Gingival Recession Treatment With Connective Tissue Grafts in Smokers and Non‐Smokers

Erley, Kenneth J.; Swiec, Gary D.; Herold, Robert W.; Bisch, Frederick C.; Peacock, Mark E.

doi:10.1902/jop.2006.050252

Cited by 66 publications

(99 citation statements)

References 35 publications

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“…Therefore, this condition would be of dosedependent sort: the more exposed to tobacco the patients were, the less root coverage they would obtain. After 6 months, Erley et al (14) showed average root coverage in heavy smokers rated at 76.6%. One of the possible explanations for this higher value, when compared with the present study (CG: 43,18% and TG: 44,52%), is a possible reduced tobacco consumption in the Erley's selected sample after the surgical procedures, since there was no monitoring of tobacco exposure throughout the follow up stages, as cotinine analysis was only carried out at the pretreatment period.…”

Section: Discussionmentioning

confidence: 99%

“…As part of the solution for this problem, Erley et al (14) used cotinine analysis in the saliva, as a biomarker for nicotine exposure, and the results showed a high correlation (r=0.97) between cotinine and reduced root coverage. Therefore, this condition would be of dosedependent sort: the more exposed to tobacco the patients were, the less root coverage they would obtain.…”

Section: Discussionmentioning

confidence: 99%

“…Cotinine is a metabolite from nicotine that allows monitoring patient exposure to nicotine (14). Cotinine levels were detected through enzyme-linked immunosorbent assays (ELISA) (Salimetrics Inc., State College, PA, USA) using a kit for quantitative analysis of cotinine in saliva following manufacturer's instructions.…”

Section: Saliva Cotinine Analysismentioning

confidence: 99%

“…However, studies comparing smoking and non-smoking patients under root coverage procedures reported a negative influence of smoking on treatment predictability (3,11,14,15).…”

Section: Introductionmentioning

confidence: 99%

“…The large number of tobacco toxins may impair periodontal healing (3). Smoking also decreases periodontal blood flow (14,15,17), compromising graft vascularization (14) and subepithelial connective tissue graft (SCTG) outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

et al. 2012

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Smokers have small root coverage which is associated with bad vascularity of periodontal tissues. This study evaluated a technique that can increase the blood supply to the periodontal tissues compared with a traditional technique. Twenty heavy smokers (10 males and 10 females) with two bilateral Miller class I gingival recessions received coronally positioned flaps in one side (Control group) and extended flap technique in the other side (Test group). Clinical measurements (probing pocket depth, clinical attachment level, bleeding on probing, gingival recession height, gingival recession width, amount of keratinized tissue, and width and height of the papillae adjacent to the recession) were determined at baseline, 3 and 6 months postoperatively. Salivary cotinina samples were taken as an indicator of the nicotine exposure level. No statistically significant differences (p>0.05) were detected for the clinical measurements or smoke exposure. Both techniques promoted low root coverage (Control group: 43.18% and Test group: 44.52%). In conclusion, no difference was found in root coverage between the techniques. Root coverage is possible and uneventful even, if rather low, in heavy smoker patients with low plaque and bleeding indices.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Saliva Cotinine Analysismentioning

confidence: 99%

“…However, studies comparing smoking and non-smoking patients under root coverage procedures reported a negative influence of smoking on treatment predictability (3,11,14,15).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

et al. 2012

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Root coverage procedures for the treatment of localised recession-type defects

Chambrone

Sukekava

Araújo

et al. 2009

Cochrane Database of Systematic Reviews

118

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Subepithelial connective tissue grafts, coronally advanced flap alone or associated with other biomaterial and guided tissue regeneration may be used as root coverage procedures for the treatment of localised recession-type defects. In cases where both root coverage and gain in the keratinized tissue are expected, the use of subepithelial connective tissue grafts seems to be more adequate. Randomised controlled clinical trials are necessary to identify possible factors associated with the prognosis of each PPS procedure. The potential impact of bias on these outcomes is unclear.

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Root coverage procedures for treating localised and multiple recession-type defects

Ortega

Sukekava

Rotundo

et al. 2018

Cochrane Database of Systematic Reviews

170

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Gingival Recession Treatment With Connective Tissue Grafts in Smokers and Non‐Smokers

Abstract: Root coverage with connective tissue grafts appears to be negatively associated with cigarette smoking. Smokers should consider smoking cessation or reducing the use of cigarettes for optimal results with connective tissue grafts.

Cited by 66 publications

References 35 publications

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

Root coverage procedures for the treatment of localised recession-type defects

Root coverage procedures for treating localised and multiple recession-type defects

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