Evidence‐Based Mucogingival Therapy. Part 2: Ordinary and Individual Patient Data Meta‐Analyses of Surgical Treatment of Recession Using Complete Root Coverage as the Outcome Variable

Clauser, C; Nieri, Michele; Franceschi, Debora; Pagliaro, Umberto; Pini‐Prato, Giovanpaolo

doi:10.1902/jop.2003.74.5.741

Cited by 129 publications

(138 citation statements)

References 56 publications

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“…A patient with a shallow recession is expected to be treated successfully ending with complete root coverage, independent of the type of surgical procedure (Clauser et al 2003), but he/ she should also know in advance that the possible incomplete coverage would equal complete failure, especially in the case of a dischromic root surface.…”

Section: Discussionmentioning

confidence: 99%

Aesthetic perception after root coverage procedure

Rotundo

Nieri

Mori³

et al. 2008

J Clinic Periodontology

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Aim: To investigate the aesthetic perception of the clinical outcomes of a simulated root coverage procedure in three different groups: patients, dentists, and periodontists. Material and Methods: 100 patients, 107 general dentists affiliated with the Dental Association of Prato, Italy, and 81 active members of the Italian Society of Periodontology were recruited for this study. The following variables: age, gender, level of education, place of residence, and years of practice (only for dentists and periodontists) were recorded by means of a questionnaire administered to each subject within the three different groups. In addition, the participants in the study were requested to assign scores to images of eight simulated clinical cases of gingival recessions: a pre-and post-treatment image for each case. Results: Statistically significant differences between groups were not detected in most of the scores. Gender and residence were not significantly associated with the scores, while age was correlated for two clinical cases (p 5 0.0014 and 0.0017). All the cases of complete root coverage showed the highest scores among all the participants. Conclusions: These results showed that complete root coverage following root coverage procedure is perceived as the most successful outcome by patients, dentists, and periodontists.

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Section: Discussionmentioning

confidence: 99%

Aesthetic perception after root coverage procedure

Rotundo

Nieri

Mori³

et al. 2008

J Clinic Periodontology

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“…Several systematic reviews summarize the results, which may vary regarding complete root coverage (CRC), depending on the surgical technique applied (Roccuzzo et al 2002;Oates et al 2003;Clauser et al 2003;Pagliaro et al 2003;Cairo et al 2008;Chambrone et al 2009;Chambrone et al 2012;Cairo et al 2014). The best results regarding CRC have been reported for the combination of a coronally advanced flap with an underlying connective tissue graft (CTG) (Cortellini et al 2009).…”

Section: Accepted Articlementioning

confidence: 99%

Interposition of a connective tissue graft or a collagen matrix to enhance wound stability – an experimental study in dogs

Burkhardt

Magaz

Hämmerle

et al. 2016

J Clinic Periodontology

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AIM The aim of this study was to evaluate the role of a connective tissue graft (CTG) or a collagen matrix (CM) interpositioned between flaps and non-shedding hard surfaces on wound stability. MATERIAL AND METHODS Sixty bone dehiscence defects were prepared in five Beagle dogs. Three treatments were performed in 12 sites per dog: (1) repositioned flaps were sutured onto instrumented dentin surfaces (control), (2) repositioning of flaps with an interpositioned CTG and (3) repositioning of flaps with the application of a CM. To allow postoperative healing with n = 5 for 1, 3, 7 and 14 days before evaluation, the sutures were removed, incision lines retraced and tensile forces applied to the flaps. The minimum magnitude of forces required to detach the flaps from the wound bed was recorded. RESULTS After 1 week of healing, 6 N had to be applied to disrupt flaps from their wound bed in the CTG group. In the control group, a similar magnitude of resistance was achieved after 2 weeks (6.1 N). Flap resistance to tearing was highest in the CTG group (maximum 9.1 N) 2 weeks postoperatively. On the third postoperative day, the mean tearing forces of all groups differed significantly, displaying a 50% lower resistance to tearing in the CM compared to the CTG group. In comparison, flap resistance to tearing forces established earlier and in higher magnitude in sites with an interpositioned CTG than in flaps repositioned on dentin or CM. CONCLUSIONS Application of a CTG, sutured to a non-shedding hard surface, significantly increased flap resistance to tearing when applying disrupting forces compared to controls. A less pronounced effect was achieved by interpositioning of a CM. Accepted ArticleThis article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/jcpe.12526 This article is protected by copyright. All rights reserved.

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“…1 Vigorous tooth brushing causes tissue trauma, which is considered to be one of the predominant causative factors for development of recession, particularly in young adults; however, the other factors, such as alveolar bone dehiscence, high muscle attachment or frenum pull, plaque and calculus, and iatrogenic factors are also responsible for the same. 2 The laterally positioned flap technique, free gingival graft technique, connective tissue graft techniques, 3,4 free gingival graft/coronally positioned flap technique, and acellular dermal matrix technique have been used to enhance esthetics and hypersensitivity of exposed root surface. However, in comparison with the abovediscussed techniques, the coronally advanced flap (CAF) introduced by Norberg (1926) is an easy and more predictable esthetic surgical procedure for treating recession, and it also eliminates the need for second surgical site.…”

Section: Introductionmentioning

confidence: 99%