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J Clin Periodontol ; 42(1): 54-61, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25363203

ABSTRACT

BACKGROUND: To evaluate the treatment of gingival recession with a connective tissue graft (CTG) alone or in combination with low-level laser therapy (CTG + L). METHODS: Forty patients presenting 40 Miller Class I and II gingival recessions were included. The defects were randomly assigned to receive either CTG (n = 20) or CTG + L (n = 20). A diode laser (660 nm) was applied to the test sites immediately after surgery and every other day for 7 days (eight applications). RESULTS: The mean percentage of root coverage was 91.9% for the test group and 89.48% for the control group after 6 months (p > 0.05). The test group presented more complete root coverage (n = 13, 65%) than the control group (n = 7, 35%) (p = 0.04). Dentine sensitivity decreased significantly after 6 months in both groups (p < 0.001). The two groups showed improvement in aesthetics at the end of treatment. CONCLUSIONS: Low-level laser therapy may increase the percentage of complete root coverage when associated with CTG.


Subject(s)
Gingiva/transplantation , Gingival Recession/surgery , Low-Level Light Therapy/methods , Adult , Bicuspid/radiation effects , Bicuspid/surgery , Combined Modality Therapy , Connective Tissue/transplantation , Cuspid/radiation effects , Cuspid/surgery , Dental Plaque Index , Dentin Sensitivity/prevention & control , Double-Blind Method , Esthetics, Dental , Female , Follow-Up Studies , Gingival Recession/classification , Gingival Recession/radiotherapy , Humans , Lasers, Semiconductor/therapeutic use , Male , Middle Aged , Pain Measurement/methods , Pain, Postoperative/etiology , Periodontal Attachment Loss/classification , Periodontal Index , Periodontal Pocket/classification , Tooth Root/radiation effects , Tooth Root/surgery , Treatment Outcome
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