A two‐year prospective study of coronally positioned flap with or without acellular dermal matrix graft

Cortês, Antonieta de Queiróz; Sallum, Antônio Wilson; Casati, Márcio Z.; Nociti, Francisco Humberto; Sallum, Enílson Antônio

doi:10.1111/j.1600-051x.2006.00969.x

Cited by 80 publications

(120 citation statements)

References 28 publications

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“…This result was not predictable, considering that most cases had Class III gingival recession at baseline. However, interesting results were recently reported with the use of the ADMG for the treatment of gingival recessions 17,18,29 …”

Section: Discussionmentioning

confidence: 99%

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Acellular Dermal Matrix Graft for Gingival Augmentation: A Preliminary Clinical, Histologic, and Ultrastructural Evaluation

Scarano

Barros

Iezzi

et al. 2009

Journal of Periodontology

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Section: Discussionmentioning

confidence: 99%

“…The acellular dermal matrix graft (ADMG) 16–19 has been widely used as a substitute for autogenous grafts in mucogingival surgeries, although it was originally developed for the treatment of full‐thickness burn wounds. This allograft is aseptically obtained from human donor skin.…”

mentioning

confidence: 99%

Acellular Dermal Matrix Graft for Gingival Augmentation: A Preliminary Clinical, Histologic, and Ultrastructural Evaluation

Scarano

Barros

Iezzi

et al. 2009

Journal of Periodontology

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“…Por lo tanto el uso de la MDA empleando la técnica de sobre en recesiones múlti-ples puede ser una alternativa viable a la técnica tradicional con injerto conectivo especialmente y se debe considerar en pacientes con limitaciones de tejido conectivo (9). De igual forma el uso de MDA reduce la RG y logra un mayor espesor gingival con la técnica de CDC (22,23), con resultados mejor a corto plazo (14) en recesiones de Miller clases I y II en dientes individuales a los 6 meses (9).…”

Section: Discussionunclassified

Comparación de dos técnicas en el manejo quirúrgico de la recesión radicular utilizando matriz dérmica acelular: reporte de un caso

Membreño

2014

Av Odontoestomatol

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Juárez Membreño I. Comparación de dos técnicas en el manejo quirúrgico de la recesión radicular utilizando matriz dérmica acelular. Reporte de un casoAVANCES EN ODONTOESTOMATOLOGÍA/187 RESUMENSe han descrito, en cirugía plástica periodontal, diferentes procedimientos y materiales quirúrgicos con el propósito del tratamiento de recesión gingival (RG), el incremento del espesor y ancho de encía adherida. Uno de los materiales empleados es la matriz dérmica acelular (MDA), aloinjerto de base biológica que de forma similar al tejido conectivo se incorpora a los tejidos periodontales, manteniendo la integridad estructural y la revascularización. Las técnicas para MDA puede ser un colgajo desplazado coronal (CDC) con incisiones verticales o la técnica quirúrgica en sobre o túnel modificado mediante el levantamiento desde el interior de las papilas permitiendo mayor movilización coronal del tejido y un desplazamiento coronal del colgajo. El objetivo del reporte de caso fue comparar las dos técnicas anteriores con un seguimiento de seis meses. El caso clínico demostró concordancia con la evidencia de los estudios científicos que afirma éxito para tratar cobertura de recesiones con ganancia de tejido queratinizado, aumento de espesor de encía adherida, mejorías clínicas y resultados estéticos independiente de la técnica quirúrgica empleada en el uso de MDA. Palabras clave: Matriz dérmica acelular (MDA), recesión gingival (RG), colgajo desplazado coronal (CDC), cobertura radicular (CR). SUMMARYDifferent surgical procedures and materials have been described with the purpose of carrying out gingival recession treatments (GR), the increase of thickness and width of adhered gum. One of the materials used is the acellular dermal matrix (ADM) biological base allograft which, like a connective tissue, is added to the periodontal tissues, keeping the structural integrity and re vascularization. The ADM techniques can be either a coronal displaced flap (CDF) with vertical incisions or a surgical technique in a kind of pocket or tunnel modified by means of a lifting from inside the papillae allowing a higher tissue coronal movement and a flap coronal displacement. The case report objective was to compare both techniques with a post six-month follow up. The clinical case showed concordance with the evidence of scientific studies which confirms the success for treating recession cover with a gain of keratinized tissue, increase of added gum thickness, better clinical improvements and aesthetic results regardless the surgery technique used when using ADM.

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“…Two distinct sets of comparisons were found: CAF with ADM versus CAF with CTG in six studies [18][19][20][21][22]26], and CAF with ADM versus CAF alone in four studies [23][24][25]27]. Two studies used a parallel-group design, and six studies employed split-mouth models.…”

Section: Characteristics and Quality Assessment Of The Included Studiesmentioning

confidence: 99%

Root coverage using a coronally advanced flap with or without acellular dermal matrix: a meta-analysis

Guan

Liao

Guo

et al. 2016

J Periodontal Implant Sci

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Purpose: Gingival recession is a major esthetic concern and may lead to root sensitivity during periodontal treatment. Coronally advanced flaps (CAFs) with and without acellular dermal matrix (ADM) are widely used in root coverage procedures. The aim of this study was to analyze the efficacy of CAF in combination with ADM in the treatment of gingival recession. Methods: PubMed, The Cochrane Library, and Embase were used to identify relevant articles. The articles were screened, data were extracted, and the quality of the studies was assessed by three reviewers with expertise in clinical practice, trials, statistics, and biomedical editing. The clinical endpoints of interest included changes in recession, probing depth (PD), clinical attachment level (CAL), and keratinized tissue (KT). Results: Ten randomized controlled trials were identified, including six studies that compared CAFs with ADM and CAFs using connective tissue grafting (CTG) and four studies that compared CAFs with or without ADM. No statistically significant differences were found between the use of ADM and CTG, whereas statistically significant differences were found between groups in which ADM and CAF were combined and groups that underwent CAF alone with regard to recession coverage, CAL, and KT. The combination of CAF with an ADM allograft achieved more favorable recession coverage and recovery of CAL and KT than CAF alone. Conclusions:The results from the ADM and CTG groups suggest that both procedures may be equally effective in clinical practice. Given the limitations of this study, further investigation is needed to clarify the effectiveness of ADM and CAF in clinical practice.

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A two‐year prospective study of coronally positioned flap with or without acellular dermal matrix graft

Abstract: ADM may reduce the residual gingival recession observed after 24 months in defects treated with coronally positioned flap. In addition, a greater gingival thickness may be achieved when the graft is used.

Cited by 80 publications

References 28 publications

Acellular Dermal Matrix Graft for Gingival Augmentation: A Preliminary Clinical, Histologic, and Ultrastructural Evaluation

Acellular Dermal Matrix Graft for Gingival Augmentation: A Preliminary Clinical, Histologic, and Ultrastructural Evaluation

Comparación de dos técnicas en el manejo quirúrgico de la recesión radicular utilizando matriz dérmica acelular: reporte de un caso

Root coverage using a coronally advanced flap with or without acellular dermal matrix: a meta-analysis

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