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Coronally advanced flap versus tunnel technique for the treatment of peri-implant soft tissue dehiscences with the connective tissue graft: A randomized, controlled clinical trial
dc.contributor.authorTavelli, Lorenzo
dc.contributor.authorMajzoub, Jad
dc.contributor.authorKauffmann, Frederic
dc.contributor.authorRodriguez, Maria Vera
dc.contributor.authorMancini, Leonardo
dc.contributor.authorChan, Hsun-Liang
dc.contributor.authorKripfgans, Oliver D.
dc.contributor.authorGiannobile, William V.
dc.contributor.authorWang, Hom-Lay
dc.contributor.authorBarootchi, Shayan
dc.date.accessioned2023-07-14T13:55:31Z
dc.date.available2024-08-14 09:55:25en
dc.date.available2023-07-14T13:55:31Z
dc.date.issued2023-07
dc.identifier.citationTavelli, Lorenzo; Majzoub, Jad; Kauffmann, Frederic; Rodriguez, Maria Vera; Mancini, Leonardo; Chan, Hsun-Liang ; Kripfgans, Oliver D.; Giannobile, William V.; Wang, Hom-Lay ; Barootchi, Shayan (2023). "Coronally advanced flap versus tunnel technique for the treatment of peri- implant soft tissue dehiscences with the connective tissue graft: A randomized, controlled clinical trial." Journal of Clinical Periodontology 50(7): 980-995.
dc.identifier.issn0303-6979
dc.identifier.issn1600-051X
dc.identifier.urihttps://hdl.handle.net/2027.42/177233
dc.description.abstractAimTo evaluate the efficacy of coronally advanced flap (CAF) versus tunnel technique (TUN) in covering isolated mid-facial peri-implant soft tissue dehiscences (PSTDs).Materials and MethodsTwenty-eight participants presenting with isolated non-molar implants exhibiting PSTDs were enrolled and randomized to receive either CAF or TUN, both with a connective tissue graft (CTG). The primary outcome of the study was the percentage of mean PSTD coverage at 12 months. Secondary endpoints included the frequency of complete PSTD coverage, changes in keratinized mucosa width (KMW) and horizontal mucosal thickness (MT), as assessed with transgingival probing, 3D optical scanning and ultrasonography, professional aesthetic evaluation and patient-reported outcome measures (PROMs).ResultsAt 12 months, the mean PSTD coverage of the CAF and TUN groups was 90.23% and 59.76%, respectively (p = .03). CAF-treated sites showed a substantially higher frequency of complete PSTD coverage (p = .07), together with significantly greater gain of KMW (p = .01), increase in MT (p = .02), volumetric gain (p < .01) and professional aesthetic outcomes (p = .01). Both interventions showed an improvement in patient-reported aesthetics and a reduction of the anxiety related to the appearance of the implant compared to baseline, with the CAF group obtaining significantly higher scores (p = .03 for both PROMs).ConclusionsCAF + CTG resulted in superior PSTD coverage outcomes, greater gain in KMW and MT, and better PROMs than TUN + CTG for the treatment of isolated PSTDs (ClinicalTrials.gov NCT03498911).
dc.publisherWiley Periodicals, Inc.
dc.publisherBlackwell Publishing Ltd
dc.subject.otherdental implant
dc.subject.otherultrasonography
dc.subject.othercomplication
dc.subject.othersoft tissue augmentation
dc.subject.otherrecession
dc.titleCoronally advanced flap versus tunnel technique for the treatment of peri-implant soft tissue dehiscences with the connective tissue graft: A randomized, controlled clinical trial
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/177233/1/jcpe13806_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/177233/2/jcpe13806-sup-0001-AppendixS1.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/177233/3/jcpe13806.pdf
dc.identifier.doi10.1111/jcpe.13806
dc.identifier.sourceJournal of Clinical Periodontology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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