Predictable Multiple Site Root Coverage Using an Acellular Dermal Matrix Allograft

Henderson, Robin D.; Greenwell, Henry; Drisko, Connie L.; Regennitter, Fred J.; Lamb, James W.; Mehlbauer, Michael J.; Goldsmith, L. Jane; Rebitski, George

doi:10.1902/jop.2001.72.5.571

Cited by 122 publications

(167 citation statements)

References 60 publications

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“…However, although both show similar results in terms of gingival biotype, the collagen matrix increases the same way as increased connective grafts 23 . Henderson et al 24 found similar increases in gingival biotype. Recall studies indicate thickness of the gum (gingival biotype) is more decisive than the amount of keratinized gingiva to prevent future gum recession 24 .…”

Section: Discussionmentioning

confidence: 80%

“…Henderson et al 24 found similar increases in gingival biotype. Recall studies indicate thickness of the gum (gingival biotype) is more decisive than the amount of keratinized gingiva to prevent future gum recession 24 . It is important to highlight that an important factor to increase the risk of future gingival recession is a thin gingival biotype 25,26 .…”

Section: Discussionmentioning

confidence: 80%

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Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

Castro¹,

Grados²

2013

Joralres

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Achieving root coverage after exposure caused by gingival recession is one of the main goals of reconstructive periodontal surgery. Even though a large variety of techniques and mucogingival grafting procedures are available, their long-term results are not clear yet. Therefore, this study aimed to compare clinical effectiveness of the porcine collagen matrix with subepithelial connective graft for treating Miller class I and II gingival recessions. Materials and methods: The randomized clinical trial included twelve patients assigned to two groups. In the first group (experimental), six patients were treated using collagen matrix (mean age, 54.3 ± 5.6 years; mean recession 2. 67 ± 1.03 mm). Another group (control) of six patients was treated using connective grafts (mean age, 57.1 ± 2.7 years; mean recession 4.33 ± 1.03 mm). All patients underwent periodontal evaluation and pre-surgical preparation including oral hygiene instruction and supragingival scaling. Gingival recessions were exposed through partial thickness flaps where the grafts and matrices were placed. Patients were assessed periodically until complete healing of tissue. Results: Root coverage parameters, amount of keratinized gingiva, gingival biotype and clinical attachment level were evaluated. The root coverage percentage for the group using connective graft was 24.7 ± 13.5 % and 16.6 ± 26.8 % for the one treated with the matrix. The amount of increased keratinized tissue was 4.33 ± 2.06 mm and 4.5 ± 0.83 mm for the control and experimental group respectively. Both groups increased gingival biotypes from thin to thick at 100%. The final clinical attachment level was 4.17 ± 3.17 ± 04mm for the control group and 0.98 mm for the experimental group. There were significant differences between the outcome of gingival recession and clinical attachment. Conclusion: Results indicate both techniques, besides being predictable, are useful for improving clinical parameters when treating gingival recessions. Regardless of the fact that better root coverage was obtained with the subepithelial connective graft, both methods are really useful for increasing the thickness of keratinized tissue. Keywords: Gingival recession, connective tissue, grafts, periodontal disease, collagen matrix.Matriz de colágeno de origen porcino en el tratamiento de las recesiones gingivales. Ensayo clínico aleatorio.Resumen: Lograr la cobertura radicular que se expone por las recesiones gingivales es uno de los principales objetivos de las cirugías periodontales reconstructivas. Una gran variedad de técnicas e injertos mucogingivales se encuentran como opciones terapéuticas. Sin embargo, los resultados y efectividad a largo plazo aún no son claros. Este estudio tuvo como objetivo comparar la efectividad clínica de la matriz de colágeno de origen porcino versus el injerto conectivo subepitelial en el tratamiento de las recesiones gingivales Miller clase I y II. Materiales y métodos: Ensayo clínico aleatorizado donde participaron 12 pacientes asignados de manera aleatoria en...

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 80%

Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

Castro¹,

Grados²

2013

Joralres

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“…In the present case report, alloderm® has been used underneath the flap to increase the predictability of the procedure. In a study, alloderm® has been used with coronally advanced flap procedure, mean gingival recession decreased from 4.20 to 0.25 mm when basement side of the graft was toward the site and it decreased from 3.70 to 0.15 mm when connective tissue side was toward the site [6]. When double papilla flap combined with GTR was compared with coronally advanced flap combined with GTR, the study had shown that there was significant decrease in recession in both the cases and no significant difference between the groups [10].…”

Section: Dentistry Section Abstractmentioning

confidence: 99%

Modified Approach of Double Papillae Laterally Positioned Flap Technique using Alloderm® for Root Coverage

Agarwal

Purohit

Sharma³

et al. 2014

JCDR

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“…Un aloinjerto de matriz dérmica acelular (AMDA) se ha reportado recientemente en la literatura, mostrando resultados clínicos favorables en el cubrimiento de recesiones gingivales (24)(25)(26)(27).…”

Section: Introductionunclassified

Aplicación clínica de la matriz dérmica acelular para prevenir recesiones gingivales

Medina

2009

Avances en Periodoncia

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Un objetivo primordial de la cirugía plástica periodontal es cubrir las superficies radiculares expuestas cuando esta condición causa al paciente problemas estéticos, hipersensibilidad dentinal, caries radicular o dificulta una adecuada remoción de la placa bacteriana. Muchas técnicas quirúrgicas se han propuesto para la corrección de exposiciones radiculares: autoinjerto gingival libre, injertos pediculados y técnicas bilaminares. La regeneración tisular guiada también se ha ofrecido como otra alternativa terapéutica en el manejo de recesiones gingivales. Un aloinjerto de matriz dérmica acelular (AMDA) se ha reportado recientemente en la literatura periodontal, mostrando resultados clínicos favorables en el cubrimiento de recesiones gingivales. El objetivo de esta revisión es mostrar la composición del AMDA, sus características, antecedentes y predecibilidad comparado con otras técnicas para lograr cubrimiento de recesiones gingivales. PALABRAS CLAVE:Recesión gingival, matriz dérmica acelular.

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Predictable Multiple Site Root Coverage Using an Acellular Dermal Matrix Allograft

Abstract: Treatment with ADM was an effective and predictable procedure for root coverage. The orientation of the material did not affect the treatment outcome for any of the parameters tested.

Cited by 122 publications

References 60 publications

Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

Porcine collagen matrix for treating gingival recession. Randomized clinical trial.

Modified Approach of Double Papillae Laterally Positioned Flap Technique using Alloderm® for Root Coverage

Aplicación clínica de la matriz dérmica acelular para prevenir recesiones gingivales

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