Comparison of Efficacy among Different Surgical Root Coverage Methods_West China Medical Journal

Authors：

 ZhuQiong , YuChunmei , ZhengXixuan

Center of Stomatology, the First People's Hospital of Foshan City, Foshan, Guangdong 528000, P. R. China;

Corresponding?author：

Keywords：

Lateral sliding flap; Subepithelial connective tissue graft; Acellular dermal matrix allograft; Root coverage; Mucogingival surgery

DOI：

10.7507/1002-0179.201600422

Video：

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Objective To compare the half-year clinical efficacy of three different surgical root coverage methods including lateral sliding flap (LSF), subepithelial connective tissue graft (CTG) and acellular dermal matrix allograft (ADM). Methods Eighteen patients (24 teeth) with gingival recession treated in our hospital between December 2012 and July 2015 were selected and divided into three groups according to a certain sequence with 8 teeth in each group. The three groups of teeth were treated with LSF, CTG and ADM respectively. Gingival recession, probing depth and keratinized gingival width at both baseline and 6 months after surgery of all patients were recorded for inner- and inter-group comparison. Results All three methods proved to be effective within 6 months with an awerage of 2.8-4.0 mm in decrease extent of gingival recession (P<0.01). LSF did not significantly change the probing depth (P>0.05) as the other two did (P<0.01). The differences among three surgical methods compared before and after surgery were all significant (P<0.05). Conclusion LSF, CTG and ADM are all effective surgical means for root coverage. Within 6 months, CTG presents better effects than ADM, and ADM better than LSF.

Citation： ZhuQiong, YuChunmei, ZhengXixuan. Comparison of Efficacy among Different Surgical Root Coverage Methods. West China Medical Journal, 2016, 31(9): 1551-1553. doi: 10.7507/1002-0179.201600422 Copy

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8.	Zucchelli G. 膜齦美學手術精要[M]. 束蓉, 主譯. 沈陽:遼寧科學技術出版社, 2016:329, 459.
9.	梁照忠, 包旭英, 王新平. 上皮下結締組織移植術蕈建附著牙齦的臨床研究[J]. 中國美容醫學, 2011, 20(4):572-574.
10.	Akman AC, Demiralp B, Güncü GN, et al. Necrosis of gingiva and alveolar bone caused by acid etching and its treatment with subepithelial connective tissue graft[J]. J Can Dent Assoc, 2005, 71(7):477-479.
11.	Wang HL, Romanos GE, Geurs NC, et al. Comparison of two differently processed acellular dermal matrix products for root coverage procedures:a prospective, randomized multicenter study[J]. J Periodontol, 2014, 85(12):1693-1701.
12.	Ayub LG, Ramos UD, Reino DM, et al. A modified surgical technique for root coverage with an allograft:a 12-month randomized clinical trial[J]. J Periodontol, 2014, 85(11):1529-1536.
13.	Moslemi N, Heidari M, Mousavi Jazi M, et al. Application of an acellular dermal matrix allograft (CenoDerm) for treatment of multiple gingival recession defects:a case report with one-year follow-up[J]. J Dent Res Dent Clin Dent Prospects, 2014, 8(3):180-183.

1. 喬敏. 馬丹丹. 上皮下結締組織移植在牙周手術治療牙齦退縮中的應用[J]. 中日友好醫院學報, 2013, 27(1):39-41.
2. 孫江, 韓冰, 劉瓊. 上皮下結締組織移植術在牙齦退縮治療中的應用[J]. 實用口腔醫學雜志, 2010, 26(3):393-396.
3. 孟煥新. 牙周病學[M]. 4版. 北京:人民衛生出版社, 2012:256.
4. 林崇韜, 李紅艷. 膜齦手術[J]. 中國實用口腔科雜志, 2013, 6(4):212-216.
5. Miller PD. A classification of marginal tissue recession[J]. Int J Periodontics Restorative Dent, 1985, 5(2):8-13.
6. 萬蕓, 李世義. 齦瓣側向轉位術治療前牙根面暴露[J]. 牙體牙髓牙周病學雜志, 2000, 10(4):193.
7. 冀海華, 高菲, 李秋華. 側向轉位瓣術治療牙齦退縮10例手術配合與護理[J]. 齊魯護理雜志, 2014, 20(18):86-87.
8. Zucchelli G. 膜齦美學手術精要[M]. 束蓉, 主譯. 沈陽:遼寧科學技術出版社, 2016:329, 459.
9. 梁照忠, 包旭英, 王新平. 上皮下結締組織移植術蕈建附著牙齦的臨床研究[J]. 中國美容醫學, 2011, 20(4):572-574.
10. Akman AC, Demiralp B, Güncü GN, et al. Necrosis of gingiva and alveolar bone caused by acid etching and its treatment with subepithelial connective tissue graft[J]. J Can Dent Assoc, 2005, 71(7):477-479.
11. Wang HL, Romanos GE, Geurs NC, et al. Comparison of two differently processed acellular dermal matrix products for root coverage procedures:a prospective, randomized multicenter study[J]. J Periodontol, 2014, 85(12):1693-1701.
12. Ayub LG, Ramos UD, Reino DM, et al. A modified surgical technique for root coverage with an allograft:a 12-month randomized clinical trial[J]. J Periodontol, 2014, 85(11):1529-1536.
13. Moslemi N, Heidari M, Mousavi Jazi M, et al. Application of an acellular dermal matrix allograft (CenoDerm) for treatment of multiple gingival recession defects:a case report with one-year follow-up[J]. J Dent Res Dent Clin Dent Prospects, 2014, 8(3):180-183.

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