Comparison of two types of xenogeneic matrices to treat single gingival recessions: A randomized clinical trial

Santamaría, Mauro Pedrine; Rossato, Amanda; Miguel, Manuela Maria Viana; Fonseca, Manuela Bafini; Bautista, Cristhian Reynaldo Gomez; Marco, Andréa Carvalho De; Mathias‐Santamaria, Ingrid Fernandes; Ferraz, Laís Fernanda Ferreira

doi:10.1002/jper.21-0212

Cited by 14 publications

(21 citation statements)

References 44 publications

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“…Data for mean RecRed and KTW gain were available for all studies. Seven studies reported TKT gain (Fernandes-Dias et al, 2015;Santamaria et al, 2016Santamaria et al, , 2017Santamaria et al, , 2018Santamaria et al, , 2021Cairo et al, 2020;Mathias-Santamaria et al, 2021). Ten studies assessed the percentage of mean RC (McGuire & Nunn, 2003;Cortellini et al, 2009;Cairo et al, 2012;Fernandes-Dias et al, 2015;Santamaria et al, 2017Santamaria et al, , 2018Santamaria et al, , 2021Clementini et al, 2018;Nahas et al, 2019;Mathias-Santamaria et al, 2021).…”

Section: Synthesis Of the Resultsmentioning

confidence: 99%

“…Table 2 depicts the general characteristics of the included studies. Two RCTs were conducted with split‐mouth design (McGuire & Nunn, 2003; Nahas et al, 2019) and 11 were conducted with a parallel group (Cortellini et al, 2009; Cairo et al, 2012, 2020; Fernandes‐Dias et al, 2015; Santamaria et al, 2016, 2017, 2018, 2021; Clementini et al, 2018; Tonetti et al, 2018; Mathias‐Santamaria et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…The studies used different surgical RC techniques. Two studies reported data using coronally advanced flap (CAF) with or without CTG (Cortellini et al, 2009; Cairo et al, 2012), nine studies assessed the contribution of an adjuvant (enamel matrix derivative, low‐level laser therapy, resin restoration, and xenogeneic collagen matrix [XCM], xenogeneic acellular dermal matrix) (McGuire & Nunn, 2003; Fernandes‐Dias et al, 2015; Santamaria et al, 2016, 2018, 2021; Tonetti et al, 2018; Nahas et al, 2019; Cairo et al, 2020; Mathias‐Santamaria et al, 2021), and two studies compared two surgical RC techniques (CAF + CTG vs. tunnel + CTG; and CAF with split‐full‐split thickness vs. CAF with partial thickness) (Santamaria et al, 2017; Clementini et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, a total of 13 studies were included in this systematic review and metaanalysis. (Cortellini et al, 2009;Cairo et al, 2012Cairo et al, , 2020Fernandes-Dias et al, 2015;Santamaria et al, 2016Santamaria et al, , 2017Santamaria et al, , 2018Santamaria et al, , 2021Clementini et al, 2018;Tonetti et al, 2018;Mathias-Santamaria et al, 2021).…”

Section: Study Selectionmentioning

confidence: 99%

“…A risk-of-bias graph is presented in Figure S1. A low risk of bias was determined for 11 studies (McGuire & Nunn, 2003;Cortellini et al, 2009;Cairo et al, 2012Cairo et al, , 2020Fernandes-Dias et al, 2015;Santamaria et al, 2017Santamaria et al, , 2021Clementini et al, 2018;Tonetti et al, 2018;Nahas et al, 2019;Mathias-Santamaria et al, 2021). Some concerns of bias were found for two studies (Santamaria et al, 2016(Santamaria et al, , 2018.…”

Section: Risk Of Biasmentioning

confidence: 99%

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Effectiveness of surgical root coverage on dentin hypersensitivity: A systematic review and meta‐analysis

