Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

• DOI: 10.1111/jerd.12936
• Publication Date: 2022-06-07T08:09:03Z
• Authors: Manuela Maria Via...; Laís Fernanda Fer...; Amanda Rossato; Tuana Mendonça Fa...; Ingrid Fernandes ...; Mauro Pedrine San...
• Keywords: connective tissue graft(s); dental; Gingiva; 610; Surgical Flaps; gingival recession; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; heterografts; mucogingival surgery; Connective Tissue; esthetics; Humans; Gingival Recession; Acellular Dermis; Tooth Root; Randomized Controlled Trials as Topic

AbstractObjectivesThere are few studies comparing xenogeneic acellular dermal matrixes (XDMs) with connective tissue graft (CTG) to treat single gingival recession (GR). The present study involved a reanalysis of previous studies and comparison of CTG or XDM to treat single RT1/GR.Materials and methodsFifty patients from three previous randomized clinical trials treated either by CTG (n = 25) or XDM (n = 25) were evaluated after 6‐month. Clinical, patient‐centered, and esthetic parameters were assessed. Pearson's correlation and regression analyses were also performed.ResultsGreater recession reduction (RecRed), percentage of root coverage (%RC), and complete root coverage (CRC) were observed in the CTG group (p ≤ 0.02). Gingival thickness (GT) and keratinized tissue width (KTW) gains were higher in the CTG group. The CTG group showed better esthetic at 6‐month. Logistic analyses reported that GT([OR] = 1.6473) and papilla height (PH) (OR = 8.20) are predictors of CRC. GT*XDM interaction was a negative predictor of CRC (OR = 7.105−5). GT at baseline acted as a predictor of RecRed in both groups (p = 0.03). The XDM graft impacted RecRed and %RC negatively. Baseline PH was a predictor of %RC for both grafts.ConclusionCTG was superior for treating RT1/GR, providing better root coverage outcomes and tissue gains over time. GT, PH, and graft type were classified as predictors of CRC.Clinical significanceCTG presented better outcomes to treat single RT1 gingival recession when compared to the XDM.