Root Coverage of Advanced Gingival Recession: A Comparative Study Between Acellular Dermal Matrix Allograft and Subepithelial Connective Tissue Grafts

Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM).Methods: Ten patients with Miller’s Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients’ medical records. The patients were recalled and the post-operative data were recorded.Results: The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.

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Comparison of acellular dermal matrix allograft (ADMA) and a subepithelial connective tissue graft (SCTG) for the treatment of gingival recession

Journal of Advanced Periodontology & Implant Dentistry ◽

10.34172/japid.2020.004 ◽

2020 ◽

Vol 12 (1) ◽

pp. 11-17

Author(s):

Niloofar Jenabian ◽

Mohadese Yazdanpanahbahabadi ◽

Parya Haghpanah Aski ◽

Ali Bijani

Keyword(s):

Connective Tissue ◽

Test Group ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Root Coverage ◽

Dermal Matrix ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Subepithelial Connective Tissue Graft ◽

Acellular Dermal

Background. This study aimed to evaluate the effect of acellular dermal matrix allograft (ADMA) for the treatment of gingival recession as a substitute for subepithelial connective tissue graft (SCTG). Methods. In this controlled clinical trial, 18 teeth were selected in nine subjects with bilateral gingival recession. One side was treated with SCTG and a coronally displaced flap as the control group, and the other side was treated with ADMA and a coronally displaced flap as the test group. Probing pocket depth (PPD), clinical attachment level, vertical recession depth, recession width, gingival thickness, keratinized tissue width, and the root coverage percentage were measured before the surgery and at 1-, 3-, and 6-month postoperative intervals. The healing index, pain index, and patient satisfaction were also investigated. The data were analyzed with a general linear model (GLM) repeated measures and paired t-test. Results. All the parameters improved except for PPD; however, a comparison between the groups did not reveal statistically significant differences. Only root coverage percentage and pain index were significantly lower in the test group. The average percentage of root coverage in the control and test groups were 82.01±16.62% and 64.44±9.4%, respectively. Conclusion. Both methods resulted in improvements in the clinical results. However, the use of the ADMA led to less pain and root coverage in comparison with the SCTG method.

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Efficacy of acellular dermal matrix and autogenous connective tissue grafts in the treatment of gingival recession defects among Asians

Journal of Investigative and Clinical Dentistry ◽

10.1111/jicd.12085 ◽

2014 ◽

Vol 6 (2) ◽

pp. 125-132 ◽

Cited By ~ 4

Author(s):

Tara B. Taiyeb Ali ◽

Izrawatie M. Shapeen ◽

Hameeda Bashir Ahmed ◽

Fawad Javed

Keyword(s):

Connective Tissue ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Dermal Matrix ◽

Tissue Grafts ◽

Acellular Dermal

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Root Coverage with an Acellular Dermal Allograft: A Three-Month Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-1-3-9 ◽

1999 ◽

Vol 1 (3) ◽

pp. 9-16 ◽

Cited By ~ 1

Author(s):

Edward B. Fowler ◽

Lawrence G. Breault

Keyword(s):

Case Report ◽

Connective Tissue ◽

Surgical Procedure ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Root Coverage ◽

Dermal Matrix ◽

Case Presentation ◽

Adequate Quantity ◽

Acellular Dermal

Abstract Treatment of gingival recession has been a common practice in periodontics for years. As esthetic demands of periodontal patientsincrease, more root coverage procedures will be performed to satisfy esthetic demands. Often patients present with multiple areas requiring treatment. Palatal anatomy may limit the amount of autogenous tissue that can be harvested, limiting the number of procedures that can be performed. A patient may not desire to have additional tissue transplanted from the palate, due to increased pain and morbidity associated with multiple transplant procedures. The following is a case presentation of multiple adjacent recession defects. The patient presented with a shallow palate from which one side would not yield an adequate quantity of connective tissue. Furthermore, the patient declined to have both sides of his palate harvested simultaneously. As an alternative, an acellular dermal matrix allograft was utilized to correct these gingival defects negating the requirement for a second palatal surgical procedure.

