Matriz de colágeno xenógena para tratamento de recessões gengivas: revisão de literatura

Autores

DOI:

https://doi.org/10.33448/rsd-v10i2.12363

Palavras-chave:

Recessão gengival; Cirurgia Plástica; Periodontia.

Resumo

A utilização da matriz de colágeno xenógena (MCX) tem sido investigada como uma alternativa para o recobrimento radicular no tratamento da recessão gengival, principalmente em áreas que necessitam de aumento de tecido queratinizado e a fim de diminuir a morbidade do paciente e o tempo cirúrgico. O objetivo desta revisão de literatura é analisar a utilização da matriz de colágeno xenógena como uma forma de tratamento para recobrimento das recessões gengivais. Foi realizada uma busca bibliográfica dos ensaios clínicos controlados e aleatórios, publicados entre 2010 a 2020, que avaliaram o tratamento de recessão gengival unitária ou múltipla utilizando a matriz de colágeno xenógena, sendo selecionados 14 ensaios clínicos de acordo com os critérios de inclusão. Os resultados apontaram que a combinação da MCX associada ao reposicionamento coronário (RC) é uma alternativa viável no tratamento da recessão gengival, apresentando resultados semelhantes quando comparado ao enxerto de tecido conjuntivo subepitelial (ETCS+RC). A utilização da MCX associada ao RC tem se mostrado eficiente quanto ao ganho de tecido queratinizado e aumento de espessura gengival no tratamento de recessões gengivais Tipo I (RT1), e pode ser uma alternativa ao ETCS em pacientes com limitada área doadora palatal e também reduzir a morbidade do paciente e o tempo operatório.

Referências

Barakat, H., & Dayoub, S. (2020). Treatment of miller type I and II gingival recession defects using three-dimensional porcine collagen matrix with coronally advanced flap: A randomized clinical split-mouth trial (a 1-year follow-up). Indian J. Dent Res, 31, 209-216.

Bernimoulin, J. P., Luscher, B., & Muhlermann, H. R. (1975). Coronally repositioned periodontal flap. Clinical evaluation after one year. J. of Clinical Periodontology, 2(1), 1-13.

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. J. of Clinical Periodontology, 38(7), 661-666.

Cairo, F., Pagliaro, U., & Nieri, M. (2008). Treatment of gingival recession with advanced coronary flap procedures: a systematic review. J. Clin Periodontol, 35, 136-62.

Cardaropoli, D., Tamagnone, L., Rofredo, A., & Gaveglio, L. (2012). Treatment of gingival recession defects using coronally advanced flap with a porcine collagen matrix compared to coronally advanced flap with connective tissue graft: A randomized controlled clinical trial. J. Periodontol, 83, 321-8.

Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J. of Periodontology, 45, 1–8.

Chambrone, L., & Tatakis, D. N. (2015). Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J. of Periodontology, 86(2), 8–51.

Chevalier, G., Cherkaoui, S., Kruk, H., Bensaid, X., & Danan, M. (2017). Xenogeneic collagen matrix versus connective tissue graft: Case series of various gingival recession treatments. Int J Periodontics Dent Restorative, 37, 117-23.

Cieslik-Wegemound, M., Wieruka-Mlynarczyk, B., Tanasiewincz, M., & Gilowski, L. (2016). Tunnel technique with collagen matrix compared with connective tissue graft for treatment of periodontal recession: A randomized clinical trial. J. Periodontol, 87, 436-43.

Cieslik-Wegemound, M., Candotto, V., & Wierucka-Młynarczyk, B. (2018). Coverage of multiple recessions using the tunnel technique and a collagen matrix in the maxilla or mandible: a 6-month study. J. Biol Regul Homeost Agents, 32, 1-10.

Ghanaati, S., Schlee, M., Webber, M. J., Willershausen, I., Barbeck, M., Balic, E., Görlach, C., Stupp, S. I., Sader, R. A., & Kirkpatrick, C. J. (2011). Evaluation of the tissue reaction to a new bilayered collagen matrix in vivo and its translation to the clinic. Biomedical materials (Bristol, England), 6(1), 015010.

Grupe, H. E. (1966). Modified technique for the sliding flap operation. J. of periodontology, 37(6), 491-495.

Harris, R. J. (1992). The connective tissue and partial thickness double pedicle graft: a predictable method of obtaining root coverage. J. of periodontology, 63(5), 477-486.

Herford, A. S., Akin, L., Cicciu, M., Maiorana, C., & Boyne, P. J. (2010). Use of a porcine collagen matrix as an alternative to autogenous tissue for grafting oral soft tissue defects. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 68(7), 1463–1470.

Jepsen, K., Jepsen, S., Zucchelli, G., Stefanini, M., de Sanctis, M., Baldini, N., Greven, B., Heinz, B., Wennström, J., Cassel, B., Vignoletti, F., & Sanz, M. (2013). Treatment of gingival recession defects with a coronally advanced flap and a xenogeneic collagen matrix: a multicenter randomized clinical trial. Journal of clinical periodontology, 40(1), 82–89.

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.

Langer, B., & Langer, L. (1985). Subepithelial connective tissue graft technique for root coverage. J. of Periodontology, 56(2), 715-720.

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. J. Periodontol, 81(8), 1108-17.

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. J. Periodontol, 87(3), 221-7.

Merijohn, G. K. (2016). Management and prevention of gingival recession. Periodontology 2000, 71(1), 228-242.

