Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study

Henriques, Paulo Sérgio Gomes; Pelegrine, André Antônio; Nogueira, Ana A.; Borghi, Mônica M.

doi:10.2334/josnusd.52.463

Cited by 47 publications

(72 citation statements)

References 33 publications

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“…There are studies that have analyzed gingival coverage, comparing ADM and SECT, and verified that long-term healing changes the results 19 . Moreover, it has been suggested that the association of EMP with SECT and ADM could promote improved clinical attachment associated with the use of these grafts, as was already described in other studies that detected better clinical results when ADM 22 and SECT 23 were used in conjunction with EMP compared to the sole use of these two grafts. Therefore, this hypothesis should be compared with other clinical studies because no additive effect was confirmed for EMP in other studies 24,25 .…”

Section: Discussionmentioning

confidence: 58%

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: 58%

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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“…Subepithelial connective tissue grafting (SCTG) offers a high degree of probability when used to treat Miller's class I and II gingival recession. 10 However, good outcomes have also been obtained using enamel matrix derivative (EMD) in conjunction with coronally advanced flaps and the results appears stable, clinically effective, and similar to each other on all measured parameters. 11 Alkan and Partar also demonstrated that both coronally advanced flap (CAF) 1 EMD and CAF 1 CTG procedures were similarly successful in treating Miller Class I and Class II single gingival recession defects.…”

Section: Discussionmentioning

confidence: 91%

“…The elements often associated with recessions are inflammatory periodontal disease, traumatic tooth brushing, and inadequate attached gingival dimensions. 10 This patient had a subepithelial connective tissue graft in conjunction with an EMD placed in the #10 and #11 position. The primary goal of root coverage procedures is to restore tissue esthetics and stability.…”

Section: Discussionmentioning

confidence: 98%

“…EMD, used in this case, contains a bone sialoprotein-like molecule that attaches to the human periodontal ligament cell and causes endogenous production of growth factors that promotes periodontal regeneration. 10 A variety of surgical procedures have been used to achieve root coverage. Subepithelial connective tissue grafting (SCTG) offers a high degree of probability when used to treat Miller's class I and II gingival recession.…”

Section: Discussionmentioning

confidence: 99%

“…10 The papilla levels should then be evaluated. It has been determined by Chu and colleagues 13 that papilla proportions (papilla height to crown length) were approximately 40% for all tooth groups (maxillary anterior teeth).…”

Section: Interplay Of Orthodontics Periodonticsmentioning

confidence: 99%

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