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

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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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7.	冀海华, 高菲, 李秋华. 侧向转位瓣术治疗牙龈退缩10例手术配合与护理[J]. 齐鲁护理杂志, 2014, 20(18):86-87.
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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. 乔敏. 马丹丹. 上皮下结缔组织移植在牙周手术治疗牙龈退缩中的应用[J]. 中日友好医院学报, 2013, 27(1):39-41.
2. 孙江, 韩冰, 刘琼. 上皮下结缔组织移植术在牙龈退缩治疗中的应用[J]. 实用口腔医学杂志, 2010, 26(3):393-396.
3. 孟焕新. 牙周病学[M]. 4版. 北京:人民卫生出版社, 2012:256.
4. 林崇韬, 李红艳. 膜龈手术[J]. 中国实用口腔科杂志, 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. 万芸, 李世义. 龈瓣侧向转位术治疗前牙根面暴露[J]. 牙体牙髓牙周病学杂志, 2000, 10(4):193.
7. 冀海华, 高菲, 李秋华. 侧向转位瓣术治疗牙龈退缩10例手术配合与护理[J]. 齐鲁护理杂志, 2014, 20(18):86-87.
8. Zucchelli G. 膜龈美学手术精要[M]. 束蓉, 主译. 沈阳:辽宁科学技术出版社, 2016:329, 459.
9. 梁照忠, 包旭英, 王新平. 上皮下结缔组织移植术蕈建附着牙龈的临床研究[J]. 中国美容医学, 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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