Comparison between a xenogeneic dermal matrix and connective tissue graft for the treatment of multiple adjacent gingival recessions: a randomized controlled clinical trial

Meza‐Mauricio, Jonathan; Cortez-Gianezzi, Jônatas; Duarte, Poliana Mendes; Tavelli, Lorenzo; Rasperini, Giulio; Faveri, Marcelo

doi:10.1007/s00784-021-03982-w

Cited by 19 publications

(19 citation statements)

References 39 publications

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“…In line with recent literature on the overall importance of GT (Barootchi et al, 2020; Cairo, Cortellini, et al, 2020; Zuhr et al, 2020), our findings also corroborate the use of grafting materials, such as xenogeneic collagen or acellular dermal matrices, for the treatment of gingival recessions (Stefanini et al, 2020; Suzuki et al, 2020; Meza‐Mauricio et al, 2021). While augmentation of KTW is a prerogative of autogenous grafts, there is no doubt that graft substitutes can provide a significant increase in GT (Tonetti et al, 2018; Rotundo et al, 2019; Tavelli, McGuire, et al, 2020; Zucchelli et al, 2020), which we noted to be qualitatively unchanged over time, in line with a previous systematic review (Barootchi et al, 2020).…”

Section: Discussionsupporting

confidence: 91%

Soft tissue phenotype modification predicts gingival margin long‐term (10‐year) stability: Longitudinal analysis of six randomized clinical trials

Barootchi

Tavelli

Gianfilippo

et al. 2022

J Clinic Periodontology

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Aim: To assess the prognostic value of soft tissue phenotype modification following root coverage procedures for predicting the long-term (10-year) behaviour of the gingival margin.Materials and Methods: Participants from six randomized clinical trials on root coverage procedures at the University of Michigan were re-invited for a longitudinal evaluation. Clinical measurements were obtained by two calibrated examiners. A data-driven approach to model selection with Akaike information criterion (AIC) was carried out via multilevel regression analyses and partial regression plotting for changes in the level of the gingival margin over time and interactions with the early (6-month) results of soft tissue phenotypic modification.Results: One-hundred and fifty-seven treated sites in 83 patients were re-assessed at the long-term recall. AIC-driven model selection and regression analyses demonstrated that 6-month keratinized tissue width (KTW) and gingival thickness (GT) influenced the trajectory of the gingival margin similarly in a concave manner; however, GT was the driving determinant that predicted significantly less relapse in the treatments, with stability of the treated gingival margin obtained beyond values of 1.46 mm. Conclusions: Among a compliant patient cohort, irrespective of the rendered therapy, the presence of at least 1.5 mm KTW and 1.46 mm GT was correlated with the longterm stability of the gingival margin.

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Section: Discussionsupporting

confidence: 91%

Soft tissue phenotype modification predicts gingival margin long‐term (10‐year) stability: Longitudinal analysis of six randomized clinical trials

Barootchi

Tavelli

Gianfilippo

et al. 2022

J Clinic Periodontology

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“…The direct comparison between the use of XDM as a substitute for CTG in the treatment of GR is limited in the literature 19–21,32 . In addition, there is little evidence of an XDM‐versus‐CTG approach in the context of single RT1 defects 21 .…”

Section: Discussionmentioning

confidence: 99%

“…Clinical benefits have been shown regarding soft‐tissue phenotype modification around implants and multiple GR treatment by several surgical techniques 14–21 . However, there are few randomized clinical trials (RCTs) supporting the use of XDM to treat single GR 11,22 .…”

Section: Introductionmentioning

confidence: 99%

Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

Miguel

Ferraz

Rossato

et al. 2022

J Esthet Restor Dent

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Objectives There are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR. Materials and methods Fifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6‐month. Clinical, patient‐centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed. Results Greater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6‐month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts. Conclusion CTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC. Clinical significance CTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.

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“…Três estudos (SUZUKI, et al, 2020;MEZA-MAURICIO, et al, 2021;VINCENT-BUGNAS, et al, 2021) CARDAROPOLI, et al, 2012;MCGUIRE, et al, 2016;NAHAS, et al, 2020;BARAKAT, et al, 2020).…”

Section: Quantidade De Anestésicos Medicação Pós-operatória E Tempo D...unclassified

“…Vários estudos na literatura utilizam este questionário para a avaliação do impacto do tratamento cirúrgico de RGs na qualidade de vida do paciente (SANTOS, et al, 2017;TONETTI, et al, 2018;MICHEL, et al, 2021).…”

Section: Quantidade De Anestésicos Medicação Pós-operatória E Tempo D...unclassified

Avaliação comparativa entre matriz xenógena e enxerto de tecido conjuntivo subepitelial no tratamento de recessões múltiplas em área estética: estudo clínico randomizado controlado

Michel¹

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Comparison between a xenogeneic dermal matrix and connective tissue graft for the treatment of multiple adjacent gingival recessions: a randomized controlled clinical trial

Cited by 19 publications

References 39 publications

Soft tissue phenotype modification predicts gingival margin long‐term (10‐year) stability: Longitudinal analysis of six randomized clinical trials

Soft tissue phenotype modification predicts gingival margin long‐term (10‐year) stability: Longitudinal analysis of six randomized clinical trials

Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

Avaliação comparativa entre matriz xenógena e enxerto de tecido conjuntivo subepitelial no tratamento de recessões múltiplas em área estética: estudo clínico randomizado controlado

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