<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2015000400263</article-id>
<article-id pub-id-type="doi">10.1016/j.rodmex.2015.10.009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación clínica del uso del colgajo de avance coronal e injerto de tejido conectivo subepitelial con o sin proteínas derivadas de la matriz del esmalte para la cobertura de recesiones gingivales. Caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical comparison of coronary displaced flap and sub-epithelial connective tissue graft with or without enamel matrix protein derivative for gingival recession coverage. Clinical case presentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Casillas]]></surname>
<given-names><![CDATA[Ana Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Espinosa]]></surname>
<given-names><![CDATA[Blanca Itzel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges Yáñez]]></surname>
<given-names><![CDATA[Socorro Aída]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Odontología División de Estudios de Posgrado e Investigación]]></institution>
<addr-line><![CDATA[México D.F]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Odontología División de Estudios de Posgrado e Investigación]]></institution>
<addr-line><![CDATA[México D.F]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UNAM Facultad de Odontología División de Estudios de Posgrado e Investigación]]></institution>
<addr-line><![CDATA[México D.F]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>19</volume>
<numero>4</numero>
<fpage>263</fpage>
<lpage>272</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2015000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2015000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2015000400263&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Se presenta un caso clínico donde se evaluó si la agregación del derivado de la matriz del esmalte (DME) al procedimiento del colgajo de avance coronal con injerto de tejido conectivo subepitelial (CDC + ITCS) mejoraría la cantidad de cobertura radicular en recesiones gingivales clase I y II de Miller comparados con el mismo procedimiento solo, en un paciente con recesiones gingivales múltiples a seis meses. Se incluyeron 12 recesiones gingivales, seis tratadas con (CAC + ITCSE + DME) y seis con (CAC + ITCSE) en diferentes cuadrantes. Al inicio y a los seis meses se midieron los parámetros clínicos tales como profundidad de la recesión gingival (PR), profundidad al sondeo (PS), nivel de inserción clínica (NIC), y ancho de tejido queratinizado en dirección apico-coronal (TQ). Un valor p &lt; 0.05 se consideró significativo. Los resultados mostraron que a los seis meses ambos procedimientos, CAC + ITCSE + DME y CAC + ITCSE produjeron una significativa cobertura radicular en promedio 2.83 ± 1.16 mm (p = 0.001) y 2.50 ± 0.83 mm (p = .002), respectivamente. Todas las recesiones gingivales tratadas con el DME tuvieron el 100% de cobertura radicular y sólo el 65.3% de cobertura para los sitios tratados con CAC + ITCSE. Al comparar ambos procedimientos a los seis meses, se observaron mejores resultados con CAC + ITCSE + DME en cuanto al nivel de inserción clínica (p = .02) y la cobertura radicular (p = .06); sin embargo, ni la diferencia del nivel de inserción clínico ni la ganancia en la cobertura radicular mostraron ser significativos. Por otro lado, no se observaron diferencias significativas en la PS y TQ.  Conclusión: El presente caso clínico no mostró beneficio adicional cuando se agregó el DME al procedimiento de CAC + ITCSE para la cobertura de recesiones gingivales múltiples clase I y II de Miller.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[The present article described a clinical case where it was assessed whether aggregation of enamel matrix derivative (EMD) to the procedure of coronary-advanced flap with sub-epithelial connective tissue graft (CAF + SCTG) would improve the amount of root coverage in Miller's class I and II gingival recessions when compared to the same isolated procedure in a patient suffering multiple gingival recessions, in a 6 month time-span. Twelve gingival recessions were included in the study: six treated with (CAF + SCTG + EMD) and six treated with (CAF + SCTG) in different quadrants. At beginning of procedure as well as six months later, the following clinical parameters were measured: gingival recession depth (RD), depth to probing (PD), clinical insertion level (CIL) and width of keratinized tissue (KT) in apex-coronary direction. A p &lt; 0.05 was considered statistically significant. Results established that after a six month procedure CAF + SCTG + EMD and CAF + SCTG produced significant root coverage, respective averages were 2.83 ± 1.16 mm (p = 0.001) and 2.50 ± 0.83 mm (p = .002). All gingival recessions treated with EMD experienced 100% root coverage, sites treated with CAF + SCTG + EMD exhibited coverage of only 65.3%. When comparing results at six months, better results were observed with CAF + SCTG + EMD with respect to clinical insertion level (p = .02) and root coverage (p = .06). Nevertheless, neither the difference of clinical level insertion nor the gain in root coverage resulted significant. Additionally, no significant differences were observed between PD and KT.  Conclusion: The present clinical case did not show additional benefits when EMD were aggregated to the CAF + SCTG in the coverage of multiple Miller's class I and class II gingival recessions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Recesión gingival]]></kwd>
<kwd lng="es"><![CDATA[colgajo de avance coronal]]></kwd>
<kwd lng="es"><![CDATA[injerto subepitelial de tejido conectivo]]></kwd>
<kwd lng="es"><![CDATA[derivado de la matriz del esmalte]]></kwd>
<kwd lng="es"><![CDATA[regeneración periodontal]]></kwd>
<kwd lng="en"><![CDATA[Gingival recession]]></kwd>
<kwd lng="en"><![CDATA[coronary-advanced flap]]></kwd>
<kwd lng="en"><![CDATA[connective tissue sub-epithelial graft]]></kwd>
<kwd lng="en"><![CDATA[enamel matrix derivatives]]></kwd>
<kwd lng="en"><![CDATA[periodontal regeneration]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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