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Surgical Therapies for the Treatment of Gingival Recession. A Systematic Review

Surgical Therapies for the Treatment of Gingival Recession. A Systematic Review

Authors :
Thomas W. Oates
Melanie Robinson
John C. Gunsolley
Source :
Annals of Periodontology. 8:303-320
Publication Year :
2003
Publisher :
Wiley, 2003.

Abstract

A variety of soft tissue augmentation procedures directed at root coverage have been documented in the literature utilizing autogenous or allogenic soft tissue grafting or guided tissue regeneration (GTR).The purpose of this systematic review was to assess the literature regarding the efficacies of various surgical gingival augmentation procedures relative to clinical and patient-oriented outcomes.What is the effect of surgical therapy for root coverage in patients with gingival recession compared with other treatment modalities or baseline values?PubMed and the Cochrane Oral Health Group Trials Register were searched to identify human studies in English investigating the therapeutic use of a soft tissue surgical procedure to treat gingival recession. Searches were performed for articles published by April 2002.Initial screening of identified abstracts accepted all studies evaluating surgical intervention of gingival recession. Independent review by 2 reviewers evaluated full-text reports regarding study characteristics. Only those studies determined to be randomized clinical trials (RCTs) were included in the final analysis. DATA ANALYSIS AND COLLECTION: Outcome measures included changes in root coverage, clinical attachment levels (CAL), probing depth (PD), and width of keratinized tissue (KT). The only data suitable for meta-analysis were comparisons of the efficacy of connective tissue grafts with GTR.1. Thirty-two articles (total study population: 687) met the criteria for RCTs: 11 (population: 286) related to various autogenous soft tissue augmentation procedures; 18 (population: 360) to GTR; and 3 (population: 41) to allogenic soft tissue augmentation. 2. Meta-analysis identified greater gains in both root coverage and keratinized tissue width for connective tissue graft procedures compared to GTR. 3. No other data were compatible with meta-analysis.1. Soft tissue augmentation procedures are effective means of obtaining root coverage. 2. Connective grafting techniques appear to have an advantage over GTR. 3. There is a need for further efficacy studies and for investigation of these procedures relative to patient-oriented outcomes such as esthetics, root sensitivity, and postoperative morbidities.

Details

ISSN :
15530841
Volume :
8
Database :
OpenAIRE
Journal :
Annals of Periodontology
Accession number :
edsair.doi.dedup.....8affc7dd711a51a8b8bd634d9046de59
Full Text :
https://doi.org/10.1902/annals.2003.8.1.303