Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18776 |
Resumo: | Introduction: Multiple gingival recessions (GR) are often associated with high hypersensitivity and esthetics concerns due to exposed roots. The collagen matrix (CM) associated with coronally advanced flap (CAF) may be a suitable treatment for multiple GR in esthetic areas. However, there is a lack of long term follow up investigations. Objective: To evaluate a 24-month follow-up of the CM + CAF treatment for multiple RT1 GRs in esthetics areas. Materials and Methods: Six patients presenting 6 adjacent Cairo’s gingival recessions type 1 (RT1) in the anterior maxilla were treated with CM + CAF, and based on these patients a brief statistical analysis was conduct. The evaluated parameters included gingival recession depth (GRD), gingival recession width (GRW), probing depth (PD), clinical attachment level (CAL), keratinized tissue width (KTW), gingival thickness (GT), and mean root coverage (MRC). Patient-related outcomes measurements (PROMs) were assessed using an oral health impact profile (OHIP-14) questionnaire and visual analogue scale (VAS). Results: There was significant improvement in GRD, GRW, and CAL measurements at 3 months postoperatively (p<0.05). Besides, CAL also increased from 12 months to 24 months’ follow-up (p=0.0023). The MRC percentage was 82%. PD, GT, and KTW presented no statistical difference. PROMs revealed a high score for esthetics (82.2%) and a significant reduction in hypersensitivity and surgical pain/discomfort. Conclusions: Considering the limitations of a case series, the use of CM + CAF on RT1 multiple gingival recessions in esthetic areas demonstrated positive outcomes after 24 months. |
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Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up Matriz de colágeno xenogénico para el tratamiento de múltiples recesiones gingivales en áreas estéticas: serie de casos a los 24 mesesMatriz xenógena para o tratamento de recessões gengivais múltiplas em áreas estéticas: uma série de casos com 24 meses de acompanhamento BiomaterialsEstheticsGingival recessionPeriodontal diseaseCase seriesPeriodontics.BiomaterialesEstéticaRecesión gingivalEnfermedad periodontalSerie de casosPeriodoncia.BiomateriaisEstéticaRecessão gengivalDoença periodontalSérie de casosPeriodontia.Introduction: Multiple gingival recessions (GR) are often associated with high hypersensitivity and esthetics concerns due to exposed roots. The collagen matrix (CM) associated with coronally advanced flap (CAF) may be a suitable treatment for multiple GR in esthetic areas. However, there is a lack of long term follow up investigations. Objective: To evaluate a 24-month follow-up of the CM + CAF treatment for multiple RT1 GRs in esthetics areas. Materials and Methods: Six patients presenting 6 adjacent Cairo’s gingival recessions type 1 (RT1) in the anterior maxilla were treated with CM + CAF, and based on these patients a brief statistical analysis was conduct. The evaluated parameters included gingival recession depth (GRD), gingival recession width (GRW), probing depth (PD), clinical attachment level (CAL), keratinized tissue width (KTW), gingival thickness (GT), and mean root coverage (MRC). Patient-related outcomes measurements (PROMs) were assessed using an oral health impact profile (OHIP-14) questionnaire and visual analogue scale (VAS). Results: There was significant improvement in GRD, GRW, and CAL measurements at 3 months postoperatively (p<0.05). Besides, CAL also increased from 12 months to 24 months’ follow-up (p=0.0023). The MRC percentage was 82%. PD, GT, and KTW presented no statistical difference. PROMs revealed a high score for esthetics (82.2%) and a significant reduction in hypersensitivity and surgical pain/discomfort. Conclusions: Considering the limitations of a case series, the use of CM + CAF on RT1 multiple gingival recessions in esthetic areas demonstrated positive outcomes after 24 months.Introducción: Las recesiones gingivales múltiples (RG) a menudo se asocian con una alta hipersensibilidad y preocupaciones estéticas debido a las raíces expuestas. La matriz de colágeno (MC) asociada al colgajo coronalmente avanzado (CAF) puede ser un tratamiento adecuado para múltiples GR en áreas estéticas. Sin embargo, faltan investigaciones