Root coverage procedures for the treatment of localised recession-type defects

Chambrone, Leandro; Sukekava, Flávia; Araújo, Maurício G.; Pustiglioni, Francisco Emílio; Chambrone, Luiz Armando; Lima, Luiz Antônio Pugliesi Alves de

doi:10.1002/14651858.cd007161.pub2

Cited by 78 publications

(129 citation statements)

References 122 publications

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“…The root covering technique described by Langer and Langer (12), provides the most predictable results among the existing techniques (4,13). However, studies comparing smoking and non-smoking patients under root coverage procedures reported a negative influence of smoking on treatment predictability (3,11,14,15).…”

Section: Introductionmentioning

confidence: 99%

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

et al. 2012

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Smokers have small root coverage which is associated with bad vascularity of periodontal tissues. This study evaluated a technique that can increase the blood supply to the periodontal tissues compared with a traditional technique. Twenty heavy smokers (10 males and 10 females) with two bilateral Miller class I gingival recessions received coronally positioned flaps in one side (Control group) and extended flap technique in the other side (Test group). Clinical measurements (probing pocket depth, clinical attachment level, bleeding on probing, gingival recession height, gingival recession width, amount of keratinized tissue, and width and height of the papillae adjacent to the recession) were determined at baseline, 3 and 6 months postoperatively. Salivary cotinina samples were taken as an indicator of the nicotine exposure level. No statistically significant differences (p>0.05) were detected for the clinical measurements or smoke exposure. Both techniques promoted low root coverage (Control group: 43.18% and Test group: 44.52%). In conclusion, no difference was found in root coverage between the techniques. Root coverage is possible and uneventful even, if rather low, in heavy smoker patients with low plaque and bleeding indices.

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Section: Introductionmentioning

confidence: 99%

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

et al. 2012

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“…Chambrone, Sukakava, Aruajo, Pustiglioni, Chambrone under the Cochrane Collaboration in 2009, ascertained the superiority of SCTGs over the other periodontal plastic surgical approaches for root coverage. [20] In spite of its promising results, SCTG has some limitations. To overcome some of the drawbacks, PCG has been considered.…”

Section: Discussionmentioning

confidence: 99%

A comparative evaluation of subepithelial connective tissue graft (SCTG) versus platelet concentrate graft (PCG) in the treatment of gingival recession using coronally advanced flap technique: A 12-month study

Kumar

Murthy

2013

J Indian Soc Periodontol

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Objective:The objective of this study was to clinically evaluate and compare the efficacy of platelet concentrate graft (PCG) with that of subepithelial connective tissue graft (SCTG) using a coronally advanced flap technique in the treatment of gingival recession.Materials and Methods:Twelve patients with a total of 24 gingival recession defects were selected and randomly assigned either to experimental site-A (SCTG) or experimental site-B (PCG). The clinical parameters were recorded at baseline up to 12 months post-operatively and compared.Results:The mean vertical recession depth (VRD) statistically significantly decreased from 2.50 ± 0.48 mm to 0.54 ± 0.50 mm with PCG and from 2.75 ± 0.58 mm to 0.54 ± 0.45 mm with SCTG at 12 months. No statistically significant differences between the treatments were found for VRD and clinical attachment level (CAL), while keratinized tissue width (KTW) gain was statistically significant.Conclusion:Both the SCTG and the PCG group resulted in a significant amount of root coverage. The PCG technique was less invasive and required minimal time and clinical maneuver. It resulted in superior aesthetic outcome and lower post-surgical discomfort at the 12 months follow-up.

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“…It might be sensible to suggest the use of a single dose of 2 g prophylactic amoxicillin before dental implant placement Periodontics 46. Chambrone et al 2009 The results of this review have shown that most periodontal plastic surgery procedures led to statistically significant gains in gingival recession depth, clinical attachment level, and width of keratinized tissue, 23/24 studies were however judged to be at high risk of bias I 47. Deacon et al 2010 There is evidence from 7 trials of up to 3 months and at unclear/high risk of bias that rotation oscillation brushes reduce plaque and gingivitis more than sideto-side brushes I 48.…”

Section: Reviewmentioning

confidence: 96%

Is the Evidence Supporting Dental Procedures Strong? A Survey of Cochrane Systematic Reviews in Oral Health

Faggion

2012

Journal of Evidence Based Dental Practice

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Root coverage procedures for the treatment of localised recession-type defects

Cited by 78 publications

References 122 publications

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial

A comparative evaluation of subepithelial connective tissue graft (SCTG) versus platelet concentrate graft (PCG) in the treatment of gingival recession using coronally advanced flap technique: A 12-month study

Is the Evidence Supporting Dental Procedures Strong? A Survey of Cochrane Systematic Reviews in Oral Health

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