Bernd Heinz, Mariano Sanz, Nicola Baldini, Martina Stefanini, Fabio Vignoletti, Karin Jepsen, Søren Jepsen, Björn Greven, Giovanni Zucchelli, Björn Cassel, Jan L. Wennström, Massimo de Sanctis, K. Jepsen, S. Jepsen, G. Zucchelli, M. Stefanini, M. De Sancti, N. Baldini, B. Greven, B. Heinz, J. Wennström, B. Cassel, F. Vignoletti, M. Sanz, Jepsen, K, Jepsen, S, Zucchelli, G, Stefanini, M, DE SANCTIS, Massimo, Baldini, N, Greven, B, Heinz, B, Wennström, J, Cassel, B, Vignoletti, F, and Sanz, M.
Aim To evaluate the clinical outcomes of the use of a xenogeneic collagen matrix (CM) in combination with the coronally advanced flap (CAF) in the treatment of localized recession defects. Material & Methods In a multicentre single-blinded, randomized, controlled, split-mouth trial, 90 recessions (Miller I, II) in 45 patients received either CAF + CM or CAF alone. Results At 6 months, root coverage (primary outcome) was 75.29% for test and 72.66% for control defects (p = 0.169), with 36% of test and 31% of control defects exhibiting complete coverage. The increase in mean width of keratinized tissue (KT) was higher in test (from 1.97 to 2.90 mm) than in control defects (from 2.00 to 2.57 mm) (p = 0.036). Likewise, test sites had more gain in gingival thickness (GT) (0.59 mm) than control sites (0.34 mm) (p = 0.003). Larger (≥3 mm) recessions (n = 35 patients) treated with CM showed higher root coverage (72.03% versus 66.16%, p = 0.043), as well as more gain in KT and GT. Conclusions CAF + CM was not superior with regard to root coverage, but enhanced gingival thickness and width of keratinized tissue when compared with CAF alone. For the coverage of larger defects, CAF + CM was more effective.