Root Coverage Using the Subepithelial Connective Tissue Graft or the Acellular Dermal Matrix for the Treatment of Gingival Recession: A Clinical Study

Sumana, Shula Zuleika; Masulili, Sri Lelyati C.; Lessang, Robert

doi:10.22159/ijap.2017.v9s2.06

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…It is reported that CAF is more effective than TUN when it comes to root coverage, when the same grafts were used in both techniques, regardless of its origin. 40 41 42…”

Section: Discussionmentioning

confidence: 99%

“…It is reported that CAF is more Allogenic Acellular Dermal Matrix and Xenogeneic Dermal Matrix as CTG Halim, Sulijaya effective than TUN when it comes to root coverage, when the same grafts were used in both techniques, regardless of its origin. [40][41][42] Several systematic reviews have assessed the effectiveness of CTG substitutes; however, to our knowledge, most system-atic reviews consist of studies with less than a year of followup. 35,43,44 All the studies reported that both XDM and AADM are suitable alternatives with promising short-term results.…”

Section: Discussionmentioning

confidence: 99%

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Allogenic Acellular Dermal Matrix and Xenogeneic Dermal Matrix as Connective Tissue Graft Substitutes for Long-Term Stability Gingival Recession Therapy: A Systematic Review and Meta-Analysis

Halim,

Sulijaya

2023

Eur J Dent

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Connective tissue graft (CTG) serves as a gold standard for gingival recession therapy. Yet the availability of CTG is limited, and it increases patient morbidity. Allogenic acellular dermal matrix (AADM) and xenogeneic dermal matrix (XDM) have been proven to be effective substitutes of CTG although the long-term stability is unclear. The aim of this study was to analyze the long-term stability outcome of gingival recession therapy using AADM and XDM compared to CTG. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were extracted independently from several online databases (PubMed, Scopus, and Embase). Five of 233 publications were included for final qualitative analysis and meta-analysis focusing on the mean difference of clinical parameters such as recession depth (RD), recession width (RW), probing depth (PD), clinical attachment loss (CAL), tissue thickness (TT), keratinized tissue width (KTW), and mean root coverage (MRC). Meta-analyses of RD, RW, CAL, TT, KTW, and MRC display an overall mean of 0.2 mm (95% confidence interval [CI]: –0.45 to –0.05), 0.29 mm (95% CI: –0.65 to 0.08), 0.2 mm (95% CI: –0.69 to 0.29), 0.25 mm (95% CI: –0.53 to 0.03), 0.26 mm (95% CI: –0.5 to 0.02), and 9.19% (95% CI: –13.95 to –4.43]), respectively, favoring the CTG. PD was the only parameter that favored the AADM or XDM with an overall mean of 0.03 mm (95% CI: –0.05 to 0.11). In all, if the long-term stability is the goal, the CTG is considered superior for gingival recession therapy. However, if it is contraindicated, the AADM and XDM might be considered as alternatives.

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“…It is reported that CAF is more effective than TUN when it comes to root coverage, when the same grafts were used in both techniques, regardless of its origin. 40 41 42…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Allogenic Acellular Dermal Matrix and Xenogeneic Dermal Matrix as Connective Tissue Graft Substitutes for Long-Term Stability Gingival Recession Therapy: A Systematic Review and Meta-Analysis

Halim,

Sulijaya

2023

Eur J Dent

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“…Buti J 18 et al in 2013 concluded that CAF with CTG ranked highest in effectiveness for recession reduction and CAL gain. Shula et al 19 and Karin Jespen 20 et al in 2017 stated that CAF+CTG and CAF + CMX provided better root coverage in 5 years and 3 years respectively. Improvement's in recession depth was noted over a period of 20 years by Pini Prato 21 in 2018 when treated with CAF.…”

Section: Coronally Advanced Flapmentioning

confidence: 99%

Long term efficacy of root coverage techniques

Sweta

Muthu²,

B³

et al. 2021

IJPI

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Gingival recession is a dramatic soft tissue finding in teeth affected by periodontal disease and remains one of the most common aesthetic concerns associated with periodontal tissue. The etiology of the condition is multifactorial but is commonly associated with alveolar morphology, tooth brushing, mechanical trauma and periodontal disease. With greater understanding of the dynamics of healing along with an awareness of aesthetics various periodontal procedures have been introduced to deal with problems of gingival recession. The long-term stability of the outcomes obtained with the surgical treatment of single and multiple gingival recessions has been evaluated in a few studies. Of the vast repertoire of mucogingival procedures for gingival recession management, long term studies of more than 5 years is present only for coronally advanced flap with or without connective tissue grafts. There are many other novel techniques in literature with little or no evidence to prove its long term efficacy. Various studies published during the last 30 years were identified through a search of the PubMed/Medline, Science Direct and Cochrane Library databases. “Follow up”, “root coverage”, root coverage procedures, root coverage techniques were the key words used for the search. In this review we have grouped the efficacy of various root coverage techniques based on their short and long term follow up. The review emphasises the value of meticulous follow up in order to validate efficacy of root coverage techniques. It also discusses the factors responsible for stability of results.

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Root Coverage Using the Subepithelial Connective Tissue Graft or the Acellular Dermal Matrix for the Treatment of Gingival Recession: A Clinical Study

Cited by 2 publications

References 15 publications

Allogenic Acellular Dermal Matrix and Xenogeneic Dermal Matrix as Connective Tissue Graft Substitutes for Long-Term Stability Gingival Recession Therapy: A Systematic Review and Meta-Analysis

Allogenic Acellular Dermal Matrix and Xenogeneic Dermal Matrix as Connective Tissue Graft Substitutes for Long-Term Stability Gingival Recession Therapy: A Systematic Review and Meta-Analysis

Long term efficacy of root coverage techniques

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