title: Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial.
abstract: The aim of this study was to analyze the transplant efficiency of non-pedicled buccal fat pad graft (BFPG) for the treatment of Miller Class I or II gingival recessions (GRs) and to compare these results with those of subepithelial connective tissue graft (SCTG), which is considered the gold standard. Twelve patients with Miller Class I or II (≥2 mm) bilateral recessions in maxillary premolars or canines were selected. Recessions were randomly assigned to receive SCTG or BFPG. The clinical parameters evaluated at baseline and at 1, 3, and 6 months postoperatively included gingival index, plaque index, probing depth, GR, clinical attachment level, width of keratinized tissue, thickness of keratinized tissue and gingival margin to the acrylic guide. None of the evaluated clinical parameters differed significantly between the groups. At all evaluated postoperative time-points, both groups exhibited statistically significant differences in GR and gingival margin to the acrylic guide compared to baseline. Six months after surgery, the mean percentages of root coverage were 67.5% and 87.5% in the BFPG and SCTG groups respectively. In both groups, complete root coverage was observed in 50% of cases 6 months after surgery. The results presented herein indicate that the use of BFPG transplant has clinical similarities with SCTG and both may be considered as clinically successful methods for treating Miller Class I and II GRs.
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: Tatiana Miranda
authors.initials: TM
authors.lastname: Deliberador
authors.affiliation: Private Pratice, Curitiba, PR, Brazil.
authors.forename: Claudia Tenório
authors.initials: CT
authors.lastname: Trevisani
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: Carmen Lucia Mueller
authors.initials: CL
authors.lastname: Storrer
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: Felipe Rychuv
authors.initials: FR
authors.lastname: Santos
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: João César
authors.initials: JC
authors.lastname: Zielak
authors.affiliation: Professor, Positivo University, Curitiba, PR, Brazil.
authors.forename: Celso Bernardo
authors.initials: CB
authors.lastname: de Souza Filho
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: Edson
authors.initials: E
authors.lastname: Alfredo
authors.affiliation: Graduate Program in Dentistry, Positivo University, Curitiba, PR, Brazil.
authors.forename: Allan Fernando
authors.initials: AF
authors.lastname: Giovanini
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D002610:Cheek; D005889:Gingival Recession / Q000601:surgery*; D006801:Humans