Evidence‐Based Periodontal Plastic Surgery. II. An Individual Data Meta‐Analysis for Evaluating Factors in Achieving Complete Root Coverage

Chambrone, Leandro; Pannuti, Cláudio Mendes; Tu, Yu–Kang; Chambrone, Luiz Armando

doi:10.1902/jop.2011.110382

Cited by 153 publications

(231 citation statements)

References 47 publications

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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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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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“…In cases where a class V filling is indicated, an adhesive filling is a valid option. Regenerative mucogingival therapy also remains an alternative, where hard and soft tissue conditions allow [27] (Fig. 2).…”

Section: Current Management Of Dhsmentioning

confidence: 99%

Current management of dentin hypersensitivity

Schmidlin

Sahrmann

2012

Clin Oral Invest

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ObjectivesThe aim of the article was to present an overview of the management strategies of dentin hypersensitivity (DHS) and summarize and discuss the therapeutic options.Materials and methodsA PubMed literature search was conducted to identify articles dealing with dentin hypersensitivity prophylaxis and treatment. We focussed on meta-analyses of available or controlled clinical trials.ResultsDHS therapy should start with noninvasive individual prophylactic home-care approaches. In-office therapy follows with nerve desensitizing, precipitating, or plugging agents. If the hypersensitivity persists, depending on the hard and soft tissue components at reevaluation, i.e., presence or absence of cervical lesions and the gingival contour, adhesive restorations including sealing or mucogingival surgery may be an option. They allow for the establishment of a physicomechanical barrier. As the placebo effect may play an important role, adequate patient management strategies and positive reinforcement may improve the management of DHS in the future.ConclusionsLifelong maintenance under the premise of strict control of the causative factors is crucial in the management of DHS.Clinical relevanceClinicians are faced with a broad spectrum of therapeutic options. Therapy should not only focus on pain reduction or better elimination but also on the modification of the exposed cervical dentin area based on the defect type.

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“…The combination of this technique with a coronally displaced flap which covers the entire graft improves the coverage percentage (90%-95%) 5 . The envelope technique initially described by Raetzke 15 consists of the creation of a supraperiosteal "envelope" or "pocket" in which a subepithelial connective graft is slipped, without incision and without a flap for single recession coverage.…”

Section: Figure 5 Treatment Of Gingival Augmentation With the Tunnel mentioning

confidence: 99%

Soft tissue management: the key to the success of periodontal treatment

Popelut

2017

J Dentofacial Anom Orthod

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Evidence‐Based Periodontal Plastic Surgery. II. An Individual Data Meta‐Analysis for Evaluating Factors in Achieving Complete Root Coverage

Abstract: SCTGs, matrix grafts, and EMD were superior to CAF in achieving CRC, but SCTGs showed the best predictability. The impossibility of inclusion of all identified RCTs should be taken into consideration when interpreting the present findings.

Cited by 153 publications

References 47 publications

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

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

Current management of dentin hypersensitivity

Soft tissue management: the key to the success of periodontal treatment

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