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. 2014 Jun;8(6):ZC04-8.
doi: 10.7860/JCDR/2014/8928.4428. Epub 2014 Jun 20.

Comparison of coronally advanced and semilunar coronally repositioned flap for the treatment of gingival recession

Leela Rani Moka  1 , Ramanarayana Boyapati  2 , Srinivas M  3 , Narasimha Swamy D  4 , Chakrapani Swarna  3 , Madhusudhan Putcha  5
Affiliations

Comparison of coronally advanced and semilunar coronally repositioned flap for the treatment of gingival recession

Leela Rani Moka et al. J Clin Diagn Res. 2014 Jun.

Abstract

Background: Gingival Recession (GR) occurs in population with low oral hygiene levels. Root coverage may be achieved by a number of surgical techniques, including pedicle gingival grafts, free grafts, connective tissue grafts, gtr may also be used. The objective of the present study is to compare the clinical outcomes of the Semilunar Coronally Repositioned Flap (SCRF) and Coronally Advanced Flap (CAF) procedure in the treatment of miller's class I gingival recession defects in maxillary teeth.

Materials and methods: Twenty systemically healthy patients, with isolated miller's class 1 gingival recessions, were selected and allocated randomly into two groups, Group I and Group II with 10 patients in each. In Group I, the patients were treated with coronally advanced flap procedure with sling sutures, whereas in Group II, patients were treated with semilunar coronally repositioned flap without sutures.

Results: Descriptive statistical analysis has been carried out in the present study. RESULTS on continuous measurements are presented on Mean ± SD. Significance is assessed at 5 % level of significance. Student t-test (two tailed, dependent) has been used to find the significance of study parameters between baseline - 3 months and baseline - 6 months, 90% Confidence interval for mean has been computed.

Conclusion: CAF provides consistently better results than SCRF With all other parameters, such as clinical attachment levels, percentage of root coverage and complete root coverage and esthetics were taken into account, caf was found to be superior. In contrary to this, there is significant increase in width of keratinized tissue in scrf group.

Keywords: Coronally advanced flap; Esthetics; Gingival recession; Root coverage; Semilunar coronally repositioned flap.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Pre-operative picture for Group I
[Table/Fig-2]:
[Table/Fig-2]:
Pre-operative picture for Group II
[Table/Fig-3]:
[Table/Fig-3]:
Horizontal and vertical incisions were given
[Table/Fig-4]:
[Table/Fig-4]:
Split-Full-Split Thickness flap is elevated
[Table/Fig-5]:
[Table/Fig-5]:
Flap advanced coronally and sutured
[Table/Fig-6]:
[Table/Fig-6]:
Partial thickness flap is advanced coronally without sutures
[Table/Fig-7]:
[Table/Fig-7]:
6- months post -operative for Group-I
[Table/Fig-8]:
[Table/Fig-8]:
6- months post -operative for Group-II
See this image and copyright information in PMC

References

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