title: Analysis of patient acceptance following treatment of Miller's class II gingival recession with acellular dermal matrix and connective tissue graft.
abstract: OBJECTIVE
  Obtaining predictable and aesthetic root coverage has become an important part of periodontal therapy. The search for the appropriate root coverage techniques has resulted in many different approaches. The goal of this study was to evaluate the degree of patient acceptance with acellular dermal matrix (ADM) allograft in the treatment of buccal gingival recession and to compare it with subepithelial connective tissue graft.
  
  
  METHODS
  Thirty patients with Miller's class II recessions were treated and randomly assigned to the test group (ADM) and control group (subepithelial connective tissue graft). All patients underwent full periodontal evaluation and pre-surgical preparation, including oral hygiene instructions and scaling and root planing. The exposed roots were thoroughly planed and covered by a graft without any further root treatment. Results were evaluated based on the parameters measuring patient satisfaction and clinical outcome after 6 months of the surgical procedure.
  
  
  RESULTS
  Postoperatively, significant root coverage, reduction in probing depth, gain in clinical attachment level, and increase in widths of keratinized tissue and attached gingiva were observed on intra-group comparison. There was no significant difference in any of the parameters between test and control groups.
  
  
  CONCLUSIONS
  The subepithelial connective tissue graft and ADM graft were able to successfully treat gingival recession defects; however, the ADM showed better patient acceptance than the connective tissue graft.
authors.affiliation: Department of Periodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India.
authors.forename: Niti
authors.initials: N
authors.lastname: Goyal
authors.affiliation: Department of Periodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India.
authors.forename: Rajan
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Department of Periodontics, DAV Centenary Dental College and Hospital, Yamuna Nagar, Haryana, India.
authors.forename: Nymphea
authors.initials: N
authors.lastname: Pandit
authors.affiliation: Department of Periodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India.
authors.forename: Parveen
authors.initials: P
authors.lastname: Dahiya
keywords: Acellular dermal matrix graft; Miller's class II recession; gingival recession; subepithelial connective tissue graft