Xenogeneic collagen matrix for the treatment of multiple gingival recessions in esthetics areas: a case series with 24-month follow-up

Raphaella Coelho  Michel; Rafael Ferreira; Erika Beatriz Spada de  Carvalho; Talyta Sasaki  Jurkevicz; Carla Andreotti  Damante; Adriana Campos Passanezi  Sant’Ana; Mariana Schutzer Ragghianti  Zangrando

doi:10.33448/rsd-v10i10.18776

Autores/as

Raphaella Coelho Michel University of São Paulo https://orcid.org/0000-0003-0878-1502
Rafael Ferreira University of São Paulo https://orcid.org/0000-0001-5879-2782
Erika Beatriz Spada de Carvalho University of São Paulo https://orcid.org/0000-0003-2513-3240
Talyta Sasaki Jurkevicz University of São Paulo https://orcid.org/0000-0001-5050-7094
Carla Andreotti Damante University of São Paulo https://orcid.org/0000-0002-6782-8596
Adriana Campos Passanezi Sant’Ana University of São Paulo https://orcid.org/0000-0001-5640-9292
Mariana Schutzer Ragghianti Zangrando University of São Paulo https://orcid.org/0000-0003-0286-7575

DOI:

https://doi.org/10.33448/rsd-v10i10.18776

Palabras clave:

Biomateriales; Estética; Recesión gingival; Enfermedad periodontal; Serie de casos; Periodoncia.

Resumen

Introducción: Las recesiones gingivales múltiples (RG) a menudo se asocian con una alta hipersensibilidad y preocupaciones estéticas debido a las raíces expuestas. La matriz de colágeno (MC) asociada al colgajo coronalmente avanzado (CAF) puede ser un tratamiento adecuado para múltiples GR en áreas estéticas. Sin embargo, faltan investigaciones de seguimiento a largo plazo. Objetivo: Evaluar un seguimiento de 24 meses del CM + CAF sobre el tratamiento de múltiples RT1 GR en áreas de estética. Materiales y métodos: Se trató con CM + CAF a seis pacientes que presentaban 6 recesiones adyacentes tipo 1 (RT1) de El Cairo en el maxilar anterior. Los parámetros evaluados incluyeron profundidad de recesión gingival (GRD), ancho de recesión gingival (GRW), profundidad de sondaje (PD), nivel de inserción clínica (CAL), ancho del tejido queratinizado (KTW), grosor gingival (GT) y cobertura radicular media (MRC). Las mediciones de resultados relacionados con el paciente (PROM) se evaluaron mediante un cuestionario de perfil de impacto en la salud bucal (OHIP-14) y una escala analógica visual (VAS). Resultados: Hubo una mejora significativa en las mediciones de GRD, GRW y CAL a los 3 meses de la operación (p <0.05). Además, CAL también aumentó de 12 meses a 24 meses de seguimiento (p = 0,0023). El porcentaje de MRC fue del 82%. PD, GT y KTW no presentaron diferencia estadística. Las PROM revelaron una puntuación alta en estética (82,2%) y una reducción significativa de la hipersensibilidad y el dolor / malestar quirúrgico. Conclusiones: Considerando las limitaciones de una serie de casos, el uso de CM + CAF en recesiones gingivales múltiples RT1 en áreas estéticas demostró resultados positivos a los 24 meses.

Citas

AlSarhan, M. A., Al Jasser, R., Tarish, M. A., AlHuzaimi, A. I., & Alzoman, H. (2019). Xenogeneic collagen matrix versus connective tissue graft for the treatment of multiple gingival recessions: A systematic review and meta-analysis. Clinical and experimental dental research, 5(5), 566–579. https://doi.org/10.1002/cre2.210

Armitage G. C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of periodontology, 4(1), 1–6. https://doi.org/10.1902/annals.1999.4.1.1

Aroca, S., Molnár, B., Windisch, P., Gera, I., Salvi, G. E., Nikolidakis, D., & Sculean, A. (2013). Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial. Journal of clinical periodontology, 40(7), 713–720. https://doi.org/10.1111/jcpe.12112

