Pakistan journal of medical sciences · 2015
Microsurgery for root coverage: A systematic review.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kang Jian, Meng Shu, Li Chunjie, Luo Zhenhua, Guo Shujuan, Wu Yafei
Аннотация
OBJECTIVE: To evaluate whether microsurgery gains better result in root coverage compared to conventional surgical techniques.
METHODS: A number of databases were searched to identify eligible studies from January 1992 to January 2015.
THE FOLLOWING OUTCOMES WERE EVALUATED: number of sites exhibiting complete root coverage and patients' esthetic satisfaction.
RESULTS: Four Randomized Clinical Trials (RCTs) fulfilled the inclusion criteria. A pooled estimate from the two RCTs regarding sub-epithelial connective tissue grafts (SCTG) showed significant achievement in complete root coverage in the microsurgical group [relative risk (RR):1.63; 95% confidence interval (CI): 1.12 to 2.36; P=0.01] with acceptable heterogeneity. The other two studies were about coronal advanced flap (CAF) with enamel matrix derivative or free rotated papilla autograft and did not qualify for meta-analysis. Patients' esthetic satisfaction was analyzed only by one study.
CONCLUSIONS: Using microsurgical technique for treating gingival recessions may be effective in achieving complete root coverage for SCTG.
METHODS: A number of databases were searched to identify eligible studies from January 1992 to January 2015.
THE FOLLOWING OUTCOMES WERE EVALUATED: number of sites exhibiting complete root coverage and patients' esthetic satisfaction.
RESULTS: Four Randomized Clinical Trials (RCTs) fulfilled the inclusion criteria. A pooled estimate from the two RCTs regarding sub-epithelial connective tissue grafts (SCTG) showed significant achievement in complete root coverage in the microsurgical group [relative risk (RR):1.63; 95% confidence interval (CI): 1.12 to 2.36; P=0.01] with acceptable heterogeneity. The other two studies were about coronal advanced flap (CAF) with enamel matrix derivative or free rotated papilla autograft and did not qualify for meta-analysis. Patients' esthetic satisfaction was analyzed only by one study.
CONCLUSIONS: Using microsurgical technique for treating gingival recessions may be effective in achieving complete root coverage for SCTG.