Miller, P. D. (1985). A classification of marginal tissue recession. International Journal of Periodontics and Restorative Dentistry, 5(2), 8-13.

Moreira, A., Santamaria, M. P., Silvério, K. G., Casati, M. Z., Nociti Junior, F. H., Sculean, A., & Sallum, E. A. (2016). Coronally advanced flap with or without porcine collagen matrix for root coverage: a randomized clinical trial. Clinical oral investigations, 20(9), 2539–2549.

Nevins, M., Nevins, M. L., Kim, S. W., Schupbach, P., & Kim, D. M. (2011). The use of mucograft collagen matrix to augment the zone of keratinized tissue around teeth: a pilot study. The International journal of periodontics & restorative dentistry, 31(4), 367–373.

Nunn, M. E., & Miyamoto, T. (2013). Advanced coronary flaps (CAF) plus connective tissue graft (CTG) are the gold standard for the treatment of Miller class I and II gingival defects. J. Evid Based Dent Pract, 13, 157-9.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia do trabalho científico. [e-Book]. Santa Maria. Ed. UAB/NTE/UFSM. Available at: https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica. pdf.

Pini-Prato, G., Franceschi, D., Cairo, F., Nieri, M., & Rotundo, R. (2010). Classification of dental surface defects in areas of gingival recession. Journal of periodontology, 81(6), 885–890.

Pini-Prato, G., Magnani, G., & Chambrone, L. (2018). Long‐term evaluation (20 years) of the outcomes of coronally advanced flap in the treatment of single recession‐type defects. J. Periodontology, 89, 265-274.

Pini-Prato, G., Tinti, C., Vincenzi, G., Magnani, C., Cortellini, P., & Clauser, C. (1992). Guided tissue regeneration versus mucogingival surgery in the treatment 77 of human buccal gingival recession. J. of periodontology, 63(11), 919-928.

Rajapakse, P. S., McCracken, G. I., Gwynnett, E., Steen, N. D., Guentschu, A., & Heasman, P. A. (2007). Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. J. Clin Periodontol, 34, 1046–1061.

Rios, F. S., Costa, R. S. A., Wagner, T. P., Christofoli, B. R., Goergen, J., Izquierdo, C., Jardim, J. J., Maltz, M. & Haas, A. N. (2021). Incidence and progression of gingival recession over 4 years: A population‐based longitudinal study. J Clin Periodontol, 48, 115-126.

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.

Saade, J., & Bassani, M. (2017). Cirurgia plástica periodontal- recobrimento radicular. Obtido em: <http://www.clinicasaade.com.br/wp-content/uploads/2013/05/14-CONGR_vol5.pdf>

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.

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.

Schimitt, C. M., Moest, T., Lutz, R., Wehrhan, F., Neukan, F. W., & Schlegel, K. A. (2015). Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft) versus the free gingival graft: a comparative prospective clinical trial. Clin. Oral Impl. Res, 1–9.

Schimitt, C. M., Tudor, C., Kiener, K., Wehrhan, F., Schimitt, J., Eitner, S., Agaimy, A., & Schlegel, K. A. (2013). Vestibuloplasty: Porcine Collagen Matrix Versus Free Gingival Graft: A Clinical and Histologic Study. J. of periodontology, 84(7), 914-923.

Silva, R. A. R., Neto, L. F. A., Marcelino, K. P., Cardoso, L. C. L., Dantas, E. M., Barbosa, G. A. S., Macêdo, F. C., Gondim, A. L. M. F. (2020). Osteotomia segmentar da maxila em área estética para viabilizar reabilitação com implantes dentários: relato de caso. Research, Society and Development, 9(9).

Suzuki, K. T., de Jesus Hernandez Martinez, C., Suemi, M. I., Palioto, D. B., Messora, M. R., de Souza, S., Novaes, A. B., Jr, Chaves Furlaneto, F. A., & Taba, M., Jr (2020). Root coverage using coronally advanced flap with porcine-derived acellular dermal matrix or subepithelial connective tissue graft: a randomized controlled clinical trial. Clinical oral investigations, 24(11), 4077–4087.

Tarnow, D. P. (1986). Semilunar coronally repositioned flap. J. of Clinical Periodontology, 13(3), 182-185.

Thoma, D. S., Benic, G. I., Zwahlen, M., Hammerle, C. H. F., & Jung, R. E. (2009). A systematic review assessing soft tissue augmentation techniques. Clinical Oral Implants Research, 20, 146–165.

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.

Wennstrom, J. L. (1996). Mucogingival therapy. Ann Periodontol, 1, 671–701.

Zabalegui, I., Sicilia, A., Cambra J., Gil, J., & Sanz, M. (1999). Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. The International journal of periodontics & restorative dentistry, 19(2), 199-206.

Zadeh, H. H. (2011). Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. The International journal of periodontics & restorative dentistry, 31(6), 653-660.

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09/02/2021

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FERNANDES, N. C. .; MASSAMBANI, N. S. .; MAIA, L. P. .; ITO, F. A. N. .; PEDRIALI, M. B. B. P. .; COSTA, P. P. . Matriz de colágeno xenógena para tratamento de recessões gengivas: revisão de literatura . Research, Society and Development, [S. l.], v. 10, n. 2, p. e17910212363, 2021. DOI: 10.33448/rsd-v10i2.12363. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12363. Acesso em: 23 nov. 2024.

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