Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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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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 |
|
_version_ |
1808129149799235584 |