Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

Detalhes bibliográficos
Autor(a) principal: Miguel, Manuela Maria Viana [UNESP]
Data de Publicação: 2022
Outros Autores: Ferraz, Laís Fernanda Ferreira [UNESP], Rossato, Amanda [UNESP], Cintra, Tuana Mendonça Faria [UNESP], Mathias-Santamaria, Ingrid Fernandes, Santamaria, Mauro Pedrine [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1111/jerd.12936
http://hdl.handle.net/11449/241910
Resumo: Objectives: There are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR. Materials and methods: Fifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6-month. Clinical, patient-centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed. Results: Greater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6-month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts. Conclusion: CTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC. Clinical significance: CTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.
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spelling Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trialsconnective tissue graft(s)dentalestheticsgingival recessionheterograftsmucogingival surgeryObjectives: There are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR. Materials and methods: Fifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6-month. Clinical, patient-centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed. Results: Greater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6-month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts. Conclusion: CTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC. Clinical significance: CTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.Division of Periodontics Institute of Science and Technology São Paulo State University (UNESP)Division of Operative Dentistry Dept. of General Dentistry University of Maryland School of DentistryUniversity of Kentucky College of DentistryDivision of Periodontics Institute of Science and Technology São Paulo State University (UNESP)Universidade Estadual Paulista (UNESP)University of Maryland School of DentistryCollege of DentistryMiguel, Manuela Maria Viana [UNESP]Ferraz, Laís Fernanda Ferreira [UNESP]Rossato, Amanda [UNESP]Cintra, Tuana Mendonça Faria [UNESP]Mathias-Santamaria, Ingrid FernandesSantamaria, Mauro Pedrine [UNESP]2023-03-02T03:34:54Z2023-03-02T03:34:54Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/jerd.12936Journal of Esthetic and Restorative Dentistry.1708-82401496-4155http://hdl.handle.net/11449/24191010.1111/jerd.129362-s2.0-85131315149Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Esthetic and Restorative Dentistryinfo:eu-repo/semantics/openAccess2023-03-02T03:34:54Zoai:repositorio.unesp.br:11449/241910Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T20:01:09.478385Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
title Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
spellingShingle Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
Miguel, Manuela Maria Viana [UNESP]
connective tissue graft(s)
dental
esthetics
gingival recession
heterografts
mucogingival surgery
title_short Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
title_full Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
title_fullStr Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
title_full_unstemmed Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
title_sort Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
author Miguel, Manuela Maria Viana [UNESP]
author_facet Miguel, Manuela Maria Viana [UNESP]
Ferraz, Laís Fernanda Ferreira [UNESP]
Rossato, Amanda [UNESP]
Cintra, Tuana Mendonça Faria [UNESP]
Mathias-Santamaria, Ingrid Fernandes
Santamaria, Mauro Pedrine [UNESP]
author_role author
author2 Ferraz, Laís Fernanda Ferreira [UNESP]
Rossato, Amanda [UNESP]
Cintra, Tuana Mendonça Faria [UNESP]
Mathias-Santamaria, Ingrid Fernandes
Santamaria, Mauro Pedrine [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
University of Maryland School of Dentistry
College of Dentistry
dc.contributor.author.fl_str_mv Miguel, Manuela Maria Viana [UNESP]
Ferraz, Laís Fernanda Ferreira [UNESP]
Rossato, Amanda [UNESP]
Cintra, Tuana Mendonça Faria [UNESP]
Mathias-Santamaria, Ingrid Fernandes
Santamaria, Mauro Pedrine [UNESP]
dc.subject.por.fl_str_mv connective tissue graft(s)
dental
esthetics
gingival recession
heterografts
mucogingival surgery
topic connective tissue graft(s)
dental
esthetics
gingival recession
heterografts
mucogingival surgery
description Objectives: There are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR. Materials and methods: Fifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6-month. Clinical, patient-centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed. Results: Greater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6-month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts. Conclusion: CTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC. Clinical significance: CTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
2023-03-02T03:34:54Z
2023-03-02T03:34:54Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1111/jerd.12936
Journal of Esthetic and Restorative Dentistry.
1708-8240
1496-4155
http://hdl.handle.net/11449/241910
10.1111/jerd.12936
2-s2.0-85131315149
url http://dx.doi.org/10.1111/jerd.12936
http://hdl.handle.net/11449/241910
identifier_str_mv Journal of Esthetic and Restorative Dentistry.
1708-8240
1496-4155
10.1111/jerd.12936
2-s2.0-85131315149
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal of Esthetic and Restorative Dentistry
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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