Effect of suturing in root coverage via coronally advanced flaps: A systematic review.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Alina Ariceta, Leandro Chambrone, Sandra Stuhr, Emilio Couso-Queiruga
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引用次数: 0

Abstract

Background: To analyze the evidence about the influence of the suturing technique and material in terms of the percentage of mean root coverage (%MRC) following root coverage therapy in teeth diagnosed with single/localized gingival recession defects (GRD) via a monolaminar coronally advanced flap.

Methods: The protocol of this systematic review was registered in PROSPERO (CRD42024514043). A literature search was conducted to identify investigations that fulfilled the eligibility criteria. Variables of interest were extracted, subsequently categorized, and qualitatively analyzed.

Results: A total of 15 randomized clinical trials, including 301 localized GRD in non-molar sites classified as Miller class I-II/RT1, in 253 patients were included. The studies reporting the combination of sling and single interrupted sutures, or interrupted sutures alone showed an MRC of 70.2%±16.6%, and 74.1%±0.75%, respectively. The highest MRC was observed in the studies using polyglactin 910 with a pooled value of 76.6% ± 15.3%, and monofilament materials, with a pooled MRC of 74.8%±7.1%. When the suturing diameter was evaluated, the highest pooled MRC with values of 79.1%±9.8% was observed with the use of 5-0.

Conclusions: For the treatment of single/localized GRD in non-molar sites via a monolaminar coronally advanced flap, the use of a combination of sling and single interrupted sutures, or single interrupted sutures, polyglactin 910 or monofilament materials, and material diameter of 5-0 showed a higher MRC as compared to the use of expanded polytetrafluoroethylene, and silk with/without dressing, and other suture diameters.

Key points: There were no differences in the percentage of root coverage achieved between the use of sling and single interrupted, versus single interrupted sutures alone on the treatment of single/localized GRD in non-molar sites. Polyglactin 910 and monofilament sutures resulted in a higher percentage of root coverage achieved as compared to expanded polytetrafluoroethylene, and silk with/without dressing. The use of 5-0 material diameter showed the highest percentage of root coverage achieved.

Plain language summary: This study was primarily aimed at evaluating how different suturing techniques and materials could affect the percentage of root coverage in single/localized recession defects, without the use of soft tissue substitutes or autogenous soft tissue grafts. After the pooled analyses of 15 randomized clinical trials that fulfilled the inclusion criteria, we observed that the adequate selection of suturing techniques, materials, and size could lead to a higher percentage of root coverage. Specifically, the use of single interrupted with or without sling sutures at the most coronal portion, Polyglactin 910 or monofilament materials, and size of 5-0 showed a higher percentage of root coverage as compared to the use of expanded polytetrafluoroethylene, and silk with/without dressing, and other suture diameters.

通过冠状前移皮瓣进行根部覆盖的缝合效果:系统综述。
背景:目的:分析通过单层冠状前移皮瓣对单颗/局部牙龈退缩缺损(GRD)牙齿进行根覆盖治疗后,缝合技术和材料对平均根覆盖率(%MRC)的影响:本系统综述的方案已在 PROSPERO(CRD42024514043)中注册。通过文献检索来确定符合资格标准的研究。对感兴趣的变量进行提取、分类和定性分析:结果:共纳入了 15 项随机临床试验,其中包括 253 名患者的 301 例局部 GRD(非磨牙部位),分类为 Miller I-II 级/RT1。报告吊带和单一间断缝合或单独间断缝合的研究显示,MRC 分别为(70.2%±16.6%)和(74.1%±0.75%)。在使用聚乳酸 910 的研究中观察到最高的 MRC,其汇总值为 76.6%±15.3% ,而单丝材料的汇总 MRC 为 74.8%±7.1%。在对缝合直径进行评估时,使用 5-0.Conclusions 的集合 MRC 值最高,为 79.1%±9.8%:结论:通过单层冠状前移皮瓣治疗非磨牙部位的单发/局部GRD时,与使用膨体聚四氟乙烯、带/不带敷料的丝线和其他缝线直径相比,使用吊带和单层间断缝线组合或单层间断缝线、聚乳酸910或单丝材料以及5-0材料直径显示出更高的MRC:要点:在治疗非磨牙部位的单发/局部GRD时,使用吊带和单一间断缝合线与单独使用单一间断缝合线的牙根覆盖率没有差异。与膨体聚四氟乙烯缝合线和带/不带敷料的丝线相比,聚乳酸 910 和单丝缝合线的牙根覆盖率更高。该研究的主要目的是评估在不使用软组织替代物或自体软组织移植的情况下,不同的缝合技术和材料如何影响单个/局部退缩缺损的牙根覆盖率。在对符合纳入标准的 15 项随机临床试验进行汇总分析后,我们发现,适当选择缝合技术、材料和大小可提高牙根覆盖率。具体来说,与使用膨体聚四氟乙烯、带/不带敷料的丝线以及其他直径的缝线相比,在最冠状部分使用带或不带吊带的单中断缝线、聚乳酸 910 或单丝材料以及 5-0 尺寸的缝线可获得更高的牙根覆盖率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Advances in Periodontics
Clinical Advances in Periodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.60
自引率
0.00%
发文量
40
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