Effectiveness of connective tissue graft substitutes for the treatment of gingival recessions compared with coronally advanced flap: a network meta-analysis

Moraschini, Vittório; Calasans-Maia, Mônica Diuana; Dias, Alexandra Tavares; Formiga, Márcio de Carvalho; Sartoretto, Suelen Cristina; Sculean, Anton; Shibli, Jamil Awad

doi:10.1007/s00784-020-03547-3

Cited by 19 publications

(11 citation statements)

References 68 publications

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“…studies were done to assess the RC% for CAF + A-PRF, it ranged from 58-80%, these results are in accordance with our study (67.2%). [11] , [12] , [13] , [14] , [15] Other studies assess the RC% when using CAF + CTG, it was ranged from 77-96.9%, and these results are also similar to our study (86.6%).…”

Section: Discussionsupporting

confidence: 91%

Clinical comparison between advanced platelet-rich fibrin and connective tissue graft in the management of gingival recession: A randomized controlled split-mouth study

Abu-Ta’a

2022

Preprint

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Objectives: To compare the clinical outcomes of advanced platelet-rich fibrin with connective tissue graft in management of gingival recessionMaterials & Methods: 15 patients with isolated bilateral gingival recession were selected (n= 30 defects). These defects were miller’s class I/II gingival recession on canine or premolar region. They were divided into two equal groups (n=15), these groups were left and right sides in the patient’s mouth (split-mouth), in which each patient was treated with two techniques as follows; One side (Group I) was treated by coronally advanced flap with advanced platelet-rich fibrin (A-PRF). Whereas, the other side (Group II) was treated by coronally advanced flap with connective tissue graft (CTG). Clinical parameters such as recession height (RH), recession width (RW), probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), and keratinized tissue height (KTH) were evaluated at baseline, 3 & 6 months. Changes in biotype, Recession Esthetic Score (RES) & Visual Analogue Score-Esthetics (VAS-E) were evaluated at the end of 6 months.Trial registration: Ethics approval number (Helsinki): PHRC/HC/877/21 and registered at the Clinical Trials Registry under the number NCT05267015Results: At the end of 6 months, RH & RW showed significant reduction from baseline in both groups (p≤0.05). The mean RC% was 67.2%±32.8% and 86.6±35.18% in Group I, II respectively. Intergroup analysis showed statistically significant differences in recession parameters between both groups at 3 & 6 months (p≤0.05), with better outcomes for the second group.Conclusion: Both therapeutic interventions were effective in management of gingival recession defects. with significant improvement in recession parameters among group II compared to group I.Clinical Relevance: Miller’s class I&II can be improved by using A-PRF+CAF. However, CTG+CAF gives better results.

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Section: Discussionsupporting

confidence: 91%

Clinical comparison between advanced platelet-rich fibrin and connective tissue graft in the management of gingival recession: A randomized controlled split-mouth study

Abu-Ta’a

2022

Preprint

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“…In 1995, CAF was introduced by Bernimoulin et al., and it is considered one of the most common surgical techniques used to treat gingival recession. It could be used alone for simple cases, but it is recommended to be used in combination with soft tissue graft (e.g., connective tissue graft, acellular dermal matrix, enamel matrix derivative, collagenous membrane, platelet-rich fibrin) to increase its predictability and long-term stability [ 7 , 8 ].…”

Section: Surgical Techniques For Treating Miller's Class Iii/iv (Adva...mentioning

confidence: 99%

“…It could be used alone for simple cases, but it is recommended to be used in combination with soft tissue graft (e.g., connective tissue graft, acellular dermal matrix, enamel matrix derivative, collagenous membrane, platelet-rich fibrin) to increase its predictability and long-term stability. 7,8 CAF can be performed in one stage when there is a sufficient amount of keratinized gingiva and thick biotype. Whereas if the amount of keratinized gingiva or/and gingival thickness is/are compromised, the soft tissue augmentation should be done first, then CAF is done after three months from the first surgical procedure.…”

Section: 1| Coronal Advanced Flap (Caf)mentioning

confidence: 99%

Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller's class III & IV)

Lahham

Ta’a

2022

Heliyon

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“…The collagen matrix was sutured at the base of the anatomical papillae of the two teeth neighboring the bony defect [ Figure 2B and 2C], whereas apically it was firmly attached to the periosteum above the bone defect using simple interrupted 7-0 polyglycolic acid sutures [23] .…”

Section: Case Reportmentioning

confidence: 99%

Porcine-derived acellular dermal collagen matrix and enamel matrix derivative for the treatment of infrabony defect in the esthetic area

Stefanini¹,

Bianchelli²,

Sangiorgi³

2021

PAR

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Effectiveness of connective tissue graft substitutes for the treatment of gingival recessions compared with coronally advanced flap: a network meta-analysis

Cited by 19 publications

References 68 publications

Clinical comparison between advanced platelet-rich fibrin and connective tissue graft in the management of gingival recession: A randomized controlled split-mouth study

Clinical comparison between advanced platelet-rich fibrin and connective tissue graft in the management of gingival recession: A randomized controlled split-mouth study

Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller's class III & IV)

Porcine-derived acellular dermal collagen matrix and enamel matrix derivative for the treatment of infrabony defect in the esthetic area

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