"Comparative study of acellular dermal matrix vs connective tissue grafts."
Journal name: Journal of Indian Society of Periodontology
Original article title: A comparative evaluation of the effectiveness of subpedicle acellular dermal matrix allograft with subepithelial connective tissue graft in the treatment of isolated marginal tissue recession: A clinical study
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Tony Shori, Abhay Kolte, Vishal Kher, Swarup Dharamthok, Tushar Shrirao
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: A comparative evaluation of the effectiveness of subpedicle acellular dermal matrix allograft with subepithelial connective tissue graft in the treatment of isolated marginal tissue recession: A clinical study
Year: 2013 | Doi: 10.4103/0972-124X.107479
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession, which leads to exposed root surfaces and elongated teeth, is a common issue that dental professionals encounter regularly. The primary reasons for root coverage procedures are aesthetic concerns, management of root hypersensitivity, root caries, and issues related to effective plaque removal. Various techniques have been developed over the years to treat gingival recession, including the subepithelial connective tissue graft (SCTG) introduced by Langer and Langer, and recently, the acellular dermal matrix allograft (ADMA) has gained popularity as an alternative.
Comparing Treatment Techniques
A significant focus of this study was to compare the effectiveness of ADMA and SCTG in treating isolated tissue recession. In the trial involving twenty healthy patients, subjects were divided into two groups: one receiving ADMA and the other SCTG. Clinical outcomes, assessed at baseline and at three and six months post-surgery, revealed that both treatments led to significant improvements in several parameters, including clinical attachment level and probing pocket depth. Specifically, while the ADMA group demonstrated an 86.93% mean root coverage, the SCTG group achieved a slightly lower percentage of 84.72%. Notably, the SCTG group experienced a significantly greater increase in the width of keratinized gingiva compared to the ADMA group.
Conclusion
Both ADMA and SCTG are effective in reducing gingival recession, achieving improved clinical outcomes. The study highlights the benefits of both grafting techniques, although SCTG showed a superior increase in the width of keratinized gingiva. The findings suggest that while ADMA may simplify the procedure by eliminating the need for a second surgical site, SCTG remains a viable option due to its additional benefits. These insights contribute to the understanding of how to best address gingival recession in clinical practice, emphasizing the importance of selecting the appropriate technique based on individual patient needs.
FAQ section (important questions/answers):
What are the main indications for root coverage procedures?
The primary reasons for root coverage procedures include cosmetic demands, managing root hypersensitivity, preventing root caries, and facilitating proper plaque removal.
What were the two techniques compared in the study?
The study compared the effectiveness of subpedicle acellular dermal matrix allograft (ADMA) and subepithelial connective tissue graft (SCTG) in treating isolated marginal tissue recession.
What were the results regarding root coverage between the two treatments?
At six months post-surgery, the ADMA group showed 86.93% mean root coverage, while the SCTG group displayed 84.72% mean root coverage, indicating both treatments were effective.
How did the treatments affect keratinized gingiva width?
The mean increase in the width of keratinized gingiva was significantly greater in the SCTG group (3.3±0.48mm) compared to the ADMA group (2.4±0.51mm).
What is the significance of using acellular dermal matrix allograft?
Acellular dermal matrix allograft simplifies surgery, eliminates the need for a second donor site, and allows for the treatment of multiple defects simultaneously, providing predictable results.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “"Comparative study of acellular dermal matrix vs connective tissue grafts."”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Surface:
In dental contexts, 'surface' refers to the outer layer of teeth or gums that may be exposed due to conditions like gum recession. The health and appearance of these surfaces influence aesthetic considerations, sensitivity issues, and the effectiveness of plaque removal, thus making them critical in periodontal treatments.
2) Atman (Atma):
ADMA stands for Acellular Dermal Matrix Allograft, a tissue graft derived from human skin that has had its cellular components removed. This graft is utilized in periodontal surgery to cover exposed root surfaces, offering advantages like reducing surgical site morbidity and expediting the healing process compared to traditional grafts.
3) Study (Studying):
The 'study' referenced is a clinical investigation comparing two grafting techniques for treating gingival recession—ADMA and SCTG. The outcomes measured include root coverage, gingival health indicators, and clinical attachment levels over time. This empirical approach aims to establish the effectiveness and potential advantages of one method over the other.
4) Post:
In this context, 'post' refers to the timeframe after the surgical procedures. Measurements of success metrics such as probing depth and root coverage are taken at defined intervals (three and six months post-surgery) which help evaluate treatment effectiveness and monitor the recovery process of the periodontal tissues.
5) Bleeding:
Bleeding pertains to the Papillary Bleeding Index (PBI), an important clinical measurement in periodontal assessments. It indicates gum health; a reduction in bleeding signifies improvement in tissue health post-surgery. Tracking bleeding helps clinicians evaluate the success of grafting procedures and the overall response of gum tissue to treatment.
6) Blood:
Blood plays a vital role in tissue healing and graft integration. In periodontal grafting procedures, proper blood supply is critical for nutrient delivery and waste removal from healing tissues. Techniques that promote an adequate blood supply, such as using a dual-grafted approach, can enhance healing and ultimately lead to better clinical outcomes.
Other Science Concepts:
Discover the significance of concepts within the article: ‘"Comparative study of acellular dermal matrix vs connective tissue grafts."’. Further sources in the context of Science might help you critically compare this page with similair documents:
Plaque index, Probing pocket depth, Clinical attachment level, Gingival Recession, Surgical Site.