Acellular dermal matrix allograft <i>versus</i> subepithelial connective tissue graft in treatment of gingival recessions: a 5‐year randomized clinical study

Moslemi, Neda; Jazi, Mahvash Mousavi; Haghighati, F; Morovati, Seyyedeh Pouya; Jamali, Raika

doi:10.1111/j.1600-051x.2011.01789.x

Cited by 72 publications

(110 citation statements)

References 32 publications

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“…Another significant aspect is the phenotypic characteristics of gingival epithelium, as they are dependent on connective tissue 20 , and for that reason, the connective tissue graft is more efficient and increases the thickness and height of keratinized tissue compared to EMP 21 . Although no significant differences regarding keratinized tissue were detected between the SECT and ADM groups, in a study with a longer time for assessment, it was shown that SECT is also more effective in obtaining keratinized tissue than ADM 4 .…”

Section: Discussionmentioning

confidence: 97%

“…The connective tissue graft, being an autologous material, has shown more predictable results in root coverage and aesthetics and is regarded as the "gold standard" 3,6 . However, there are some disadvantages, such as the need for two surgical areas, one for obtaining the graft and the second in the area receiving the graft, which causes greater surgical time and inconvenience to the patient during the postoperative period 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…Over the years, numerous techniques have been described in the research literature on root coverage [4][5][6] . One of the most used surgical techniques is subepithelial connective tissue graft combined with different bilaminar techniques 3,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Given these factors, the use of bioabsorbable matrix (acellular dermal matrix) was introduced, allowing the possibility of eliminating the palate surgical donor area, thereby reducing time, patient discomfort, pain, and postoperative bleeding 4 . The acellular dermal matrix is obtained from human skin that has undergone antigen neutralization treatment; thus, it is a non-vital graft that provides architectural support and allows cellular migration to the recipient bed when surgically applied 7 .…”

Section: Introductionmentioning

confidence: 99%

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Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study

Aroni

Oliveira

Changoluisa

et al. 2016

Rev. odontol. UNESP

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ResumoObjetivo: O objetivo desse estudo foi de comparar os achados clínicos obtidos no tratamento de recessões gengivais utilizando o enxerto de tecido conjuntivo subepitelial (SECT), a matriz dérmica acelular (ADM) e as proteínas derivadas da matriz do esmalte (EMP). Material e método: Doze pacientes que apresentavam recessões gengival classe I e II de Miller nos caninos e pré-molares superiores foram randomicamente alocados para receber o SECT, ADM ou EMP. Análises clínicas foram executadas antes e 3 meses após os procedimentos cirúrgicos. Foram avaliados os seguintes parâmetros: porcentagem de recobrimento radicular, altura e comprimento da recessão gengival, profundidade de bolsa a sondagem, nível clínico de inserção, altura e espessura da gengiva queratinizada. O teste de Kruskal-Wallis complementado pelo teste de Dunn foram usados para avaliar as diferenças entre os grupos em cada período enquanto que o teste de Wilcoxon foi utilizado para avaliar as diferenças dentro de cada grupo variando-se o período de avaliação. Os teste foram aplicados com nível de confiança de 95%. Resultado: Os grupos SECT e ADM apresentaram maior porcentagem de recobrimento radicular e maior redução da altura e comprimento das recessões do que o grupo EMP (p<0,05). Conclusão: O SECT e a ADM são mais efetivos no tratamento de recessões gengivais que o EMP.Descritores: Cirurgia oral; retração gengival; técnicas de retração gengival. AbstractObjective: The aim of this study was to compare clinical findings obtained in the treatment of gingival recessions using subepithelial connective tissue graft (SECT), acellular dermal matrix (ADM), and enamel matrix proteins (EMP). Material and method: Twelve patients with Miller class I and II recession in the canines or upper premolars were randomly divided into groups to receive treatments using SECT, ADM, or EMP. Clinical measurements were performed before and three months after surgical procedures. The data evaluated were as follows: percentage of root coverage, height and width of gingival recession, probe depth, clinical attachment level, and height and thickness of keratinized gingiva. The Kruskal-Wallis test complemented by Dunn's test was used to perform the between-group, analysis and the Wilcoxon test was used to perform the within-groups analysis. The tests were applied at the 95% confidence level. Result: The SECT and ADM groups had a higher percentage of root coverage and greater reduction in the height and width of gingival recessions compared to the EMP group (p<0.05). Conclusion: The SECT and ADM are more effective in treating gingival recessions than EMP.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study

Aroni

Oliveira

Changoluisa

et al. 2016

Rev. odontol. UNESP

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“…Moslemi et al found that over 5 years, ADM-treated sites did not achieve stable gingival width, while SCTG-treated sites did [10].…”

Section: Introductionmentioning

confidence: 99%

Root Coverage Using the Subepithelial Connective Tissue Graft or the Acellular Dermal Matrix for the Treatment of Gingival Recession: A Clinical Study

2018

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Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM). Methods:Ten patients with Miller's Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients' medical records. The patients were recalled and the post-operative data were recorded. Results:The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.

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Root coverage procedures for treating localised and multiple recession-type defects

Ortega

Sukekava

Rotundo

et al. 2018

Cochrane Database of Systematic Reviews

154

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Acellular dermal matrix allograft versus subepithelial connective tissue graft in treatment of gingival recessions: a 5‐year randomized clinical study

Cited by 72 publications

References 32 publications

Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study

Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study

Root Coverage Using the Subepithelial Connective Tissue Graft or the Acellular Dermal Matrix for the Treatment of Gingival Recession: A Clinical Study

Root coverage procedures for treating localised and multiple recession-type defects

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