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- Title
Biologically guided flap stability: the role of flap thickness including periosteum retention on the performance of the coronally advanced flap–A double‐blind randomized clinical trial.
- Authors
Clementini, Marco; Discepoli, Nicola; Danesi, Carlotta; Sanctis, Massimo
- Abstract
Aim: To evaluate the possible benefit on wound healing and flap stability of periosteum inclusion, comparing a "split–full–split" thickness flap elevation versus a "split" thickness approach performed during CAF for the treatment of isolated‐type gingival recessions in the upper jaw. Material and Methods: Forty patients were randomized, 20 were treated with "split–full–split" (test group) and 20 with a "split" approach (control group). Analysed parameters at 1 year were CRC, percentage of recession coverage (RC), keratinized tissue (KT) gain and patient‐related outcome measurements. Results: After 12 months, CRC was 80% in the test group and 35% in the control group. Percentages of RC and KT gain were higher in the test group, and a significant association between CRC and the thickness of the flap after elevation was found. Patient‐related outcomes measurements were better for the test group. Conclusions: Flap thickness preservation and the presence of the periosteum in part of the flap may play a fundamental role in obtaining CRC.
- Subjects
SURGICAL flaps; PERIOSTEUM; BLIND experiment; CLINICAL trials; WOUND healing; GINGIVAL recession; KERATINIZATION; TOOTH roots; MAXILLA surgery; HEALTH outcome assessment; GUIDED tissue regeneration; POSTOPERATIVE period; PROSTHETICS; STATISTICAL sampling; SURGICAL therapeutics; RANDOMIZED controlled trials; TREATMENT effectiveness; SURGERY
- Publication
Journal of Clinical Periodontology, 2018, Vol 45, Issue 10, p1238
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.12998