Evaluation of Collagen Matrix as a Treatment Modality for Class II Miller Classification Gingival Recession (Randomized Controlled Clinical Trial)
Abstract
- Purpose: To clinically evaluate the efficiency of Collagen Matrix for root coverage using Mucograft combined with Coronally Advanced Flap (CAF) versus Coronally Advanced Flap alone for treatment of Class II Miller gingival recession.
- Materials and methods: The study design is a randomized controlled clinical trial (split mouth design). Ten participants selected from Beirut Arab University Department of Surgical Sciences, Division of Periodontology seeking root coverage due to bilateral premolar class II (Miller Classification) gingival recession. The 10 participants with 20 sites according to miller class II classification were randomly assigned into two groups. Group I (test) includes 10 sites with Class II Miller gingival recession that will be treated with Mucograft and Coronally Advanced Flap. Group II (control) includes 10 sites with Class II Miller gingival recession will be treated with Coronally Advanced Flap alone. Recordings of the Plaque Index, Gingival Index, Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), Recession Depth & Width (RD, RW), Width of Keratinized Tissues (WKT), Percentage of root coverage, and Gingival Biotype were taken at baseline, 3 months, and 6 months post surgically. - Results: The study showed that the clinical variables tested improved throughout the study period in both the test and control sites, however the gingival biotype was in favor of the test sites. - Conclusion: The use of the mucograft with a partial thickness flap as a treatment modality for root coverage provides a significant approach for decreasing recession depth and width, increase in the width of the keratinized tissue as well as gingival thickening in Millers class II gingival recession.
Student(s)
Omar Issam Itani
Supervisor(s)
Prof. Nahed Attia and Assist. Prof. Mohamed Shokry