Document Detail


Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review.
MedLine Citation:
PMID:  20367089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this review is to evaluate the effectiveness of different root-coverage procedures in the treatment of recession-type defects. METHODS: The Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE were searched for entries up to October 2008. There were no restrictions regarding publication status or the language of publication. Only clinical randomized controlled trials (RCTs) with a duration > or = 6 months that evaluated recession areas (Miller Class I or II > or = 3 mm) that were treated by means of periodontal plastic surgery procedures were included. RESULTS: Twenty-four RCTs provided data. Only one trial was considered to be at low risk of bias. The remaining trials were considered to be at high risk of bias. The results indicated a significantly greater reduction in gingival recession and gain in keratinized tissue for subepithelial connective tissue grafts (SCTGs) compared to guided tissue regeneration (GTR) with bioabsorbable membranes (GTR bms). A significantly greater gain in keratinized tissue was found for enamel matrix protein compared to a coronally advanced flap (0.40 mm) and for SCTGs compared to GTR bms plus bone substitutes. Limited data exist on the changes of esthetic conditions as related to the opinions and preferences of patients for specific procedures. CONCLUSIONS: SCTGs, coronally advanced flaps alone or associated with other biomaterial, and GTR may be used as root-coverage procedures for the treatment of localized recession-type defects. In cases where root coverage and gain in keratinized tissue are expected, the use of SCTGs seems to be more adequate.
Authors:
Leandro Chambrone; Fl?via Sukekava; Maur?cio G Ara?jo; Francisco E Pustiglioni; Luiz Armando Chambrone; Luiz A Lima
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of periodontology     Volume:  81     ISSN:  1943-3670     ISO Abbreviation:  J. Periodontol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  452-78     Citation Subset:  D; IM    
Affiliation:
Division of Periodontics, Department of Stomatology, School of Dentistry, University of S?o Paulo, S?o Paulo, SP, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Collagen
Connective Tissue / transplantation
Dental Enamel Proteins / therapeutic use
Gingival Recession / drug therapy,  surgery*
Gingivoplasty / methods
Guided Tissue Regeneration, Periodontal
Humans
Randomized Controlled Trials as Topic
Surgical Flaps
Chemical
Reg. No./Substance:
0/Alloderm; 0/Dental Enamel Proteins; 0/enamel matrix proteins; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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