de seguimiento a largo plazo. Objetivo: Evaluar un seguimiento de 24 meses del CM + CAF sobre el tratamiento de múltiples RT1 GR en áreas de estética. Materiales y métodos: Se trató con CM + CAF a seis pacientes que presentaban 6 recesiones adyacentes tipo 1 (RT1) de El Cairo en el maxilar anterior. Los parámetros evaluados incluyeron profundidad de recesión gingival (GRD), ancho de recesión gingival (GRW), profundidad de sondaje (PD), nivel de inserción clínica (CAL), ancho del tejido queratinizado (KTW), grosor gingival (GT) y cobertura radicular media (MRC). Las mediciones de resultados relacionados con el paciente (PROM) se evaluaron mediante un cuestionario de perfil de impacto en la salud bucal (OHIP-14) y una escala analógica visual (VAS). Resultados: Hubo una mejora significativa en las mediciones de GRD, GRW y CAL a los 3 meses de la operación (p <0.05). Además, CAL también aumentó de 12 meses a 24 meses de seguimiento (p = 0,0023). El porcentaje de MRC fue del 82%. PD, GT y KTW no presentaron diferencia estadística. Las PROM revelaron una puntuación alta en estética (82,2%) y una reducción significativa de la hipersensibilidad y el dolor / malestar quirúrgico. Conclusiones: Considerando las limitaciones de una serie de casos, el uso de CM + CAF en recesiones gingivales múltiples RT1 en áreas estéticas demostró resultados positivos a los 24 meses.Introdução: Recessões gengivais múltiplas (RG) estão frequentemente associadas a alta hipersensibilidade e preocupações estéticas devido as raízes expostas. A matriz de colágeno (MC) associada ao retalho avançado coronalmente (CAF) pode ser um tratamento adequado para RG múltiplas em áreas estéticas. No entanto, há uma carência de investigações para o acompanhamento a longo prazo. Objetivo: Avaliar o comportamento de 24 meses de acompanhamento da MC + CAF no tratamento de RGs RT1 múltiplas em áreas estéticas. Materiais e Métodos: Seis pacientes apresentando 6 recessões adjacentes do tipo 1 do Cairo (RT1) na maxila anterior foram tratados com CM + CAF. Os parâmetros avaliados incluíram profundidade da recessão gengival (GRD), largura da recessão gengival (GRW), profundidade de sondagem (PD), nível de inserção clínica (CAL), largura do tecido queratinizado (KTW), espessura gengival (GT) e cobertura média da raiz (MRC). As medidas dos parâmetros centrados no paciente (PROMs) foram avaliadas por meio de um questionário de perfil de impacto na saúde bucal (OHIP-14) e escala visual analógica (VAS). Resultados: Houve melhora significativa nas medidas de GRD, GRW e CAL em 3 meses de pós-operatório (p <0,05). Além disso, o CAL também aumentou de 12 meses para 24 meses de acompanhamento (p = 0,0023). O percentual de MRC foi de 82%. PD, GT e KTW não apresentaram diferença estatística. Os PROMs revelaram uma pontuação elevada para a estética (82,2%) e uma redução significativa da hipersensibilidade e da dor / desconforto cirúrgico. Conclusões: Considerando as limitações de uma série de casos, o uso de CM + CAF em recessões gengivais RT1 múltiplas em áreas estéticas demonstrou resultados positivos após 24 meses.Research, Society and Development2021-08-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1877610.33448/rsd-v10i10.18776Research, Society and Development; Vol. 10 No. 10; e349101018776Research, Society and Development; Vol. 10 Núm. 10; e349101018776Research, Society and Development; v. 10 n. 10; e3491010187762525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/18776/16893Copyright (c) 2021 Raphaella Coelho Michel; Rafael Ferreira; Erika Beatriz Spada de Carvalho; Talyta Sasaki Jurkevicz ; Carla Andreotti Damante ; Adriana Campos Passanezi Sant’Ana ; Mariana Schutzer Ragghianti Zangrando https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMichel, Raphaella Coelho Ferreira, RafaelCarvalho, Erika Beatriz Spada de Jurkevicz , Talyta Sasaki Damante , Carla Andreotti Sant’Ana , Adriana Campos Passanezi Zangrando , Mariana Schutzer Ragghianti 2021-10-02T21:49:16Zoai:ojs.pkp.sfu.ca:article/18776Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:49.757050Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up Matriz de colágeno xenogénico para el tratamiento de múltiples recesiones gingivales en áreas estéticas: serie de casos a los 24 meses Matriz xenógena para o tratamento de recessões gengivais múltiplas em áreas estéticas: uma série de casos com 24 meses de acompanhamento |
