Micro‐ and Macrosurgical Techniques in the Coverage of Gingival Recession Using Connective Tissue Graft: 2 Years Follow‐Up

Nizam, Nejat; Bengisu, Orhun; Sönmez, Şule

doi:10.1111/jerd.12124

Cited by 18 publications

(43 citation statements)

References 23 publications

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“…Then, a total of 38 articles were selected for full‐text screening. Finally, 15 RCTs (Abolfazli, Saleh‐Saber, Eskandari, & Lafzi, ; Amarante, Leknes, Skavland, & Lie, ; Bittencourt et al., ; Cortellini et al., ; Del Pizzo, Zucchelli, Modica, Villa, & Debernardi, ; Fernandes‐Dias et al., ; Jepsen et al., , ; Kuis et al., ; Leknes et al., ; McGuire & Nunn, ; McGuire & Scheyer, , ; McGuire, Scheyer, & Nunn, ; McGuire, Scheyer, & Schupbach, ; McGuire, Scheyer, & Snyder, ; Nizam, Bengisu, & Sonmez, ; Pini Prato et al., ; Pini‐Prato et al., ; de Queiroz Cortes, Sallum, Casati, Nociti, & Sallum, ; Rasperini et al., ; Rosetti, Marcantonio, Zuza, & Marcantonio, ; Santamaria et al., ) fulfilled the inclusion criteria. The rest 23 studies were excluded for different reasons (Table ).…”

Section: Resultsmentioning

confidence: 99%

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Dai

Huang

Ding

et al. 2019

J Clinic Periodontology

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Aim To evaluate the long‐term (≥2 years) stability of root coverage procedures for single gingival recessions. Materials and Methods A complete literature search was performed up to July 2018. Randomized controlled trials (RCTs) following ≥2 years were selected. Primary outcomes were complete root coverage (CRC) and mean root coverage (MRC). Secondary outcomes were width of keratinized tissue (KTW) and patient‐centred parameters. Meta‐analysis was conducted when possible. Results A total of fifteen RCTs were included. The results demonstrated significantly higher MRC in short‐term than long‐term after coronally advanced flap (CAF; 7.29%, p = 0.006). When CAF combined with connective tissue graft (CTG), no significant difference was observed in CRC or MRC for short‐term versus long‐term (1.00, p = 0.97; 2.35%, p = 0.09), and it resulted in better long‐term efficacy than CAF alone in terms of CRC (0.69, p = 0.0006) and KTW (−0.63 mm, p = 0.04). For CAF plus enamel matrix derivative, the meta‐analysis showed no significant difference between the short‐term and long‐term results of CRC (1.26, p = 0.21). Conclusions CAF alone could result in decreased postoperative percentage of root coverage with time. CAF + CTG could maintain long‐term stability and result in better root coverage outcomes than CAF.

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Section: Resultsmentioning

confidence: 99%

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Dai

Huang

Ding

et al. 2019

J Clinic Periodontology

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“…The success of root coverage procedures is usually evaluated using the amount and/or percentage and the number and/or rate of complete and PRC after a certain follow‐up period as in the current study . Even though the current data on these parameters seem to be in favor of CTGs, it should be noted that patients seek treatment due to unpleasant appearance, and esthetic perception of the patients does not necessarily correlate with the amount of root coverage .…”

Section: Discussionmentioning

confidence: 96%

Coronally advanced flap with connective tissue graft or xenogeneic acellular dermal matrix in the treatment of multiple gingival recessions: A split‐mouth randomized clinical trial

Gürlek

Gümüş

Nizam

et al. 2019

J Esthet Restor Dent

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Objective: To evaluate the clinical efficacy of xenogeneic acellular dermal matrix (XADM) or connective tissue graft (CTG) combined with modified-coronally advanced flap (M-CAF) in the treatment of multiple gingival recessions. Materials and methods: Twelve participants with bilateral MGRs (multiple gingival recession) (82 gingival recessions) randomly received XADM (test group, 41 teeth) on one side and subepithelial CTG (control group, 41 teeth) on the other side in conjunction with M-CAF in the same session and completed the 18-months study period. Recession depth (RD), recession width (RW), keratinized tissue width (KTW), probing depth (PD), and clinical attachment level (CAL) were recorded at baseline, and 6-, 18-months postoperatively.Results: PD was significantly higher in the test group at 18-months (P < .05). PD in the test group was also significantly higher at 6-and 18-months compared to baseline (P < .05). RD and RW were significantly lower at 6-and 18-months compared to baseline in both groups (P < .05) and both parameters were significantly higher in the test group at 18-months (P < .05). Percentage of teeth with complete root coverage in the test and control groups were similar at 6-months (78% and 70.7%, respectively) and at 18-months (both 87.8%) (P > .05). Conclusion:Within the limits of the study, M-CAF combined with XADM or CTG seems to be similarly effective in RD reduction of class I and II MGRs at least in the short term. Soft tissue shrinkage and increase in PD may be observed with XADM, while; CTG seems to provide stable clinical outcomes for 18-months follow-up.Clinical significance: Even though the CTG and XADM in conjunction with M-CAF may provide similar RD reduction in class I and II multiple gingival recessions in the short term. CTGs may be superior in terms of soft tissue shrinkage and PD values.

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“…Bone height (distance from the alveolar crest to the most zenithal point of the augmented volume) was measured (G.E. ; intraclass correlation coefficient was .91) linearly on radiographic images using a digital analysis program (ImageJ Windows, National Institutes of Health, Bethesda, MD) and expressed in millimeters (Nizam, Bengisu & Sönmez, ).…”

Section: Methodsmentioning

confidence: 99%

Maxillary sinus augmentation with leukocyte and platelet‐rich fibrin and deproteinized bovine bone mineral: A split‐mouth histological and histomorphometric study

Nizam

Eren

Akcalı

et al. 2017

Clinical Oral Implants Res

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Micro‐ and Macrosurgical Techniques in the Coverage of Gingival Recession Using Connective Tissue Graft: 2 Years Follow‐Up

Cited by 18 publications

References 23 publications

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Coronally advanced flap with connective tissue graft or xenogeneic acellular dermal matrix in the treatment of multiple gingival recessions: A split‐mouth randomized clinical trial

Maxillary sinus augmentation with leukocyte and platelet‐rich fibrin and deproteinized bovine bone mineral: A split‐mouth histological and histomorphometric study

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