Purpose: No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it. Materials and Methods: 306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model. Results: Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Professionalism, kindness of the staff and communication skills were the characteristics mostly appreciated. The OHRQoL was influenced by the number of residual teeth (p < 0.001), increasing age of patients (p = 0.08), number of residual infections (p < 0.01) and pain (p = 0.04). Conclusions: Patients' quality perception appeared to be influenced by clinical and emotional aspects. Oral care providers should be aware of the impact of non-clinical factors in patients' appreciation of quality of treatment. Schlagwörter: oral health related quality of life, periodontitis, quality of care

The aim of this case report was to treat eight simultaneous recessions that caused an unesthetic smile in a 27-year-old orthodontically treated female patient and to restore the anterior maxillary teeth in the esthetic area. The treatment consisted of bilaminar mucogingival surgery with a palatine graft and a collagen matrix graft (Mucograft, Geistlich). At 24 months, complete root coverage was achieved in all treated sites, with an increase of keratinized tissue (KT), complete resolution of hypersensitivity, and a high level of esthetic satisfaction. This case report shows that it is possible to correct multiple unesthetic recessions in one stage thanks to the combination of a connective tissue graft (CTG), a collagen matrix graft, and a coronally advanced flap (CAF).

Für diesen Fallbericht wurden bei einer 27-jährigen kieferorthopädisch behandelten Patientin acht Rezessionen, die Lächeln und Ästhetik störten, simultan korrigiert und die Oberkieferfrontzähne ästhetisch restauriert. Zur Behandlung wurde eine bilaminäre mukogingivalchirurgische Technik mit einem Transplantat vom Gaumen und einer Kollagenmatrix (Mucograft, Geistlich) verwendet. Nach 24 Monaten war an allen behandelten Stellen eine vollständige Wurzeldeckung erreicht, das keratinisierte Gewebe verbreitert und alle Überempfindlichkeiten beseitigt. Die Patientin war mit der Ästhetik sehr zufrieden. In diesem Fallbericht wird gezeigt, dass es mit der Kombination von Bindegewebstransplantat, Kollagenmatrix und koronalem Verschiebelappen möglich ist, multiple unästhetische Rezessionen gleichzeitig in einem Eingriff zu korrigieren.