Laterally positioned flap along with acellular dermal matrix graft in the management of maxillary localized recessions

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dc.contributor.authorAhmedbeyli, Cavid
dc.contributor.authorİpçi, Şebnem Dirikan
dc.contributor.authorÇakar, Gökser
dc.contributor.authorYılmaz, Selçuk
dc.date.accessioned2021-05-15T12:41:15Z
dc.date.available2021-05-15T12:41:15Z
dc.date.issued2019
dc.departmentTıp Fakültesi, Periodontoloji Anabilim Dalıen_US
dc.descriptionAhmedbeyli, Cavid/0000-0002-4699-0041
dc.description.abstractObjectivesThe aim of this study was to evaluate acellular dermal matrix graft (ADM) combination with laterally positioned flap (LPF) and to compare the results with LPF alone in terms of root coverage, esthetics, and patient perspectives in gingival recessions.Materials and methodsTwenty-two patients with localized Miller Class I/II recessions 3mm with gingival thickness (GT) <0.8mm were included. Outcome parameters such as recession height and width, keratinized tissue (KT) height, GT, mean and complete defect coverage, patient satisfaction, and root coverage esthetic score (RES) were re-evaluated at 12months postoperatively.ResultsMean and complete defect coverage were 94.80 and 72.73% in LPF+ADM group and 77.25 and 45.45% in LPF group, respectively. Significant differences were observed for KT and GT gain, patient satisfaction, and RES in favor of LPF group (p<0.05). A significant positive correlation was established between GT and mean defect coverage (r=0.448; p<0.05).ConclusionLPF is a successful approach in the treatment of localized Miller I/II gingival recessions. On the other hand, when thin donor tissue was thickened with an allogenic graft, more successful results regarding complete defect coverage, patient satisfaction, and RES were obtained.Clinical relevanceIncrease in gingival thickness and keratinized tissue height represents critical improvements in the prognosis of the advanced localized recessions and will be beneficial for patient's periodontal health and esthetics. Both approaches can be used successfully as an alternative for soft tissue root coverage in specific localized cases with a limited amount of keratinized tissue apical to the defect.en_US
dc.identifier.doi10.1007/s00784-018-2475-1
dc.identifier.endpage601en_US
dc.identifier.issn1432-6981
dc.identifier.issn1436-3771
dc.identifier.issue2en_US
dc.identifier.pmid29725851
dc.identifier.scopus2-s2.0-85046465442
dc.identifier.scopusqualityQ1
dc.identifier.startpage595en_US
dc.identifier.urihttps://doi.org/10.1007/s00784-018-2475-1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/774
dc.identifier.volume23en_US
dc.identifier.wosWOS:000456712300010
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorİpçi, Şebnem Dirikan
dc.language.isoen
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofClinical Oral Investigations
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaterally Positioned Flapen_US
dc.subjectAcellular Dermal Matrix Graften_US
dc.subjectLocalized Recessionen_US
dc.subjectPatient Satisfactionen_US
dc.subjectRoot Coverage Esthetic Scoreen_US
dc.titleLaterally positioned flap along with acellular dermal matrix graft in the management of maxillary localized recessions
dc.typeArticle

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