title: Comparison of periosteal pedicle graft and subepithelial connective tissue graft for the treatment of gingival recession defects.
abstract: BACKGROUND
  The use of periosteum as a pedicle graft in the treatment of gingival recession defects is a recent advancement. The subepithelial connective tissue graft (SCTG) is considered the gold standard for the treatment of gingival recession defects. The present randomized controlled trial was done to compare periosteal pedicle graft (PPG) with SCTG for the treatment of gingival recession defects.
  
  
  METHODS
  10 males and 10 females between the ages of 16 and 40 years (mean age 25.2 years) with Miller's Class I and II recessions ≥3 mm participated in this one-year clinical study. They were assigned randomly to test group (PPG) and control group (SCTG). Results were evaluated based on parameters measuring patient satisfaction and clinical outcomes associated with two treatment procedures. Significance was set at p < 0.05.
  
  
  RESULTS
  At the end of the study, the defect coverage was 3.1 ± 0.13 mm or 92.6% in the test group compared to the control group in which the defect coverage was 2.70 ± 0.11 mm or 88.5%. The difference between the two groups was statistically significant (p < 0.0001). The average residual defect was comparable between the two groups, i.e. 0.3 ± 0.67 and 0.5 ± 0.84 in the PPG and SCTG group respectively. The test group was rated higher in terms of overall patient satisfaction (p < 0.02) and comfort during and after the procedure (p < 0.001).
  
  
  CONCLUSIONS
  PPG and SCTG have comparable clinical effectiveness, but PPG is superior to SCTG in terms of patient-centred outcomes, reflecting improved patient comfort and overall patient satisfaction.
authors.affiliation: Department of Periodontics, Himachal Pradesh Government Dental College and Hospital, Shimla, India. julius05@rediffmail.com
authors.forename: A
authors.initials: A
authors.lastname: Mahajan
authors.forename: A
authors.initials: A
authors.lastname: Bharadwaj
authors.forename: P
authors.initials: P
authors.lastname: Mahajan
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D003238:Connective Tissue / Q000637:transplantation*; D005260:Female; D058752:Free Tissue Flaps; D005889:Gingival Recession / Q000601:surgery*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010521:Periosteum / Q000601:surgery*; D016037:Single-Blind Method; D016896:Treatment Outcome; D055815:Young Adult