Case Control Study
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World J Clin Cases. Oct 16, 2014; 2(10): 534-540
Published online Oct 16, 2014. doi: 10.12998/wjcc.v2.i10.534
Comparison of semilunar coronally repositioned flap with gingival massaging using an Ayurvedic product (irimedadi taila) in the treatment of class-I gingival recession: A clinical study
Amit Kumar Mishra, Kanteshwari Kumathalli, Raja Sridhar, Rahul Maru, Brijesh Mangal, Sameer Kedia, Ravi Shrihatti
Amit Kumar Mishra, ESIC Hospital, Nanda Nagar, Indore (M.P), 125-A, Sai Bagh Colony, Indore, Madhya Pradesh 452001, India
Kanteshwari Kumathalli, Sri Aurobindo College of Dentistry, Village, Bhawrasala, Indore, Madhya Pradesh 453112, India
Raja Sridhar, Brijesh Mangal, Sameer Kedia, Modern Dental College and Research Centre, Gandhinagar, Indore, Madhya Pradesh 453112, India
Rahul Maru, Index Dental College, Indore (M.P) 452001, India
Ravi Shrihatti, Dr. D Y Patil Dental College and Hospital, Pune, Maharashtra 411018, India
Author contributions: Mishra AK contributed substantially to conception and design, acquisition of data, analysis and interpretation of data: study design, surgical treatment follow up and data collection; Kumathalli K guided throughout the study and final approval of the version to be published; Sridhar R contributed to first draft of the article and revision as suggested by reviewers; Maru R contributed to the drafting, corrections, second revision for important intellectual content; Mangal B and Kedia S contributed to the drafting the article, revising it critically for important intellectual content, corrections and third revision; Shrihatti R contributed substantially to the statistical analysis of the study.
Correspondence to: Dr. Brijesh Mangal, Modern Dental College and Research Centre, LG-21, 3-Urvashi Complex, Jaora Compound, Gandhinagar, Indore, Madhya Pradesh 453112, India. brijeshmangal2000@gmail.com
Telephone: +91-0731-4215248 Fax: +91-0731-4231010
Received: April 21, 2014
Revised: June 20, 2014
Accepted: August 27, 2014
Published online: October 16, 2014
Abstract

AIM: To study the comparison in terms of root coverage the effect of gingival massaging using an ayurvedic product and semilunar coronally repositioned flap (SCRF) to assess the treatment outcomes in the management of Miller’s class I gingival recessions over a-6 mo period.

METHODS: The present study comprised of total of 90 sites of Miller’s class-I gingival recessions in the maxillary anteriors, the sites were divided into three groups each comprising 30 sites, Group I-were treated by massaging using a Placebo (Ghee) Group II-were treated by massaging using an ayurvedic product (irimedadi taila). Group III-were treated by SCRF. Clinical parameters assessed included recession height, recession width, probing pocket depth, width of attached gingiva, clinical attachment level and thickness of keratinized tissue. Clinical recordings were performed at baseline and 6 mo later. The results were analyzed to determine improvements in the clinical parameters. The comparison was done using Wilcoxon signed rank test. The overall differences in the clinical improvements between the three groups was done using Kruskal-Wallis test. The probability value (P-value) of less than 0.01 was considered as statistically significant.

RESULTS: Non-surgical periodontal therapy and gingival massaging improves facial gingival recessions and prevents further progression of mucogingival defects. Root coverage was achieved in both the experimental groups. The SCRF group proved to be superior in terms of all the clinical parameters.

CONCLUSION: Root coverage is significantly better with semilunar coronally repositioned flap compared with the gingival massaging technique in the treatment of shallow maxillary Miller class I gingival recession defects.

Keywords: Gingival recession, Semilunar flaps, Gingival massaging, Non-surgical

Core tip: Gingival recession is the migration of the gingival margin apical to the cemento-enamel junction. A variety of surgical procedures have been described for the correction and management of mucogngival deformities and defects, with a variable degree of success. However, it should be emphasized that shallow recessions are subject to progression, but there are no case reports or controlled clinical trials to compare the effects of gingival massaging in the treatment of gingival recessions. The aim of our study was to compare in terms of root coverage the effect of gingival massaging using an ayurvedic product and semilunar coronally repositioned flap to assess the treatment outcomes in the management of Miller’s class I gingival recessions over a 6 mo period.