Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial

• Aim: To assess patient-reported outcome measures (PROMs), aesthetics and stability of root coverage procedures from a previous 6-month RCT after 1year. Material & Methods: Forty-five patients (90 recessions) had received a coronally advanced flap (CAF=control) only or a xenogeneic collagen matrix in addition (CAF+CMX=test). Visual analogue scales (VAS) and questionnaires were used for PROMs and the root coverage aesthetic score (RES) for professional aesthetic evaluations. Results: VAS scores (patient satisfaction) amounted to 8.58±1.86 (test) versus 8.38±2.46 (control). Six patients preferred CAF+CMX concerning surgical procedure and aesthetics, six preferred CAF and 29 were equally satisfied. RES was 7.85±2.42 for the test group versus 7.34±2.90 for the controls. Root coverage (RC) was 76.28% for test and 75.05% for control defects. The mean increase in keratinized tissue width was higher in test (from 1.97 to 3.02mm) than in controls (from 2.00 to 2.64 mm) (p=0.0413). Likewise, test sites showed more gain in gingival thickness (0.52mm) than control sites (0.27mm) (p=0.0023). Compared to 6months, clinical outcomes were stable. Conclusions: Results for PROMs, RES and RC did not significantly differ between treatment groups. Thickness and width of keratinized tissue were enhanced following CAF+CMX compared to CAF alone. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

aesthetics

collagen (matrix)

gingival recession

keratinized tissue

patient-centred outcomes

patient-reported outcomes

root coverage

tissue regeneration

xenograft

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)