Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1902/jop.2017.170127 http://hdl.handle.net/11449/220973 |
Resumo: | Background: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetic dissatisfaction. The aim is to evaluate the effect of root coverage procedure with a xenogenous collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with a coronally advanced flap (CAF) on CDH, esthetics, and oral health-related quality of life (OHRQoL) of patients with GR. Methods: Sixty-eight participants with single Miller Class I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17), and CAF + CM + EMD (n = 17). CDH was assessed by evaporative stimuli using a visual analog scale (VAS) and a Schiff scale. Esthetics outcome was assessed with VAS and the Questionnaire of Oral Esthetic Satisfaction. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to assess OHRQoL. All parameters were evaluated at baseline and after 6 months. Results: Intragroup analysis showed statistically significant reduction in CDH and esthetic dissatisfaction with no intergroup significant differences (P >0.05). The impact of oral health on QoL after 6 months was significant for CAF + CM, CAF + EMD, and CAF + CM + EMD (P <0.05). Total OHIP-14 score and psychologic discomfort, psychologic disability, social disability, and handicap dimensions showed negative correlation with esthetics. OHIP-14 physical pain dimension had positive correlation with CDH (P <0.05). OHIP-14 showed no correlation with percentage of root coverage, keratinized tissue width, or keratinized tissue thickness (P >0.05). Conclusion: Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD. |
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spelling |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomesDentin sensitivityEsthetics, dentalGingival recessionQuality of lifeSurgery, oralBackground: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetic dissatisfaction. The aim is to evaluate the effect of root coverage procedure with a xenogenous collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with a coronally advanced flap (CAF) on CDH, esthetics, and oral health-related quality of life (OHRQoL) of patients with GR. Methods: Sixty-eight participants with single Miller Class I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17), and CAF + CM + EMD (n = 17). CDH was assessed by evaporative stimuli using a visual analog scale (VAS) and a Schiff scale. Esthetics outcome was assessed with VAS and the Questionnaire of Oral Esthetic Satisfaction. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to assess OHRQoL. All parameters were evaluated at baseline and after 6 months. Results: Intragroup analysis showed statistically significant reduction in CDH and esthetic dissatisfaction with no intergroup significant differences (P >0.05). The impact of oral health on QoL after 6 months was significant for CAF + CM, CAF + EMD, and CAF + CM + EMD (P <0.05). Total OHIP-14 score and psychologic discomfort, psychologic disability, social disability, and handicap dimensions showed negative correlation with esthetics. OHIP-14 physical pain dimension had positive correlation with CDH (P <0.05). OHIP-14 showed no correlation with percentage of root coverage, keratinized tissue width, or keratinized tissue thickness (P >0.05). Conclusion: Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD.Department of Prosthesis and Periodontology Division of Periodontics Piracicaba Dental School State University of Campinas, Avenida Limeira, 901-Areião, PO Box 52Department of Diagnosis and Surgery Division of Periodontics State University of São Paulo CampusUniversidade Estadual de Campinas (UNICAMP)Universidade de São Paulo (USP)Dos Santos, Manuela RochaSangiorgio, João Paulo MenckDa Silva Neves, Felipe LucasFrança-Grohmann, Isabela LimaNociti, Francisco HumbertoRuiz, Karina Gonzales SilverioSantamaria, Mauro PedrineSallum, Enilson Antonio2022-04-28T19:07:09Z2022-04-28T19:07:09Z2017-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1319-1328http://dx.doi.org/10.1902/jop.2017.170127Journal of Periodontology, v. 88, n. 12, p. 1319-1328, 2017.0022-3492http://hdl.handle.net/11449/22097310.1902/jop.2017.1701272-s2.0-85035327587Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Periodontologyinfo:eu-repo/semantics/openAccess2022-04-28T19:07:09Zoai:repositorio.unesp.br:11449/220973Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T13:39:45.460351Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
title |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
spellingShingle |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes Dos Santos, Manuela Rocha Dentin sensitivity Esthetics, dental Gingival recession Quality of life Surgery, oral |
title_short |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
title_full |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
title_fullStr |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
title_full_unstemmed |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
title_sort |
Xenogenous collagen matrix and/or enamel matrix derivative for treatment of localized Gingival recessions: A randomized clinical trial. Part II: Patient-reported outcomes |
author |
Dos Santos, Manuela Rocha |
author_facet |
Dos Santos, Manuela Rocha Sangiorgio, João Paulo Menck Da Silva Neves, Felipe Lucas França-Grohmann, Isabela Lima Nociti, Francisco Humberto Ruiz, Karina Gonzales Silverio Santamaria, Mauro Pedrine Sallum, Enilson Antonio |
author_role |
author |
author2 |
Sangiorgio, João Paulo Menck Da Silva Neves, Felipe Lucas França-Grohmann, Isabela Lima Nociti, Francisco Humberto Ruiz, Karina Gonzales Silverio Santamaria, Mauro Pedrine Sallum, Enilson Antonio |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual de Campinas (UNICAMP) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Dos Santos, Manuela Rocha Sangiorgio, João Paulo Menck Da Silva Neves, Felipe Lucas França-Grohmann, Isabela Lima Nociti, Francisco Humberto Ruiz, Karina Gonzales Silverio Santamaria, Mauro Pedrine Sallum, Enilson Antonio |
dc.subject.por.fl_str_mv |
Dentin sensitivity Esthetics, dental Gingival recession Quality of life Surgery, oral |
topic |
Dentin sensitivity Esthetics, dental Gingival recession Quality of life Surgery, oral |
description |
Background: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetic dissatisfaction. The aim is to evaluate the effect of root coverage procedure with a xenogenous collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with a coronally advanced flap (CAF) on CDH, esthetics, and oral health-related quality of life (OHRQoL) of patients with GR. Methods: Sixty-eight participants with single Miller Class I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17), and CAF + CM + EMD (n = 17). CDH was assessed by evaporative stimuli using a visual analog scale (VAS) and a Schiff scale. Esthetics outcome was assessed with VAS and the Questionnaire of Oral Esthetic Satisfaction. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to assess OHRQoL. All parameters were evaluated at baseline and after 6 months. Results: Intragroup analysis showed statistically significant reduction in CDH and esthetic dissatisfaction with no intergroup significant differences (P >0.05). The impact of oral health on QoL after 6 months was significant for CAF + CM, CAF + EMD, and CAF + CM + EMD (P <0.05). Total OHIP-14 score and psychologic discomfort, psychologic disability, social disability, and handicap dimensions showed negative correlation with esthetics. OHIP-14 physical pain dimension had positive correlation with CDH (P <0.05). OHIP-14 showed no correlation with percentage of root coverage, keratinized tissue width, or keratinized tissue thickness (P >0.05). Conclusion: Root coverage procedures improve patient OHRQoL by impacting on a wide range of dimensions, perceived after reduction of CDH and esthetic dissatisfaction of patients with GRs treated with CAF + CM, CAF + EMD, and CAF + CM + EMD. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 2022-04-28T19:07:09Z 2022-04-28T19:07:09Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1902/jop.2017.170127 Journal of Periodontology, v. 88, n. 12, p. 1319-1328, 2017. 0022-3492 http://hdl.handle.net/11449/220973 10.1902/jop.2017.170127 2-s2.0-85035327587 |
url |
http://dx.doi.org/10.1902/jop.2017.170127 http://hdl.handle.net/11449/220973 |
identifier_str_mv |
Journal of Periodontology, v. 88, n. 12, p. 1319-1328, 2017. 0022-3492 10.1902/jop.2017.170127 2-s2.0-85035327587 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Periodontology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1319-1328 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128260810211328 |