scholarly journals The effect of partially exposed connective tissue graft on root-coverage outcomes: a systematic review and meta-analysis

2018 ◽  
Vol 126 (2) ◽  
pp. 84-92 ◽  
Author(s):  
Austin Dodge ◽  
Jeffrey Garcia ◽  
Paul Luepke ◽  
Yu-Lin Lai ◽  
Moawia Kassab ◽  
...  
Keyword(s):  
Systematic Review ◽  
Connective Tissue ◽  
Meta Analysis ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft

scholarly journals Xenogeneic collagen matrix versus connective tissue graft for the treatment of multiple gingival recessions: A systematic review and meta‐analysis

2019 ◽  
Vol 5 (5) ◽  
pp. 566-579
Author(s):  
Mohammed A. AlSarhan ◽  
Reham Al Jasser ◽  
Mohammad Abdullah Tarish ◽  
Anas I. AlHuzaimi ◽  
Hamad Alzoman
Keyword(s):  
Systematic Review ◽  
Connective Tissue ◽  
Meta Analysis ◽  
Collagen Matrix ◽  
Matrix Versus ◽  
Connective Tissue Graft ◽  
Tissue Graft

Root Coverage Predictability in the Treatment of Gingival Recessions on Mandibular Anterior Teeth

2021 ◽  
pp. 238008442110094
Author(s):  
M. Agusto ◽  
A. Salman ◽  
D. Parker ◽  
D. Choi ◽  
G.P. Schincaglia
Keyword(s):  
Connective Tissue ◽  
Meta Analysis ◽  
Surgical Techniques ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Keratinized Tissue

Introduction: Mandibular anterior teeth are most frequently affected by gingival recession. However, data regarding mucogingival treatment aimed at root coverage in this specific location are limited. Objective: The purpose of this study was to systematically review the scientific literature and to use the meta-analytic approach to address the following focused question: “What is the effectiveness of different surgical approaches on clinical and patient-related outcomes in the treatment of buccal gingival recessions on mandibular anterior teeth?” Methods: Studies were located by searching 3 electronic databases (Medline, Scopus, and Cochrane databases) and cross-referencing. Randomized and nonrandomized studies including at least 1 arm involving the use of pedicle flaps and/or free soft tissue grafts in the treatment of gingival recessions (recession type [RT] 1 and RT2) located on the buccal aspects of mandibular centrals, laterals and canines, were included in the analysis. Primary outcome was mean root coverage (mRC), expressed in percentage, based on a 3- to 12-mo follow-up observation. A Bayesian single-arm network meta-analysis was performed to identify a treatment hierarchy of the different surgical techniques. Results: Sixteen studies, with a total of 23 arms, were included in the quantitative analysis. The greatest mRC is associated with laterally positioned flap (LPF) + connective tissue graft (CTG) (91.2%) and tunnel (TUN) + CTG (89.4%), whereas LPF alone, coronally advanced flap (CAF) + CTG, and free gingival graft (FGG) showed lower mRC (79.1%, 78.9%, and 68.5% respectively). TUN + CTG provides significantly greater mRC compared to CAF+CTG. No difference among the procedures could be observed in terms of keratinized tissue width gain. Conclusions: Treatment hierarchy generated by an arm-based network meta-analysis model suggested that tunnel and laterally positioned flap, both in combination with connective tissue graft, may provide the greatest mean root coverage in the treatment of mandibular anterior recessions. Knowledge Transfer Statement: The results of the present systematic review can be used by clinicians when deciding which approach to adopt when treating buccal gingival recessions on mandibular anterior teeth. In particular, procedures based on a laterally positioned flap or a tunneling technique, both in combination with connective tissue graft, seem to be the most predictable therapeutic decision.

scholarly journals Collagen Matrix vs. Autogenous Connective Tissue Graft for Soft Tissue Augmentation: A Systematic Review and Meta-Analysis

Polymers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1810
Author(s):  
Cristina Vallecillo ◽  
Manuel Toledano-Osorio ◽  
Marta Vallecillo-Rivas ◽  
Manuel Toledano ◽  
Alberto Rodriguez-Archilla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Soft Tissue ◽  
Connective Tissue ◽  
Meta Analysis ◽  
Soft Tissue Augmentation ◽  
Total Width ◽  
Collagen Matrices ◽  
Connective Tissue Graft ◽  
Tissue Graft

Soft tissues have been shown to be critical for the maintenance of both teeth and implants. Currently, regenerative soft tissue techniques propose the use of collagen matrices, which can avoid the drawbacks derived from the obtainment of autogenous tissue graft. A systematic review and meta-analysis were conducted to ascertain the efficacy of collagen matrices (CM) compared to autogenous connective tissue graft (CTG) to improve soft tissue dimensions. An electronic and manual literature searches were performed to identify randomized clinical trials (RCT) or controlled clinical trials (CCT) that compared CTG and CM. Pooled data of width of keratinized tissue (KT) and mucosal thickness (MT) were collected and weighted means were calculated. Heterogeneity was determined using Higgins (I2). If I2 > 50% a random-effects model was applied. Nineteen studies were included based on the eligibility criteria. When using CTG a higher MT gain (0.32 mm, ranging from 0.49 to 0.16 mm) was obtained than when employing CM. Similar result was obtained for the width of KT gain, that was 0.46 mm higher (ranging from 0.89 to 0.02 mm) when employing CTG. However, it can be stated that, although autogenous CTG achieves higher values, CM are an effective alternative in terms of total width of KT and MT gain.

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