J-R Tejedo, R-A Jara, L-Z Caceres, A Vergara-Buenaventura, F-W Muniz, M Faveri, J Meza-Mauricio
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引用次数: 0
摘要
背景：获取牙龈移植物治疗牙龈衰退（GR）的最佳技术仍然是一个持续争论的话题。本系统综述旨在评价去上皮化游离牙龈移植物（DFGG）与上皮下结缔组织移植物（SCTG）在治疗GR Miller I类和II类或Cairo I类中的效果。检索截至2024年6月的5个数据库，纳入比较DFGG与SCTG治疗GR临床效果的随机临床试验（RCTs）。采用平均差异随机效应模型确定GR，以及角化组织宽度（KTW）、牙龈厚度（GT）和临床附着水平（CAL）的增益。在6个月和12个月时使用风险比来完成根覆盖（CRC）。结果：本系统综述纳入了5项随机对照试验，包括6个月和12个月时的183和111 GR。meta分析显示，在6个月和12个月时，两组间的GR降低、KTW、GT、CRC或CAL的增加均无统计学差异。结论：在12个月时，DFGG治疗GR的临床效果与SCTG相似。
De-epithelialized free gingival graft versus subepithelial connective tissue graft in the treatment of gingival recession: a systematic review and meta-analysis.
Background: The best technique to harvest gingival graft to treat gingival recessions (GR) remains a topic of ongoing debate. This systematic review aimed to evaluate the effect of de-epithelialized free gingival graft (DFGG) compared to subepithelial connective tissue graft (SCTG) in the treatment of GR Miller Class I and II or Cairo type I.
Material and methods: Five databases were searched up to June 2024 to include randomized clinical trials (RCTs) comparing the clinical effects of DFGG with SCTG in the treatment of GR. The random effects model of mean differences was used to determine GR, and gain in keratinized tissue width (KTW), gingival thickness (GT) and clinical attachment level (CAL). The risk ratio was used to complete root coverage (CRC) at 6 and 12 months.
Results: Five RCTs including 183 and 111 GR at 6 and 12 months were included in this systematic review. The meta-analysis showed no statistically significant difference in GR reduction, gain in KTW, GT, CRC or CAL between groups at 6 and 12 months.
Conclusions: At 12 months, the clinical results of DFGG were similar to those of SCTG in the treatment of GR.
期刊介绍：
1. Oral Medicine and Pathology:
Clinicopathological as well as medical or surgical management aspects of
diseases affecting oral mucosa, salivary glands, maxillary bones, as well as
orofacial neurological disorders, and systemic conditions with an impact on
the oral cavity.
2. Oral Surgery:
Surgical management aspects of diseases affecting oral mucosa, salivary glands,
maxillary bones, teeth, implants, oral surgical procedures. Surgical management
of diseases affecting head and neck areas.
3. Medically compromised patients in Dentistry:
Articles discussing medical problems in Odontology will also be included, with
a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients.
4. Implantology
5. Periodontology
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