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- Title
Microsurgery for root coverage: A systematic review.
- Authors
Jian Kang; Shu Meng; Chunjie Li; Zhenhua Luo; Shujuan Guo; Yafei Wu
- Abstract
Objective: To evaluate whether microsurgery gains better result in root coverage compared to conventional surgical techniques. Methods: A number of databases were searched to identify eligible studies from January 1992 to January 2015. The following outcomes were evaluated: number of sites exhibiting complete root coverage and patients' esthetic satisfaction. Results: Four Randomized Clinical Trials (RCTs) fulfilled the inclusion criteria. A pooled estimate from the two RCTs regarding sub-epithelial connective tissue grafts (SCTG) showed significant achievement in complete root coverage in the microsurgical group [relative risk (RR):1.63; 95% confidence interval (CI): 1.12 to 2.36; P=0.01] with acceptable heterogeneity. The other two studies were about coronal advanced flap (CAF) with enamel matrix derivative or free rotated papilla autograft and did not qualify for metaanalysis. Patients' esthetic satisfaction was analyzed only by one study. Conclusions: Using microsurgical technique for treating gingival recessions may be effective in achieving complete root coverage for SCTG.
- Subjects
MICROSURGERY; OPERATIVE surgery; CLINICAL trials; EPITHELIAL cells; RELATIVE medical risk; AUTOGRAFTS
- Publication
Pakistan Journal of Medical Sciences, 2015, Vol 31, Issue 5, p1
- ISSN
1682-024X
- Publication type
Article
- DOI
10.12669/pjms.315.7782