Antezack

Ohanessian

Sadowski

et al. 2022

J Clinic Periodontology

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Aim: To assess the effect of surgical root coverage (RC) on dentin hypersensitivity (DH) associated with gingival recession. Materials and Methods: Two independent reviewers conducted electronic literature searches in MEDLINE (PubMed), EMBASE, Cochrane Library, Web Of Science, Dentistry & Oral Sciences Source, ScienceDirect, and ClinicalTrials.gov databases as well as a manual search to identify eligible clinical studies from January 2000 to March 2022. Randomized controlled trials (RCTs) comparing two surgical RC techniques or a surgical RC technique with or without adjuvant were included. Meta-analyses were performed on data provided by RCTs. Results: Thirteen RCTs with a total of 701 patients (1086 recessions) were included. The percentage of DH suppression was 70.8% (95% confidence interval [CI] [64.4-76.6]; I 2 = 39.2% [3.5-61.8], Q-test = 0.02) after surgical RC. Recession reduction and percentage of RC were both statistically significantly associated with DH suppression (estimate = 0.66 [0.10-1.23], p = .022, R 2 = 14.45% and estimate = 0.04 [0.01-0.08], p = .012, R 2 = 29.54%, respectively). Coronally advanced flap (CAF) + connective tissue graft showed results statistically more effective than CAF + xenogeneic collagen matrix in , respectively; p = .048).

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Section: Synthesis Of the Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

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Effectiveness of surgical root coverage on dentin hypersensitivity: A systematic review and meta‐analysis

Antezack

Ohanessian

Sadowski

et al. 2022

J Clinic Periodontology

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Guided coronally advanced flap to treat gingival recession: Digital workflow and case report

Santamaria,

Rossato,

Miguel

et al. 2024

Clin Adv Periodontics

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BackgroundThe inherently technique‐sensitive nature of periodontal plastic procedures demands a significant level of skill and expertise. The incorporation of three‐dimensional (3D) printing technologies emerges as a potential strategy to optimize and simplify surgical procedures. This case report describes the digital workflow and presents the clinical outcomes achieved using a guided coronally advanced flap for the treatment of a single gingival recession (GR).Methods and ResultsA female patient with a gingival recession type 1 (RT1 B‐) defect on the mandibular second left premolar underwent successful treatment using a guided coronally advanced flap (g‐CAF) and de‐epithelized connective tissue graft (CTG). The digital planning included intraoral scanning of the mandible and hard palate using an intraoral scanner, with resulting polygon format (PLY) files exported for virtual model creation. The CAF guide was meticulously designed to orient horizontal and vertical incisions at the papillae base adjacent to the GR defect. For the donor site, a guide was specifically created, positioning the graft area 2 mm apically to the premolars' gingival margins. The delineation of this area involved two horizontal and vertical incisions, meticulously based on the dimensions of the GR. The digitally designed guides were then 3D‐printed using a surgical guide‐specific resin, contributing to the precise execution of the innovative surgical approach. Complete root coverage was achieved.ConclusionThis case report demonstrates that g‐CAF can be a promising approach for the treatment of single GR.HighlightsWhy is this case new information? To the best of the authors' knowledge, this is the first manuscript to report a guided procedure for the treatment of gingival recession. This report provides the digital workflow for the fabrication of a guide to perform the coronally advanced flap for single recession defects. What are the keys to successfully manage this case? It is necessary to adequately scan the recession defect area and palate. Properly not only design the guide using specific software but also print it. The guide has to be stable when in position for the surgical procedure. What are the primary limitations of this technique? This guide was designed to help surgeons during the incisions. However, it does not provide aid to split and release the flap and suture.

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Multiple gingival recessions associated with non‐carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

Santamaría

Rossato

Ferraz

et al. 2023

Journal of Periodontology

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Background This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs). Methods Seventy‐eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non‐carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement‐enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient‐centered, and esthetic outcomes. Results CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04). Conclusion CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites

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Comparison of two types of xenogeneic matrices to treat single gingival recessions: A randomized clinical trial

Cited by 14 publications

References 44 publications

Effectiveness of surgical root coverage on dentin hypersensitivity: A systematic review and meta‐analysis

Effectiveness of surgical root coverage on dentin hypersensitivity: A systematic review and meta‐analysis

Guided coronally advanced flap to treat gingival recession: Digital workflow and case report

Multiple gingival recessions associated with non‐carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

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