Document Detail


Surgical therapies for the treatment of gingival recession. A systematic review.
MedLine Citation:
PMID:  14971258     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A variety of soft tissue augmentation procedures directed at root coverage have been documented in the literature utilizing autogenous or allogenic soft tissue grafting or guided tissue regeneration (GTR).
RATIONALE: The purpose of this systematic review was to assess the literature regarding the efficacies of various surgical gingival augmentation procedures relative to clinical and patient-oriented outcomes.
FOCUSED QUESTION: What is the effect of surgical therapy for root coverage in patients with gingival recession compared with other treatment modalities or baseline values?
SEARCH PROTOCOL: PubMed and the Cochrane Oral Health Group Trials Register were searched to identify human studies in English investigating the therapeutic use of a soft tissue surgical procedure to treat gingival recession. Searches were performed for articles published by April 2002.
SELECTION CRITERIA: Initial screening of identified abstracts accepted all studies evaluating surgical intervention of gingival recession. Independent review by 2 reviewers evaluated full-text reports regarding study characteristics. Only those studies determined to be randomized clinical trials (RCTs) were included in the final analysis. DATA ANALYSIS AND COLLECTION: Outcome measures included changes in root coverage, clinical attachment levels (CAL), probing depth (PD), and width of keratinized tissue (KT). The only data suitable for meta-analysis were comparisons of the efficacy of connective tissue grafts with GTR.
MAIN RESULTS: 1. Thirty-two articles (total study population: 687) met the criteria for RCTs: 11 (population: 286) related to various autogenous soft tissue augmentation procedures; 18 (population: 360) to GTR; and 3 (population: 41) to allogenic soft tissue augmentation. 2. Meta-analysis identified greater gains in both root coverage and keratinized tissue width for connective tissue graft procedures compared to GTR. 3. No other data were compatible with meta-analysis.
REVIEWERS' CONCLUSIONS: 1. Soft tissue augmentation procedures are effective means of obtaining root coverage. 2. Connective grafting techniques appear to have an advantage over GTR. 3. There is a need for further efficacy studies and for investigation of these procedures relative to patient-oriented outcomes such as esthetics, root sensitivity, and postoperative morbidities.
Authors:
Thomas W Oates; Melanie Robinson; John C Gunsolley
Related Documents :
10982958 - Periapical status of root-filled teeth exposed to the oral environment by loss of resto...
16685298 - Comparison of two chlorhexidine rinse protocols on the incidence of alveolar osteitis f...
1332988 - Comparative clinical and microbiological effects of topical subgingival application of ...
19884398 - Assessing caries increments in elderly patients with and without dementia: a one-year f...
14618308 - The development of pelvic organ prolapse following isolated burch retropubic urethropexy.
18372148 - Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia.
Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  Annals of periodontology / the American Academy of Periodontology     Volume:  8     ISSN:  1553-0841     ISO Abbreviation:  Ann. Periodontol.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-19     Completed Date:  2004-03-09     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  9702874     Medline TA:  Ann Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  303-20     Citation Subset:  D    
Affiliation:
Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. oates@uthscsa.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Connective Tissue / transplantation
Consensus
Gingiva / transplantation
Gingival Recession / surgery*
Gingivoplasty
Guided Tissue Regeneration, Periodontal
Humans
Randomized Controlled Trials as Topic
Vestibuloplasty

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


Previous Document:  Guided tissue regeneration for the treatment of periodontal intrabony and furcation defects. A syste...
Next Document:  Localized ridge augmentation/preservation. A systematic review.