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The American Journal of Esthetic Dentistry

Edited by Richard J. Simonsen, DDS, MS

ISSN 2162-2833 (print) • ISSN 2162-2841 (online)

The American Journal of Esthetic Dentistry
Winter 2013
Volume 3 , Issue 4

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Effect of Root Coverage on Esthetics and Periodontal Status: A Clinical Investigation

Dhelfeson Willya Douglas de Oliveira, DDS, MSc / Ivan Cândido Aguiar-Cantuária, DDS / Daniel Pedro Marques, DDS / Olga Dumont Flecha, DDS, MSc, PhD/ Patricia Furtado Gonçalves, DDS, MSc, PhD

Pages: 234-246
DOI: 10.11607/ajed.0072

The aim of this study was to evaluate the effect of root coverage on esthetics and periodontal parameters in patients with Miller Class I gingival recessions. Twenty-five gingival recessions in maxillary canines and premolars were treated with a coronally advanced flap and connective tissue graft. Gingival recession, keratinized gingiva, clinical attachment level, and Gingival Index were evaluated at baseline and 3 months after treatment. The esthetics were assessed by the patients following surgery. Quality of life was evaluated using the Oral Health Impact Profile-14 (OHIP-14). All patients scored the esthetic result as satisfactory or better. The mean root coverage was 67.90%. Full root coverage was achieved in 11 cases. Statistically significant differences were observed before and after treatment for the periodontal parameters. There was a significant correlation between the OHIP-14 scores and esthetics. Within the limitations of this study, it can be concluded that root coverage improves esthetics and clinical periodontal parameters.

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