Randomized clinical trial evaluating single maxillary gingival recession treatment with connective tissue graft and tunnel or trapezoidal flap: 2-year follow-up

Felipe Lucas da Silva Neves, Camila Augusto Silveira, Ingrid Fernandes Mathias-Santamaria, Manuela Maria Viana Miguel, Laís Fernanda Ferreira Ferraz, Renato Correa Viana Casarin, Enilson Antônio Sallum, Dimitris N. Tatakis, Mauro Pedrine Santamaria

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Background: The literature lacks long-term evidence regarding outcomes of the coronally advanced tunnel flap (TUN) combined with connective tissue graft (CTG) when compared to the trapezoidal coronally advanced flap (CAF) and CTG combination. This study presents 2-year results of a randomized clinical trial comparing CTG combined with either CAF or TUN in the treatment of single maxillary gingival recession (GR) defects. Methods: Thirty-nine patients, each contributing a single Miller Class I or II GR defect, were treated by CAF+CTG (control; n = 19) or TUN+CTG (test; n = 20) and completed the 2-year follow up. Clinical, patient centered, and esthetic evaluations were performed and differences among groups were analyzed. Results: At 2 years, mean root coverage for control and test group was 89.5% ± 14.6% and 87.7% ± 18.4%, respectively (P = 0.5). The corresponding complete root coverage prevalence was 68.4% and 50% (P = 0.4). Dentin hypersensitivity significantly decreased for both groups. The two groups showed improvement in esthetics, as assessed by both professionals and patients, without significant intergroup differences (P > 0.5). TUN+CTG sites were much more likely to present improvement in root coverage between 6 months and 2 years, exhibiting creeping attachment of 0.7 ± 0.6 mm. Conclusions: At 2 years of follow up, both CAF+CTG and TUN+CTG resulted in significant clinical and esthetic improvements and provided similar results in the treatment of single maxillary GRs.

Original languageEnglish
Pages (from-to)1018-1026
Number of pages9
JournalJournal of Periodontology
Issue number8
StatePublished - Aug 1 2020

Bibliographical note

Funding Information:
The authors appreciate financial support provided by the Research Funding Agency from São Paulo State (FAPESP), São Paulo‐SP, Brazil (Grants #2015/14119‐5, 2016/21490‐4), and CNPq – National Council for Scientific and Technological Development, São Paulo‐SP, Brazil, for supporting Dr. Mauro P. Santamaria (Grant #301102/2016‐3). The authors report no conflicts of interest related to this study.

Publisher Copyright:
© 2019 American Academy of Periodontology


  • clinical trial
  • dentin hypersensitivity
  • esthetics, dental
  • gingival recession
  • surgical flaps

ASJC Scopus subject areas

  • Periodontics


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