Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial

Background. This study was conducted to compare the pain levels in patients and the clinical efficacy of grafts obtained using two techniques, namely de-epithelialized gingival graft (DGG) and subepithelial connective tissue graft (SCTG), in combination with coronally advanced flap (CAF) for the tre...

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Main Authors: Amine Beymouri, Siamak Yaghobee, Afshin Khorsand, Yaser Safi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2023-12-01
Series:Journal of Advanced Periodontology and Implant Dentistry
Subjects:
Online Access:https://japid.tbzmed.ac.ir/PDF/japid-15-108.pdf
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author Amine Beymouri
Siamak Yaghobee
Afshin Khorsand
Yaser Safi
author_facet Amine Beymouri
Siamak Yaghobee
Afshin Khorsand
Yaser Safi
author_sort Amine Beymouri
collection DOAJ
description Background. This study was conducted to compare the pain levels in patients and the clinical efficacy of grafts obtained using two techniques, namely de-epithelialized gingival graft (DGG) and subepithelial connective tissue graft (SCTG), in combination with coronally advanced flap (CAF) for the treatment of multiple adjacent gingival recessions. Methods. Twelve patients were treated using DGG+CAF on one side and SCTG+CAF on the other. The patients’ pain levels at the surgical site, the number of analgesics taken on days 3 and 7, the mean root coverage (MRC), the percentage of complete root coverage (CRC), color match, and gingival thickness (GT) at the graft recipient site were evaluated 6 months after surgery. Results. The total number of analgesics taken during the 7-day period after surgery and pain levels at the surgical site from day 3 to day 7 were significantly higher in the DGG+CAF group compared to the SCTG+CAF group (P=0.001). In the 6-month follow-up, color match and CRC were significantly higher in the SCTG+CAF group, while GT was significantly higher in the DGG+CAF group. There was no significant difference in MRC between the two groups. Conclusion. The pain and analgesic consumption levels were higher in the DGG+CAF group compared to the SCTG+CAF group, and the recipient site had a weaker color match. However, this technique can lead to a greater increase in the thickness of the grafted area.
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spelling doaj-art-828c02a66e3f41e891cb4b8a87e081a92024-12-11T06:02:35ZengTabriz University of Medical SciencesJournal of Advanced Periodontology and Implant Dentistry2645-53902023-12-0115210811610.34172/japid.2023.016japid-3357Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trialAmine Beymouri0Siamak Yaghobee1Afshin Khorsand2Yaser Safi3Department of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDepartment of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDepartment of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDepartment of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranBackground. This study was conducted to compare the pain levels in patients and the clinical efficacy of grafts obtained using two techniques, namely de-epithelialized gingival graft (DGG) and subepithelial connective tissue graft (SCTG), in combination with coronally advanced flap (CAF) for the treatment of multiple adjacent gingival recessions. Methods. Twelve patients were treated using DGG+CAF on one side and SCTG+CAF on the other. The patients’ pain levels at the surgical site, the number of analgesics taken on days 3 and 7, the mean root coverage (MRC), the percentage of complete root coverage (CRC), color match, and gingival thickness (GT) at the graft recipient site were evaluated 6 months after surgery. Results. The total number of analgesics taken during the 7-day period after surgery and pain levels at the surgical site from day 3 to day 7 were significantly higher in the DGG+CAF group compared to the SCTG+CAF group (P=0.001). In the 6-month follow-up, color match and CRC were significantly higher in the SCTG+CAF group, while GT was significantly higher in the DGG+CAF group. There was no significant difference in MRC between the two groups. Conclusion. The pain and analgesic consumption levels were higher in the DGG+CAF group compared to the SCTG+CAF group, and the recipient site had a weaker color match. However, this technique can lead to a greater increase in the thickness of the grafted area.https://japid.tbzmed.ac.ir/PDF/japid-15-108.pdfclinical efficacyde-epithelialized gingival graftsplit-mouthsubepithelial connective tissue grafttrap doorultrasonography
spellingShingle Amine Beymouri
Siamak Yaghobee
Afshin Khorsand
Yaser Safi
Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
Journal of Advanced Periodontology and Implant Dentistry
clinical efficacy
de-epithelialized gingival graft
split-mouth
subepithelial connective tissue graft
trap door
ultrasonography
title Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
title_full Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
title_fullStr Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
title_full_unstemmed Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
title_short Comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate: A randomized clinical trial
title_sort comparison of morbidity at the donor site and clinical efficacy at the recipient site between two different connective tissue graft harvesting techniques from the palate a randomized clinical trial
topic clinical efficacy
de-epithelialized gingival graft
split-mouth
subepithelial connective tissue graft
trap door
ultrasonography
url https://japid.tbzmed.ac.ir/PDF/japid-15-108.pdf
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