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

Martina Stefanini, Karin Jepsen, Massimo de Sanctis, Nicola Baldini, Björn Greven, Bernd Heinz, Jan Wennström, Björn Cassel, Fabio Vignoletti, Mariano Sanz, Søren Jepsen, Giovanni Zucchelli

Research output: Contribution to journalArticle

Abstract

Aim: To assess patient-reported outcome measures (PROMs), aesthetics and stability of root coverage procedures from a previous 6-month RCT after 1 year. 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 3.02 mm) than in controls (from 2.00 to 2.64 mm) (p = 0.0413). Likewise, test sites showed more gain in gingival thickness (0.52 mm) than control sites (0.27 mm) (p = 0.0023). Compared to 6 months, 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.

Original languageEnglish
Pages (from-to)1132-1141
Number of pages10
JournalJournal of Clinical Periodontology
Volume43
Issue number12
DOIs
Publication statusPublished - Dec 1 2016

Keywords

  • aesthetics
  • collagen (matrix)
  • gingival recession
  • keratinized tissue
  • patient-centred outcomes
  • patient-reported outcomes
  • root coverage
  • tissue regeneration
  • xenograft

ASJC Scopus subject areas

  • Periodontics

Fingerprint Dive into the research topics of 'Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial'. Together they form a unique fingerprint.

  • Cite this

    Stefanini, M., Jepsen, K., de Sanctis, M., Baldini, N., Greven, B., Heinz, B., Wennström, J., Cassel, B., Vignoletti, F., Sanz, M., Jepsen, S., & Zucchelli, G. (2016). Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial. Journal of Clinical Periodontology, 43(12), 1132-1141. https://doi.org/10.1111/jcpe.12626