Evidence-Based Periodontal Plastic Surgery. II. An Individual Data Meta-Analysis for Evaluating Factors in Achieving Complete Root Coverage

2012 ◽  
Vol 83 (4) ◽  
pp. 477-490 ◽  
Author(s):  
Leandro Chambrone ◽  
Cláudio Mendes Pannuti ◽  
Yu-Kang Tu ◽  
Luiz Armando Chambrone
Keyword(s):  
Plastic Surgery ◽  
Meta Analysis ◽  
Evidence Based ◽  
Individual Data ◽  
Root Coverage ◽  
Periodontal Plastic Surgery

Collagen Matrix for Periodontal Plastic Surgery Procedures: A Meta-analysis Update

2019 ◽  
Vol 39 (4) ◽  
pp. e129-e155
Author(s):  
Chunmei Xu ◽  
QianTing Wang ◽  
Jin Chen ◽  
Yafei Wu ◽  
Lei Zhao
Keyword(s):  
Plastic Surgery ◽  
Meta Analysis ◽  
Collagen Matrix ◽  
Periodontal Plastic Surgery

scholarly journals Cirurgia minimamente invasiva x cirurgia convencional na taxa de recobrimento radicular e previsibilidade estética: Uma revisão integrativa

2021 ◽  
Vol 10 (5) ◽  
pp. e17610514314
Author(s):  
Silvano Santos Pinheiro ◽  
Francisco de Assis de Souza Junior ◽  
Isaías Lopes de Medeiros ◽  
Bruno Cesar de Vasconcelos Gurgel ◽  
Euler Maciel Dantas ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plastic Surgery ◽  
Web Of Science ◽  
Gingival Recession ◽  
Root Coverage ◽  
Minimally Invasive Surgical ◽  
Periodontal Plastic Surgery

A cirurgia minimamente invasiva (CMI), é um termo que descreve procedimentos cirúrgicos pouco invasivos com ou sem instrumentos de ampliação, porém ainda não existe evidência científica se existe maior previsibilidade estética e de taxa de recobrimento radicular nas CMI em relação a cirurgia para recobrimento radicular convencional. Desta forma, foi realizada uma revisão integrativa da literatura utilizando-se a seguinte estratégia de busca: (microsurgery OR surgical AND minimally invasive surgical OR surgery AND gingival recession AND periodontal plastic surgery OR surgical AND root coverage). nas bases de dados SciELO, PubMed, Scopus, Web of Science, Science Direct, BVS e Google Acadêmico utilizando-se de artigos publicados entre os períodos de 2011 à 2019. No total foram encontrados 546 artigos e após a seleção mediante os critérios de inclusão permaneceram 05 artigos para o estudo, todos ensaios clínicos randomizados. As informações avaliadas dos artigos foram seus objetivos, tamanho da amostra, técnicas cirúrgicas realizadas, o tempo de acompanhamento e os resultados e conclusão. Com base nas análises, pode-se concluir que a CMI não necessita do uso de instrumentos de magnificação. A tunelização realizada para recobrimento radicular proporciona melhores resultados como ganho tecidual e estético em relação ao Retalho tracionado coronalmente (RTC), principalmente para as classes I e II de Miller. O uso de enxerto conjuntivo associado a CMI aumentou a previsibilidade de resultados satisfatórios.

Gingival Thickness and Outcome of Periodontal Plastic Surgery Procedures: A Meta-regression Analysis

2020 ◽  
pp. 238008442094217
Author(s):  
L. Paternò Holtzman ◽  
G. Blasi ◽  
E. Rivera ◽  
F. Herrero ◽  
K. Downton ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Secondary Outcome ◽  
Root Coverage ◽  
Tissue Thickness ◽  
Gingival Thickness ◽  
Soft Tissue Thickness ◽  
Periodontal Plastic Surgery ◽  
The Impact

Objective: To evaluate the impact of soft tissue thickness (STT) on root coverage achieved with different periodontal plastic surgery procedures. Background: Gingival recession has been managed successfully through various surgical approaches, with great variability in outcomes. Anatomic characteristics of the recipient site and selected technique account in part for this variability. Gingival flap thickness is one of the most critical site-related characteristics. Methods: An electronic search was conducted on the major databases (PubMed, Embase, Web of Science). Human prospective studies with at least 6 mo of follow-up and with a numeric baseline measurement for gingival thickness were eligible. Only studies including nonsmoking patients were considered. Variables included surgical approach, participant characteristics, local anatomic factors, and follow-up time. Primary outcome was mean percentage root coverage (%RC) achieved, and complete root coverage was a secondary outcome. Results: A total of 42 studies were included (35 randomized controlled trials, 5 case series, 1 prospective cohort study, and 1 controlled clinical trial). Across studies, the pooled %RC was 81.9% (95% CI, 79.1% to 84.7%). The %RC was not significantly associated ( P = 0.267) with baseline soft tissue thickness; however there was a significant ( P = 0.031) inverse relationship between STT and %RC after 12-mo follow-up. Subgroup analysis showed that for no graft, there was a significant ( P = 0.025) positive relationship between STT and %RC with the exclusion of the single outlier study based on STT. Conclusions: STT plays a limited role in predicting root coverage across all approaches; when flaps are performed with no graft, the effect of STT is most critical. The length of time following surgery appears to influence outcomes, with 12-mo follow-up offering greater insight. Knowledge Transfer Statement: The results of this study can suggest to clinicians which periodontal plastic surgery technique to employ when treating challenging cases. In particular, it can be helpful when selecting the treatment approach to treat thin phenotype sites. This study could help clinicians provide a more appropriate treatment decision in such cases.

Evidence-based periodontal plastic surgery: an assessment of quality of systematic reviews in the treatment of recession-type defects

2010 ◽  
Vol 37 (12) ◽  
pp. 1110-1118 ◽  
Author(s):  
Leandro Chambrone ◽  
Clovis Mariano Faggion Jr. ◽  
Claudio Mendes Pannuti ◽  
Luiz A. Chambrone
Keyword(s):  
Plastic Surgery ◽  
Systematic Reviews ◽  
Evidence Based ◽  
Periodontal Plastic Surgery
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