Long-term stability of root coverage procedures for single gingival recessions: A systematic review and meta-analysis.
J Clin Periodontol
; 46(5): 572-585, 2019 05.
Article
em En
| MEDLINE
| ID: mdl-30980404
ABSTRACT
AIM:
To evaluate the long-term (≥2 years) stability of root coverage procedures for single gingival recessions. MATERIALS ANDMETHODS:
A complete literature search was performed up to July 2018. Randomized controlled trials (RCTs) following ≥2 years were selected. Primary outcomes were complete root coverage (CRC) and mean root coverage (MRC). Secondary outcomes were width of keratinized tissue (KTW) and patient-centred parameters. Meta-analysis was conducted when possible.RESULTS:
A total of fifteen RCTs were included. The results demonstrated significantly higher MRC in short-term than long-term after coronally advanced flap (CAF; 7.29%, p = 0.006). When CAF combined with connective tissue graft (CTG), no significant difference was observed in CRC or MRC for short-term versus long-term (1.00, p = 0.97; 2.35%, p = 0.09), and it resulted in better long-term efficacy than CAF alone in terms of CRC (0.69, p = 0.0006) and KTW (-0.63 mm, p = 0.04). For CAF plus enamel matrix derivative, the meta-analysis showed no significant difference between the short-term and long-term results of CRC (1.26, p = 0.21).CONCLUSIONS:
CAF alone could result in decreased postoperative percentage of root coverage with time. CAF + CTG could maintain long-term stability and result in better root coverage outcomes than CAF.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Raiz Dentária
/
Retração Gengival
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
J Clin Periodontol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
China