title: A comparative evaluation of the effectiveness of subpedicle acellular dermal matrix allograft with subepithelial connective tissue graft in the treatment of isolated marginal tissue recession: A clinical study.
abstract: BACKGROUND
  The most common problem encountered in our day to day practice is exposed root surface or a tooth getting long. The main indication for root coverage procedures are esthetics and/or cosmetic demands followed by the management of root hypersensitivity, root caries or when it hampers proper plaque removal. Over the years, various techniques have been used to achieve root coverage.
  
  
  OBJECTIVE
  The aim of this study was to compare the effectiveness of subpedicle acellular dermal matrix allograft (ADMA) with subepithelial connective tissue graft (SCTG) in the treatment of isolated marginal tissue recession.
  
  
  METHODS
  Twenty systemically healthy patients aged between 18 to 50 years (mean age29.7±4.35 years) with a recession defect on the labial and the buccal surfaces of any teeth were selected for the study. Ten patients received the test treatment (ADMA), ten patients received the control treatment (SCTG). Clinical recordings assessed at baseline, three months and six months post surgery, included Plaque index (PI), Papillary bleeding index (PBI), Gingival recession (REC), Probing pocket depth (PPD), Clinical attachment level (CAL) and Width of keratinized gingival (WKG).
  
  
  RESULTS
  Test group (ADMA) showed 86.93% mean root coverage while control group (SCTG) showed 84.72% at six months post surgery. Mean increase in the width of keratinized gingiva was significantly greater in the SCTG group (3.3±0.48mm) compared to ADMA group (2.4±0.51mm).
  
  
  CONCLUSIONS
  Both the treatment produced a significant reduction in gingival recession and probing pocket depth and significant gain in clinical attachment level and width of keratinised gingiva.
authors: Department of Periodontics, VSPMs Dental College and Research Centre, Nagpur, India.
authors: Tony
authors: T
authors: Shori
authors: Abhay
authors: A
authors: Kolte
authors: Vishal
authors: V
authors: Kher
authors: Swarup
authors: S
authors: Dharamthok
authors: Tushar
authors: T
authors: Shrirao
keywords: Acellular dermal matrix allograft; gingival recession; subepithelial connective tissue graft
references: J Periodontol. 2001 Feb;72(2):265-73
references: 11288802
references: J Periodontol. 1985 Dec;56(12):715-20
references: 3866056
references: J Periodontol. 2004 May;75(5):734-43
references: 15212356
references: J Periodontal Res. 1975 Feb;10(1):1-11
references: 124329
references: J Periodontol. 2000 Aug;71(8):1297-305
references: 10972645
references: Int J Periodontics Restorative Dent. 2000 Feb;20(1):51-9
references: 11203548
references: J Periodontol. 1998 Nov;69(11):1305-11
references: 9848542
references: J Prosthet Dent. 1980 Oct;44(4):363-7
references: 6931898
references: J Periodontol. 2001 Aug;72(8):998-1005
references: 11525450