Treatment of Multiple Gingival Recessions Using a Minimally Invasive Coronally Advanced Tunnel: A Randomized Controlled Clinical Trial
: The purpose of this trial was to evaluate the outcome of a modification of pin hole surgical technique which consists of a minimally invasive coronally advanced tunnel technique (MI-CAT) with orthodontic buttons and suturing in the treatment of multiple recession type defects. Twelve systemically...
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Published in | Journal of the International Academy of Periodontology Vol. 19; no. 4; p. 126 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.10.2017
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Subjects | |
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Abstract | : The purpose of this trial was to evaluate the outcome of a modification of pin hole surgical technique which consists of a minimally invasive coronally advanced tunnel technique (MI-CAT) with orthodontic buttons and suturing in the treatment of multiple recession type defects.
Twelve systemically healthy patients (79 sites) aged between 22 - 55 years with Miller's Class I and II multiple recession defects were treated with minimally invasive coronally advanced tunnel technique. Thirty-nine sites were randomly assigned to a control group and the other 40 sites to the test group. In the test group, in addition to the MICAT procedure, buttons and suspensory silk sutures were used for the stabilization of the advanced flap. Clinical parameters were assessed at baseline, 3 weeks, 6 weeks and 6 months after surgery.
A total of 79 recessions were treated. Complete root coverage from baseline to 6 months was 56% in the control group and 73% in the test group. Mean root coverage was 82.4% in the control group and 85.7% in the test group. Root coverage aesthetic scores of 9.3/10 and 9.4/10 were noted in the control and test group respectively.
Six months post-surgical evaluation showed that minimally invasive coronally advanced tunnel technique with orthodontic buttons and suturing was effective and predictable for the treatment of multiple recession type defects. The clinical outcomes were similar to that of the control group with no statistical difference between the two groups. |
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AbstractList | : The purpose of this trial was to evaluate the outcome of a modification of pin hole surgical technique which consists of a minimally invasive coronally advanced tunnel technique (MI-CAT) with orthodontic buttons and suturing in the treatment of multiple recession type defects.
Twelve systemically healthy patients (79 sites) aged between 22 - 55 years with Miller's Class I and II multiple recession defects were treated with minimally invasive coronally advanced tunnel technique. Thirty-nine sites were randomly assigned to a control group and the other 40 sites to the test group. In the test group, in addition to the MICAT procedure, buttons and suspensory silk sutures were used for the stabilization of the advanced flap. Clinical parameters were assessed at baseline, 3 weeks, 6 weeks and 6 months after surgery.
A total of 79 recessions were treated. Complete root coverage from baseline to 6 months was 56% in the control group and 73% in the test group. Mean root coverage was 82.4% in the control group and 85.7% in the test group. Root coverage aesthetic scores of 9.3/10 and 9.4/10 were noted in the control and test group respectively.
Six months post-surgical evaluation showed that minimally invasive coronally advanced tunnel technique with orthodontic buttons and suturing was effective and predictable for the treatment of multiple recession type defects. The clinical outcomes were similar to that of the control group with no statistical difference between the two groups. |
Author | Divakaran, Remigus Khanna, Divya Babrawala, Irfana S George, Joann Pauline Chakraborty, Pornika Bhardwaj, Smiti |
Author_xml | – sequence: 1 givenname: Divya surname: Khanna fullname: Khanna, Divya organization: Krishnadevaraya College of Dental Sciences, Hunsmaranahalli, International Airport Road, Bangalore, India – sequence: 2 givenname: Joann Pauline surname: George fullname: George, Joann Pauline email: dr.joannpaulinegeorge@gmail.com organization: Krishnadevaraya College of Dental Sciences, Hunsmaranahalli, International Airport Road, Bangalore, India. dr.joannpaulinegeorge@gmail.com – sequence: 3 givenname: Irfana S surname: Babrawala fullname: Babrawala, Irfana S organization: Krishnadevaraya College of Dental Sciences, Hunsmaranahalli, International Airport Road, Bangalore, India – sequence: 4 givenname: Remigus surname: Divakaran fullname: Divakaran, Remigus organization: Private Clinical Practice, Tamil Nadu, India – sequence: 5 givenname: Smiti surname: Bhardwaj fullname: Bhardwaj, Smiti organization: Department of Periodontology, Maulana Azad Institute of Dental Sciences and Hospital, New Delhi, India – sequence: 6 givenname: Pornika surname: Chakraborty fullname: Chakraborty, Pornika organization: Private Clinical Practice, West Bengal, India |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31473728$$D View this record in MEDLINE/PubMed |
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Keywords | root coverage coronally advanced flap Multiple recession type defects tunnel technique minimally invasive aesthetics |
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Title | Treatment of Multiple Gingival Recessions Using a Minimally Invasive Coronally Advanced Tunnel: A Randomized Controlled Clinical Trial |
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