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ORIGINAL ARTICLE
Year : 2018  |  Volume : 9  |  Issue : 4  |  Page : 613-618

Comparative evaluation of treatment of localized gingival recessions with coronally advanced flap using microsurgical and conventional techniques


1 Department of Periodontics, Karnavati School of Dentistry, Gandhinagar, Gujarat, India
2 Department of Conservative and Endodontics, Karnavati School of Dentistry, Gandhinagar, Gujarat, India

Correspondence Address:
Dr. Surabhi Joshi
C/204, Sepal Exotica, Thaltej, Ahmedabad - 380 059, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ccd.ccd_571_18

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Background: Coverage of gingival recession is a very precision-oriented procedure. Employment of operating microscope has proved to be a boon in various surgical procedures and therefore can have positive benefits on the outcome of a procedure. Aim: The aim of this study is to find out whether the use of an operating microscope in the surgical treatment of Millers Class I and Class II gingival recession defects could improve the outcome in terms of root coverage and final tissue appearance compared to those done by the conventional technique. Materials and Methods: This clinical study was carried out on ten patients with the presence of bilateral isolated gingival recession classified as Miller's Class I or Class II recession defect. The split-mouth design was used where coronally advanced flap with the placement of platelet-rich fibrin was done in defects in test (microsurgical) and control (conventional) groups. Various clinical parameters were recorded at baseline and then postoperatively at 3-months and 6-month intervals. Results: The visual analog scale scores showed a statistically significant difference between scores while all other parameters had no statistically significant difference in intergroup comparison after 3 and 6 months. Conclusion: While microscope permitted less traumatic and minimally invasive procedure, both groups showed convincing improvement in clinical parameters.


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