Baldi, C., Pini-Prato, G., Pagliaro, U., Nieri, M., Saletta, D., Muzzi, L., & Cortellini, P. (1999). Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. Journal of periodontology, 70(9), 1077–1084. https://doi.org/10.1902/jop.1999.70.9.1077

Cairo, F., Nieri, M., Cincinelli, S., Mervelt, J., & Pagliaro, U. (2011). The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. Journal of clinical periodontology, 38(7), 661–666. https://doi.org/10.1111/j.1600-051X.2011.01732.x

Cairo F. (2017). Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontology 2000, 75(1), 296–316. https://doi.org/10.1111/prd.12186

Chambrone, L., Ortega, M., Sukekava, F., Rotundo, R., Kalemaj, Z., Buti, J., & Prato, G. (2019). Root coverage procedures for treating single and multiple recession-type defects: An updated Cochrane systematic review. Journal of periodontology, 90(12), 1399–1422. https://doi.org/10.1002/JPER.19-0079

Fu, J. H., Su, C. Y., & Wang, H. L. (2012). Esthetic soft tissue management for teeth and implants. The journal of evidence-based dental practice, 12(3 Suppl), 129–142. https://doi.org/10.1016/S1532-3382(12)70025-8

Graziani, F., Gennai, S., Roldán, S., Discepoli, N., Buti, J., Madianos, P., & Herrera, D. (2014). Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. Journal of clinical periodontology, 41 Suppl 15, S63–S76. https://doi.org/10.1111/jcpe.12172

Huang, J. P., Liu, J. M., Wu, Y. M., Chen, L. L., & Ding, P. H. (2019). Efficacy of xenogeneic collagen matrix in the treatment of gingival recessions: A systematic review and meta-analysis. Oral diseases, 25(4), 996–1008. https://doi.org/10.1111/odi.12949

Jepsen, K., Stefanini, M., Sanz, M., Zucchelli, G., & Jepsen, S. (2017). Long-Term Stability of Root Coverage by Coronally Advanced Flap Procedures. Journal of periodontology, 88(7), 626–633. https://doi.org/10.1902/jop.2017.160767

McGuire, M. K., & Scheyer, E. T. (2010). Xenogeneic collagen matrix with coronally advanced flap compared to connective tissue with coronally advanced flap for the treatment of dehiscence-type recession defects. Journal of periodontology, 81(8), 1108–1117. https://doi.org/10.1902/jop.2010.090698

McGuire, M. K., & Scheyer, E. T. (2016). Long-Term Results Comparing Xenogeneic Collagen Matrix and Autogenous Connective Tissue Grafts with Coronally Advanced Flaps for Treatment of Dehiscence-Type Recession Defects. Journal of periodontology, 87(3), 221–227. https://doi.org/10.1902/jop.2015.150386

Moraschini, V., de Almeida, D., Sartoretto, S., Bailly Guimarães, H., Chaves Cavalcante, I., & Diuana Calasans-Maia, M. (2019). Clinical efficacy of xenogeneic collagen matrix in the treatment of gingival recession: a systematic review and meta-analysis. Acta odontologica Scandinavica, 77(6), 457–467. https://doi.org/10.1080/00016357.2019.1588372

Nahas, R., Gondim, V., Carvalho, C. V., Calderero, L. M., Rosa, E. F., Sakiyama, T., César Neto, J. B., Pannuti, C. M., & Romito, G. A. (2020). Treatment of multiple recessions with collagen matrix versus connective tissue: a randomized clinical trial. Brazilian oral research, 33, e123. https://doi.org/10.1590/1807-3107bor-2019.vol33.0123

Oates, T. W., Robinson, M., & Gunsolley, J. C. (2003). Surgical therapies for the treatment of gingival recession. A systematic review. Annals of periodontology, 8(1), 303–320. https://doi.org/10.1902/annals.2003.8.1.303

Oliveira, B. H., & Nadanovsky, P. (2005). Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community dentistry and oral epidemiology, 33(4), 307–314. https://doi.org/10.1111/j.1600-0528.2005.00225.x

