Efficacy of a resorbable collagen membrane for root coverage in recession
Journal name: Journal of Indian Society of Periodontology
Original article title: Evaluation of efficacy of a novel resorbable collagen membrane for root coverage of Miller's Class I and Class II recession in the maxillary anteriors and premolars
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.
This page presents a generated summary with additional references; See source (below) for actual content.
Summary of article contents:
Introduction
Gingival recession is the apical displacement of the gingival margin relative to the cementoenamel junction (CEJ), leading to various aesthetic and clinical concerns such as dentinal hypersensitivity and increased risk of root caries. Multiple surgical techniques exist for root coverage, including free gingival grafts, pedicle flaps, and the coronally advanced flap (CAF), with the latter being increasingly popular due to its effectiveness and minimal complications. This study seeks to evaluate the clinical outcomes of milling Class I and II recession defects in maxillary anterior and premolar teeth using CAF, both with and without a resorbable collagen membrane (RCM), specifically Novabone RCM™.
Effectiveness of Resorbable Collagen Membrane in Gingival Recession Treatment
The study analyzed 15 patients with bilateral buccal recession defects, dividing them into two groups: one treated with CAF alone (control group) and the other with CAF plus RCM (test group). Clinical parameters assessed included recession depth (RD), probing pocket depth (PPD), clinical attachment level (CAL), and keratinized tissue height (KTH) at baseline and after 9 months. Both groups showed significant improvements in all measured parameters. However, while the test group demonstrated a greater reduction in RD and higher root coverage percentages, the differences between the two groups did not achieve statistical significance. This indicates that although RCM may enhance outcomes, its benefits over standard CAF alone may not be substantial in this context.
Conclusion
The findings of this study highlight that both treatment modalities, CAF and CAF with RCM, can effectively manage Miller's Class I and II gingival recession defects. The significant improvements across all clinical parameters confirm the utility of these techniques in periodontal therapy. Though no significant differences were observed between the two approaches, further research is recommended to explore the long-term outcomes and histological aspects of using RCM in similar periodontal treatments. Additional studies with larger sample sizes over extended periods will help clarify the long-term efficacy of collagen membranes in achieving stable treatment results for patients with gingival recession.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Krutika Kapare, Dharmarajan Gopalakrishnan, Rahul Kathariya, Tuhina Tyagi, Shreya Bagwe
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Evaluation of efficacy of a novel resorbable collagen membrane for root coverage of Miller's Class I and Class II recession in the maxillary anteriors and premolars
Year: 2016 | Doi: 10.4103/0972-124X.207051
Copyright (license): CC BY-NC-SA
FAQ section (important questions/answers):
What surgical techniques are used for root coverage in gingival recession?
Several techniques are available, including free gingival grafts, pedicle flaps, and coronally advanced flaps (CAF). A resorbable collagen membrane (RCM) is also used with these techniques to enhance outcomes.
What were the primary clinical parameters assessed in the study?
Clinical parameters included recession depth (RD), probing pocket depth (PPD), clinical attachment level (CAL), and keratinized tissue height (KTH), measured at baseline and nine months after surgery.
What does the study conclude about using RCM with CAF?
The study concluded that both CAF alone and CAF with RCM effectively treat Miller's Class I and II recession defects, with overall significant improvement in clinical parameters, although no statistically significant differences were found between the two groups.
What improvements were observed in recession depth at nine months?
Both treatment groups showed significant reductions in recession depth, with average improvements of approximately 1.54 mm for CAF alone and 1.60 mm for CAF with RCM, indicating effective treatment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of a resorbable collagen membrane for root coverage in recession”. 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) Table:
In research contexts, a table is a structured arrangement of data, typically organized in rows and columns. Tables are crucial for presenting results, such as clinical measurements and statistical analysis in the text. They allow readers to quickly compare values and understand relationships between different variables, contributing to the clarity and accessibility of findings.
2) Study (Studying):
A study refers to a systematic investigation into a specific hypothesis or research question. In the context of clinical research, it encompasses the design, methodology, data collection, and analysis aimed at understanding treatment outcomes, efficacy, or patient responses, thereby enhancing the evidence base for clinical practices in dentistry or medicine.
3) Incision:
An incision is a cut made into the skin or tissue during a surgical procedure. It is essential for accessing underlying structures, facilitating the corrective actions required for treatment. The precision of an incision can significantly influence the outcome, recovery, and aesthetic results following surgical interventions.
4) Relative:
In medical research, the term 'relative' often pertains to comparisons between groups or measurements, offering a perspective on how one factor relates to another. Understanding relative differences, such as outcomes or impacts of treatments, is crucial for evaluating effectiveness and guiding clinical decision-making.
5) Surface:
In the context of dentistry and surgery, 'surface' typically refers to the outer layer of tissue involved in procedures, such as the exposed root during gingival recession surgery. Characterizing surfaces is vital for assessing conditions and planning interventions aimed at restoration or repair.
6) Measurement:
Measurement involves quantifying clinical parameters, such as recession depth or probing pocket depth in dental studies. Accurate measurements are fundamental for assessing treatment efficacy, tracking changes over time, and making informed clinical decisions based on data gathered during the study.
7) Dressing:
Dressing refers to a sterile covering applied to a wound post-surgery to protect it from external factors, promote healing, and minimize discomfort. Proper dressing techniques are essential for preventing infection and ensuring optimal recovery after surgical procedures, directly affecting patient outcomes.
8) Hygiene (Hygienic):
Hygiene encompasses practices that maintain health and prevent disease, particularly oral hygiene in the context of dental studies. It is crucial for treatment success, as good hygiene can minimize complications and improve healing outcomes, reinforcing the importance of patient compliance in clinical protocols.
9) Repair:
Repair refers to the medical and surgical processes aimed at restoring tissue integrity, functionality, and aesthetics. In dental contexts, effective repair of gingival tissues is essential for returning to optimal health, influencing both patient satisfaction and long-term success of surgical interventions.
10) Line:
Line often refers to the delineation between different anatomical or procedural areas in clinical measurements and surgical descriptions. Establishing clear lines, such as the line of recession, is critical for standardization, ensuring accurate measurement, and guiding interventions in surgical practice.
11) Discussion:
Discussion sections in research papers interpret results and contextualize findings within existing literature. They explore the implications of data, limitations of the study, and potential avenues for future research, making them a vital component for fostering knowledge and guiding clinical practice.
12) Antibiotic (Antibacterial):
Antibiotics are medications used to treat bacterial infections and are relevant when considering patient histories and treatments in clinical studies. Their appropriate use is crucial in preventing postoperative infections and ensuring successful healing in surgical procedures, especially for patients with specific medical histories.
13) Bleeding:
Bleeding is a potential complication of surgical procedures where it must be effectively managed to minimize adverse outcomes. Monitoring bleeding during and after surgery is vital for patient safety, influencing operative techniques, recovery times, and overall treatment efficacy.
14) Pregnant:
Pregnant patients may have specific considerations in dental and surgical treatment due to physiological changes and increased risk factors. Understanding these nuances is important for ensuring the safety and effectiveness of interventions, necessitating tailored approaches to care during pregnancy.
15) Disease:
In a clinical context, disease refers to pathological conditions that can affect oral health, necessitating interventions. Recognizing and understanding the disease pathology is essential for accurately diagnosing, treating, and managing patient care in dental practices.
16) Reason:
Reason refers to the justification or rationale behind clinical decisions, participant inclusion/exclusion criteria, or methodological choices in research. It underpins the scientific approach, guiding practitioners and researchers in evaluating and applying findings to clinical practice effectively.