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Type: Artigo de periódico
Title: Coronally Positioned Flap For Root Coverage: Poorer Outcomes In Smokers.
Author: Silva, Cléverson Oliveira
Sallum, Antônio Wilson
de Lima, Antônio Fernando Martorelli
Tatakis, Dimitris N
Abstract: Gingival recession is significantly more common among smokers, while the relative outcome of various root coverage procedures in smokers, compared to non-smokers, is debatable. The objective of this study was to evaluate the influence of cigarette smoking on the outcome of coronally positioned flap (CPF) in the treatment of Miller Class I gingival recession defects. Ten current smokers (> or = 10 cigarettes daily for at least 5 years) and 10 non-smokers (never smokers), each with one 2- to 3-mm Miller Class I recession defect in an upper canine or bicuspid, were treated with CPF. At baseline and 6 months, clinical parameters, probing depth (PD), clinical attachment level (CAL), recession depth (RD), and apico-coronal width of keratinized tissue (KT) were determined. Intragroup analysis showed that CPF was able to reduce RD and improve CAL in both groups (P <0.05). Intergroup analysis demonstrated that smokers presented greater residual RD at 6 months and lower percentage of root coverage (69.3% versus 91.3%; P <0.05). No smokers obtained complete root coverage compared to 50% of non-smokers (P <0.05). Within the limits of the present study, it can be concluded that CPF provides benefits for both smokers and non-smokers in terms of root coverage of shallow Miller Class I recession defects. However, cigarette smoking negatively impacts the clinical outcomes, specifically residual recession, percent root coverage, and frequency of complete root coverage.
Subject: Adult
Follow-up Studies
Gingival Recession
Middle Aged
Periodontal Attachment Loss
Periodontal Pocket
Surgical Flaps
Tooth Cervix
Tooth Root
Treatment Outcome
Citation: Journal Of Periodontology. v. 77, n. 1, p. 81-7, 2006-Jan.
Rights: fechado
Identifier DOI: 10.1902/jop.2006.77.1.81
Date Issue: 2006
Appears in Collections:Unicamp - Artigos e Outros Documentos

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