Palmer, R. M., Cortellini, P., & Group B of European Workshop on Periodontology (2008). Periodontal tissue engineering and regeneration: Consensus Report of the Sixth European Workshop on Periodontology. Journal of clinical periodontology, 35(8 Suppl), 83–86. https://doi.org/10.1111/j.1600-051X.2008.01262.x

Pelekos, G., Lu, J. Z., Ho, D., Graziani, F., Cairo, F., Cortellini, P., & Tonetti, M. S. (2019). Aesthetic assessment after root coverage of multiple adjacent recessions with coronally advanced flap with adjunctive collagen matrix or connective tissue graft: Randomized clinical trial. Journal of clinical periodontology, 46(5), 564–571. https://doi.org/10.1111/jcpe.13103

Rotundo, R., Genzano, L., Patel, D., D'Aiuto, F., & Nieri, M. (2019). Adjunctive benefit of a xenogenic collagen matrix associated with coronally advanced flap for the treatment of multiple gingival recessions: A superiority, assessor-blind, randomized clinical trial. Journal of clinical periodontology, 46(10), 1013–1023. https://doi.org/10.1111/jcpe.13168

Sangiorgio, J., Neves, F., Rocha Dos Santos, M., França-Grohmann, I. L., Casarin, R., Casati, M. Z., Santamaria, M. P., & Sallum, E. A. (2017). Xenogenous Collagen Matrix and/or Enamel Matrix Derivative for Treatment of Localized Gingival Recessions: A Randomized Clinical Trial. Part I: Clinical Outcomes. Journal of periodontology, 88(12), 1309–1318. https://doi.org/10.1902/jop.2017.170126

Santamaria, M. P., Neves, F., Silveira, C. A., Mathias, I. F., Fernandes-Dias, S. B., Jardini, M., & Tatakis, D. N. (2017). Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial. Journal of clinical periodontology, 44(5), 540–547. https://doi.org/10.1111/jcpe.12714

Sanz, M., Lorenzo, R., Aranda, J. J., Martin, C., & Orsini, M. (2009). Clinical evaluation of a new collagen matrix (Mucograft prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. Journal of clinical periodontology, 36(10), 868–876. https://doi.org/10.1111/j.1600-051X.2009.01460.x

Slade G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community dentistry and oral epidemiology, 25(4), 284–290. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x

Stefanini, M., Jepsen, K., de Sanctis, M., Baldini, N., Greven, B., Heinz, B., Wennström, J., Cassel, B., Vignoletti, F., Sanz, M., Jepsen, S., & Zucchelli, G. (2016). Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial. Journal of clinical periodontology, 43(12), 1132–1141. https://doi.org/10.1111/jcpe.12626

Tonetti, M. S., Cortellini, P., Pellegrini, G., Nieri, M., Bonaccini, D., Allegri, M., Bouchard, P., Cairo, F., Conforti, G., Fourmousis, I., Graziani, F., Guerrero, A., Halben, J., Malet, J., Rasperini, G., Topoll, H., Wachtel, H., Wallkamm, B., Zabalegui, I., & Zuhr, O. (2018). Xenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: Randomized trial assessing non-inferiority in root coverage and superiority in oral health-related quality of life. Journal of clinical periodontology, 45(1), 78–88. https://doi.org/10.1111/jcpe.12834

Zucchelli, G., & De Sanctis, M. (2000). Treatment of multiple recession-type defects in patients with esthetic demands. Journal of periodontology, 71(9), 1506–1514. https://doi.org/10.1902/jop.2000.71.9.1506

Zuhr, O., Bäumer, D., & Hürzeler, M. (2014). The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. Journal of clinical periodontology, 41 Suppl 15, S123–S142. https://doi.org/10.1111/jcpe.12185

Wennström J. L. (1996). Mucogingival therapy. Annals of periodontology, 1(1), 671–701. https://doi.org/10.1902/annals.1996.1.1.671

Matriz de colágeno xenogénico para el tratamiento de múltiples recesiones gingivales en áreas estéticas: serie de casos a los 24 meses

Autores/as

DOI:

Palabras clave:

Resumen

Citas

Descargas

Publicado

Cómo citar

Número

Sección

Licencia

JOURNAL METRICS

Idioma

Enviar un artículo