title |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
spellingShingle |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up Michel, Raphaella Coelho Biomaterials Esthetics Gingival recession Periodontal disease Case series Periodontics. Biomateriales Estética Recesión gingival Enfermedad periodontal Serie de casos Periodoncia. Biomateriais Estética Recessão gengival Doença periodontal Série de casos Periodontia. |
title_short |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
title_full |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
title_fullStr |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
title_full_unstemmed |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
title_sort |
Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up |
author |
Michel, Raphaella Coelho |
author_facet |
Michel, Raphaella Coelho Ferreira, Rafael Carvalho, Erika Beatriz Spada de Jurkevicz , Talyta Sasaki Damante , Carla Andreotti Sant’Ana , Adriana Campos Passanezi Zangrando , Mariana Schutzer Ragghianti |
author_role |
author |
author2 |
Ferreira, Rafael Carvalho, Erika Beatriz Spada de Jurkevicz , Talyta Sasaki Damante , Carla Andreotti Sant’Ana , Adriana Campos Passanezi Zangrando , Mariana Schutzer Ragghianti |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Michel, Raphaella Coelho Ferreira, Rafael Carvalho, Erika Beatriz Spada de Jurkevicz , Talyta Sasaki Damante , Carla Andreotti Sant’Ana , Adriana Campos Passanezi Zangrando , Mariana Schutzer Ragghianti |
dc.subject.por.fl_str_mv |
Biomaterials Esthetics Gingival recession Periodontal disease Case series Periodontics. Biomateriales Estética Recesión gingival Enfermedad periodontal Serie de casos Periodoncia. Biomateriais Estética Recessão gengival Doença periodontal Série de casos Periodontia. |
topic |
Biomaterials Esthetics Gingival recession Periodontal disease Case series Periodontics. Biomateriales Estética Recesión gingival Enfermedad periodontal Serie de casos Periodoncia. Biomateriais Estética Recessão gengival Doença periodontal Série de casos Periodontia. |
description |
Introduction: Multiple gingival recessions (GR) are often associated with high hypersensitivity and esthetics concerns due to exposed roots. The collagen matrix (CM) associated with coronally advanced flap (CAF) may be a suitable treatment for multiple GR in esthetic areas. However, there is a lack of long term follow up investigations. Objective: To evaluate a 24-month follow-up of the CM + CAF treatment for multiple RT1 GRs in esthetics areas. Materials and Methods: Six patients presenting 6 adjacent Cairo’s gingival recessions type 1 (RT1) in the anterior maxilla were treated with CM + CAF, and based on these patients a brief statistical analysis was conduct. The evaluated parameters included gingival recession depth (GRD), gingival recession width (GRW), probing depth (PD), clinical attachment level (CAL), keratinized tissue width (KTW), gingival thickness (GT), and mean root coverage (MRC). Patient-related outcomes measurements (PROMs) were assessed using an oral health impact profile (OHIP-14) questionnaire and visual analogue scale (VAS). Results: There was significant improvement in GRD, GRW, and CAL measurements at 3 months postoperatively (p<0.05). Besides, CAL also increased from 12 months to 24 months’ follow-up (p=0.0023). The MRC percentage was 82%. PD, GT, and KTW presented no statistical difference. PROMs revealed a high score for esthetics (82.2%) and a significant reduction in hypersensitivity and surgical pain/discomfort. Conclusions: Considering the limitations of a case series, the use of CM + CAF on RT1 multiple gingival recessions in esthetic areas demonstrated positive outcomes after 24 months. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18776 10.33448/rsd-v10i10.18776 |
url |
https://rsdjournal.org/index.php/rsd/article/view/18776 |
identifier_str_mv |
10.33448/rsd-v10i10.18776 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18776/16893 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 10; e349101018776 Research, Society and Development; Vol. 10 Núm. 10; e349101018776 Research, Society and Development; v. 10 n. 10; e349101018776 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052685890879488 |