Treatment of single and multiple Miller Class I and III gingival recessions at crown-restored teeth in maxillary esthetic areas

Sculean, Anton / Cosgarea, Raluca / Katsaros, Christos / Arweiler, Nicole Birgit / Miron, Richard John / Deppe, HerbertPage 777 - 782Objective: To clinically evaluate the outcomes following surgical coverage of single and multiple Miller Class I and III gingival recessions at crown-restored teeth in the esthetic area by means of the modified coronally advanced tunnel (MCAT).Method and Materials: Eight systemically healthy patients (5 females) with a total of 23 single or multiple maxillary Miller Class I or III gingival recessions were consecutively treated with MCAT in conjunction with a subepithelial connective tissue graft (SCTG). Out of the 23 recessions, 16 were classified as Miller Class I and seven as Miller Class III. All patients presented at least one facial gingival recession at a crown-restored tooth, located in the maxillary anterior area. In all cases, the facial recession was associated with an impaired esthetic appearance. Clinical measurements were made at baseline (immediately before reconstructive surgery) and at 12 months postoperatively. The primary outcome variable was complete root coverage (CRC) (ie, 100% root coverage).Results: Healing was uneventful in all cases. At 12 months, statistically highly significant (P

Source: Quintessence International - October 13, 2017 Category: Dentistry Source Type: research