
Palavras-chave: dc.subjecttooth cervix-
Título: dc.titleMultiple gingival recessions associated with non-carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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