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Modified tunnel technique for management of gingival recession in esthetic zone using acellular dermal matrix versus connective tissue graft

Future Dental Journal ◽

10.1016/j.fdj.2018.12.001 ◽

2018 ◽

Cited By ~ 1

Author(s):

Rania A. Fahmy ◽

Maha R. Taalab

Keyword(s):

Connective Tissue ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Matrix Versus ◽

Dermal Matrix ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Tunnel Technique ◽

Acellular Dermal

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Comparative 6-Month Clinical Study of a Subepithelial Connective Tissue Graft and Acellular Dermal Matrix Graft for the Treatment of Gingival Recession

Journal of Periodontology ◽

10.1902/jop.2001.72.11.1477 ◽

2001 ◽

Vol 72 (11) ◽

pp. 1477-1484 ◽

Cited By ~ 74

Author(s):

Arthur B. Novaes ◽

Daniela C. Grisi ◽

Gustavo O. Molina ◽

Sérgio L.S. Souza ◽

Mario Taba ◽

...

Keyword(s):

Clinical Study ◽

Connective Tissue ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Dermal Matrix ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Subepithelial Connective Tissue Graft ◽

Acellular Dermal

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Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-7-2-63 ◽

2006 ◽

Vol 7 (2) ◽

pp. 63-70 ◽

Cited By ~ 15

Author(s):

M.E. Rahmani ◽

Mohammad A. Rigi Lades

Keyword(s):

Connective Tissue ◽

Clinical Evaluation ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Dermal Matrix ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Post Surgery ◽

Attached Gingiva ◽

Acellular Dermal

Abstract Aims “Gingival recession is a condition reported to occur due to abnormal periodontal anatomy, poor hygiene, excessive occlusal forces, toothbrush abrasion, and even iatrogenic or factitious causes. Though various surgical techniques are available to treat this problem, the most common is the palatal soft tissue autograft. Recently, an acellular dermal matrix allograft (ADMA) has been available as a substitute for the palatal tissue harvest. The aim of this study is to compare the ADMA with the conventional subepithelial connective tissue graft (SCTG) in the treatment of gingival recession.” Methods and Materials Fourteen patients with 20 gingival recessions of Miller's grade I and II were selected and randomized in two groups of control (SCTG) and test (ADMA). In each group ten recession defects were treated. The following parameters were measured at baseline and then at six months post surgery: recession height (RH), recession width (RW), probing depth (PD), attached gingiva (AG), keratinized gingiva (KG), and clinical attachment level (CAL). All parameters were analyzed using the two-sample t-test. Data analysis was performed using SPSS (version 11) software. Results The following mean changes (mm) occurred in SCTG and ADMA, respectively: 2.60±0.97 and 2.90±0.81 decrease in RH; 1.70±1.01 and 1.65±0.67 decrease in RW; 2.50±0.97 and 2.95±0.69 increase in KG; 2.25±0.92 and 2.65±0.85 increase in AG; 2.60±1.08 and 2.75±0.92 decrease in CAL; and finally 0.05±0.50 and 0.10±0.46 decrease in PD for the SCTG and ADMA groups, respectively. The percentage of root coverage for the two groups was 70.12%±22.81% and 72.08%±14.12%, respectively. The changes from baseline to the six-month visit were significant for both groups in terms of all parameters but PD. However, the differences in mean changes were not significant between the two groups in any of the parameters. Conclusion These findings imply the ADMA and SCTG techniques could produce the same results when used for the successful treatment of gingival recessions. In addition the ADMA could be used as an adequate alternative treatment modality for conventional techniques. Citation Rahmani ME, Lades MAR. Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession. J Contemp Dent Pract 2006 May;(7)2:063-070.

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