Evaluation of effectiveness of acellular dermal matrix allograft and subepithelial connective tissue graft in combination with coronally positioned flap in treatment of mutiple gingival recession in aesthetic areas: A case series.

ABSTRACT

Obtaining predictable and aesthetic root coverage has become an important part of periodontal therapy. Several techniques have been developed to achieve these goals with variable out comes. The aim of this case series was to evaluate the effectiveness of Acellular Dermal Matrix Allograft (ADMA) and Subepithelial Connective Tissue Graft (SCTG) in combination with Coronally Positioned Flap (CPF) in the treatment of Miller’s class I and II multiple gingival recession in aesthetic areas. A total of 10 patients aged between 18 to 40 years were selected for this study, meeting all the criteria for inclusion. Five patients were treated with ADMA and 5 patients with SCTG in combination with CPF. Various clinical parameters were assessed viz. probing pocket depth (PPD), clinical attachment level (CAL), gingival recession (GR), width of keratinized tissue (WKT) at base line and 6 months after surgery. No significant differences in gingival recession, reduction were noted between ADMA and gold standard SCTG. Within limits of this case series, the use of ADMA may represent an acceptable alternative to the SCTG for treating gingival recession. The use of ADMA eliminates the need for the palatal donor site and it involves a less invasive surgery for treating multiple gingival recession. These results suggest that ADMA may be a useful substitute for SCTG to achieve predictable root coverage.