Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

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dc.contributor.authorMiguel, Manuela Maria Viana [UNESP]
dc.contributor.authorFerraz, Laís Fernanda Ferreira [UNESP]
dc.contributor.authorRossato, Amanda [UNESP]
dc.contributor.authorCintra, Tuana Mendonça Faria [UNESP]
dc.contributor.authorMathias-Santamaria, Ingrid Fernandes
dc.contributor.authorSantamaria, Mauro Pedrine [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Maryland School of Dentistry
dc.contributor.institutionCollege of Dentistry
dc.date.accessioned2023-03-02T03:34:54Z
dc.date.available2023-03-02T03:34:54Z
dc.date.issued2022-01-01
dc.description.abstractObjectives: There are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR. Materials and methods: Fifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6-month. Clinical, patient-centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed. Results: Greater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6-month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts. Conclusion: CTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC. Clinical significance: CTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.en
dc.description.affiliationDivision of Periodontics Institute of Science and Technology São Paulo State University (UNESP)
dc.description.affiliationDivision of Operative Dentistry Dept. of General Dentistry University of Maryland School of Dentistry
dc.description.affiliationUniversity of Kentucky College of Dentistry
dc.description.affiliationUnespDivision of Periodontics Institute of Science and Technology São Paulo State University (UNESP)
dc.identifierhttp://dx.doi.org/10.1111/jerd.12936
dc.identifier.citationJournal of Esthetic and Restorative Dentistry.
dc.identifier.doi10.1111/jerd.12936
dc.identifier.issn1708-8240
dc.identifier.issn1496-4155
dc.identifier.scopus2-s2.0-85131315149
dc.identifier.urihttp://hdl.handle.net/11449/241910
dc.language.isoeng
dc.relation.ispartofJournal of Esthetic and Restorative Dentistry
dc.sourceScopus
dc.subjectconnective tissue graft(s)
dc.subjectdental
dc.subjectesthetics
dc.subjectgingival recession
dc.subjectheterografts
dc.subjectmucogingival surgery
dc.titleComparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trialsen
dc.typeArtigo
unesp.author.orcid0000-0003-4828-3487[1]
unesp.author.orcid0000-0003-4486-6335[2]
unesp.author.orcid0000-0001-9354-9446[3]
unesp.author.orcid0000-0003-2518-0135[5]
unesp.author.orcid0000-0001-9468-0729[6]

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