1. Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial
- Author
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Jan L. Wennström, Giovanni Zucchelli, Karin Jepsen, Bernd Heinz, Martina Stefanini, Mariano Sanz, Björn Cassel, Massimo de Sanctis, Nicola Baldini, Björn Greven, Søren Jepsen, Fabio Vignoletti, Stefanini, Martina, Jepsen, Karin, DE SANCTIS, Massimo, Baldini, Nicola, Greven, Björn, Heinz, Bernd, Wennström, Jan, Cassel, Björn, Vignoletti, Fabio, Sanz, Mariano, Jepsen, Søren, Zucchelli, Giovanni, and de Sanctis, Massimo
- Subjects
medicine.medical_specialty ,Test group ,tissue regeneration ,Esthetics, Dental ,patient-reported outcome ,law.invention ,03 medical and health sciences ,keratinized tissue ,0302 clinical medicine ,Patient satisfaction ,Randomized controlled trial ,law ,Humans ,root coverage ,Medicine ,Patient Reported Outcome Measures ,030212 general & internal medicine ,xenograft ,Gingival recession ,aesthetic ,business.industry ,Outcome measures ,030206 dentistry ,Root coverage ,gingival recession ,Surgery ,Clinical trial ,Treatment Outcome ,Connective Tissue ,collagen (matrix) ,patient-centred outcome ,Periodontics ,medicine.symptom ,business ,Follow-Up Studies ,Month follow up - Abstract
Aim To assess patient-reported outcome measures (PROMs), aesthetics and stability of root coverage procedures from a previous 6-month RCT after 1 year. Material & Methods 45 patients (90 recessions) had received a coronally advanced flap (CAF = control) only or a xenogeneic collagen matrix in addition (CAF + CMX = test). Visual analogue scales (VAS) and questionnaires were used for PROMs and the root coverage aesthetic score (RES) for professional aesthetic evaluations. Results VAS scores (patient satisfaction) amounted to 8.58 ± 1.86 (test) versus 8.38 ± 2.46 (control). 6 patients preferred CAF+CMX concerning surgical procedure and aesthetics, 6 preferred CAF and 29 were equally satisfied. RES was 7.85 ± 2.42 for the test group versus 7.34 ± 2.90 for the controls. Root coverage (RC) was 76.28% for test and 75.05% for control defects. The mean increase in keratinized tissue width was higher in test (from 1.97 to 3.02 mm) than in controls (2.00 to 2.64 mm) (p = 0.0413). Likewise, test sites showed more gain in gingival thickness (0.52 mm) than control sites (0.27 mm) (p = 0.0023). Compared to 6 months, clinical outcomes were stable Conclusions Results for PROMs, RES and RC did not significantly differ between treatment groups. Thickness and width of keratinized tissue were enhanced following CAF + CMX compared to CAF alone. This article is protected by copyright. All rights reserved.
- Published
- 2016