Ascertaining the regenerative potential of the “gold standard” grafts: Achieving 100% root coverage in Miller's Class III recession with periosteal pedicle graft and autogenous bone

Luthra, Shailly; Grover, Harpreet Singh; Yadav, Alok Kumar; Masamatti, Sujata Surendra

doi:10.4103/jisp.jisp_333_17

Cited by 2 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the treatment of Miller class III [ 4 ] or RT2 [ 5 ] recessions, the tunnel preparation and the CAFs were the most widely used surgical techniques. Regarding surgical procedures developed along twentieth century, they were used in 16 clinical studies [ 7 , 14 , 43 , 44 , 47 – 49 , 51 , 53 , 57 , 59 , 61 , 62 , 65 – 67 ] (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Complete root coverage in the treatment of Miller class III or RT2 gingival recessions: a systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

Background The primary objective of this systematic review and meta-analysis was to assess the evidence on complete root coverage (CRC) achieved by periodontal plastic techniques in the treatment of Miller class III/RT2 gingival recessions, comparing techniques developed along the twentieth century (pre-twenty-first) versus surgical approaches of the twenty-first century (21st). Methods An electronic bibliographic search was carried out in four databases up to December 2019, focusing on studies that reported CRC results in Miller class III or RT2 recessions treatment with at least a six-month follow-up. In addition, a random-effects models’ meta-analysis was performed for the CRC, comparing pre-twenty-first versus twenty-first century techniques at 6 months, 12 months and more than 12 months. Results Thirty-seven publications were included. A total of 933 gingival recessions were treated, 298 with pre-twenty-first century surgical techniques and 635 with techniques from the twenty-first century. CRC was achieved at 6 months on half of the recessions (pre-twenty-first: 57.60% vs. 21st: 51.11%), but decreased markedly for twenty-first century techniques at 12 months (pre-twenty-first: 63.82% vs. 21st: 32.87%). Thereafter, this difference was the other way around (> 12 months: pre-twenty-first: 5.26% vs. 21st: 19.65%). The meta-analysis showed a high heterogeneity, with no significant differences amongst the techniques. Conclusions Although CRC might be achievable by treating Miller class III or RT2 recessions with any of the described techniques, its long-term stability is not predictable. More randomized clinical trials with longer follow-ups and several visits, are needed. In addition, the patient’s satisfaction should also be assessed.

show abstract

Section: Resultsmentioning

confidence: 99%

Complete root coverage in the treatment of Miller class III or RT2 gingival recessions: a systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

Clinical efficacy of periosteal pedicle graft as a barrier membrane in guided tissue regeneration: A systematic review and meta-analysis

Iyer,

Sidharthan,

Gopalakrishnan

et al. 2024

Dental Research Journal

View full text Add to dashboard Cite

Background: The study aims to assess the clinical efficacy of periosteal pedicle graft (PPG) as a barrier membrane in guided tissue regeneration (GTR) for gingival recession, intrabony, and furcation defects. Materials and Methods: Electronic and hand searches were performed to identify randomized controlled/clinical trials investigating GTR using PPG, with 6-month follow-up. Primary outcomes recorded: probing depth (PD), clinical attachment level (CAL), bone fill, recession depth (RD) reduction, percentage of mean root coverage, keratinized tissue width (KTW), and bone defect area (BDA). Results: Thirteen articles were selected; 6 for recession, 2 for furcation, and 5 for intrabony. Meta-analysis was performed whenever possible, results expressed as pooled standardized mean differences (SMDs). In recession defects, the RD pooled SMD is 0.47 (95% confidence interval (CI) = [−0.50–1.44]), KTW pooled SMD is 1.30 (95% CI = [−0.30–2.91]), favoring PPG over the comparator. In furcation defects, PD pooled SMD is 1.12 (95% CI = [−2.77–0.52]), CAL pooled SMD is 0.71 (95% CI = [−1.09–2.50]), and bone fill pooled SMD is 0.67 (95% CI = [−3.34–4.69]) favoring PPG. In intrabony defects, PD pooled SMD is 0.54 (95% CI = [−2.12–1.04]), CAL pooled SMD is 0.23 (95% CI = [−1.13–0.68]), and BDA pooled SMD is 0.37 (95% CI = [−1.58–2.31]) favoring PPG. The results were not statistically significant. Conclusion: The current evidence indicates that PPG constitutes a valid and reliable alternative to collagen barrier membranes for successful GTR.

show abstract

Ascertaining the regenerative potential of the “gold standard” grafts: Achieving 100% root coverage in Miller's Class III recession with periosteal pedicle graft and autogenous bone

Cited by 2 publications

References 18 publications

Complete root coverage in the treatment of Miller class III or RT2 gingival recessions: a systematic review and meta-analysis

Complete root coverage in the treatment of Miller class III or RT2 gingival recessions: a systematic review and meta-analysis

Clinical efficacy of periosteal pedicle graft as a barrier membrane in guided tissue regeneration: A systematic review and meta-analysis

Contact Info

Product

Resources

About