title: Microsurgical Instruments in Laterally Moved, Coronally Advanced Flap for Miller Class III Isolated Recession Defects: A Randomized Controlled Clinical Trial.
abstract: The aim of this study was to evaluate the laterally moved coronally advanced flap (LMCAF) technique in which magnified vision was used in conjunction with microsurgical instruments (LMCAF-M), and to compare the results with conventional LMCAF technique (LMCAF-C) in Miller Class III isolated recession-type defects. A total of 50 patients with recessions located at incisors and canines were treated with LMCAF-M or LMCAF-C. Outcome parameters (complete root coverage [CRC] and mean root coverage [MRC]) were assessed 6 months postoperatively. Of the 25 defects in each group, 13 in the LMCAF-M (92.0%) and 17 in the LMCAF-C group (68.0%) exhibited CRC (P < .007). MRC scores were 90.48% for the LMCAF-C group and 97.64% for the LMCAF-M group (P < .04). Patient satisfaction with esthetics and postoperative morbidity were better in the LMCAF-M group (P < .032). This study indicates that performing LMCAF with microsurgical instruments offers definite advantages in terms of CRC and MRC, decreased postoperative morbidity, and increased acceptance by patients.
authors.forename: Onur
authors.initials: O
authors.lastname: Ucak
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozcan
authors.forename: Gulsah
authors.initials: G
authors.lastname: Seydaoglu
authors.forename: M Cenk
authors.initials: MC
authors.lastname: Haytac
mesh_terms: D000328:Adult; D003481:Cuspid; D004955:Esthetics, Dental; D005260:Female; D005889:Gingival Recession / Q000145:classification / Q000601:surgery*; D005893:Gingivoplasty / Q000295:instrumentation*; D006801:Humans; D007180:Incisor; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D017060:Patient Satisfaction; D013524:Surgical Flaps; D016896:Treatment Outcome