Root Coverage and Volumetric Outcomes of a Novel Porcine-Derived Acellular Dermal Matrix with the Tunneled Coronally Advanced Flap (TCAF) for Treatment of Multiple Adjacent Gingival Recessions: A Clinical Prospective Study.
| Autor: | Barootchi, Shayan, Mancini, Leonardo, Sabri, Hamoun, Hom-Lay Wang, Tavelli, Corrado, Tavelli, Lorenzo |
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| Předmět: |
DERMIS
SWINE WOUND healing TOOTH roots TRANSPLANTATION of organs tissues etc. STATISTICAL significance TISSUE engineering GINGIVAL recession TREATMENT effectiveness DESCRIPTIVE statistics SURGICAL flaps LONGITUDINAL method BIOMEDICAL materials VOLUMETRIC analysis HEALTH outcome assessment CONFIDENCE intervals DATA analysis software |
| Zdroj: | International Journal of Periodontics & Restorative Dentistry; Jul/Aug2024, Vol. 44 Issue 4, p377-387a, 12p |
| Abstrakt: | Multiple adjacent gingival recessions (MAGRs) are commonly treated with autogenous grafts. However, several intra- and postsurgical complications have been described following autogenous grafts, leading clinicians to explore the use of different biomaterials to treat these conditions. The aim of the present study was to evaluate the root coverage outcomes of a novel porcine-derived acellular dermal matrix (PADM) in combination with the tunneled coronally advanced flap (TCAF) for the treatment of MAGRs. Ten patients with 33 type 1 recession defects (RT1s) were treated with PADM + TCAF. The outcomes of interest included the mean root coverage (mRC), the frequency of complete root coverage (CRC), changes in keratinized tissue width, volumetric gain at the treated sites (assessed with digital intraoral scanning), and patient-reported outcome measures. All treated sites healed uneventfully, and no complications were noted throughout the study. At 6 months, a statistically significant reduction in recession was noted at the treated sites, exhibiting an overall mRC of 89.14% ± 19.15% and a CRC of 72.7%. The average volume gain after 6 months was 26.28 ± 11.71 mm3, and the mean distance between the surface/mean thickness of the reconstructed volume (DD) was 0.63 ± 0.28 mm. The region-specific volumetric analysis revealed an overall higher linear dimensional gain at the midroot aspect (range: 0.72 to 0.78 mm, assessed 1 to 4 mm apical to the cementoenamel junction) compared to the other regions. The present study presents the clinical and volumetric outcomes of PADM + TCAF for the treatment of MAGRs. A significant amount of volumetric gain was also observed at 6 months as a result of the treatment, along with satisfactory esthetic and patient-reported outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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