1
|
Mehta V, Kaçani G, Moaleem MMA, Almohammadi AA, Alwafi MM, Mulla AK, Alharbi SO, Aljayyar AW, Qeli E, Toti Ç, Meto A, Fiorillo L. Hyaluronic Acid: A New Approach for the Treatment of Gingival Recession-A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14330. [PMID: 36361208 PMCID: PMC9658310 DOI: 10.3390/ijerph192114330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/31/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
This systematic review aimed to investigate the effectiveness of hyaluronic acid (HA) on the clinical treatment outcomes of patients with gingival recession. A systematic search was performed in PubMed, Cochrane Central Register of Controlled Trials, Embase, Scopus, and Google Scholar for studies up to 15 August 2022. Two reviewers separately selected the papers for eligibility after conducting a thorough search. The study includes randomized controlled clinical trials in which participants were given HA in addition to periodontal treatment surgical procedures. The changes following the treatment protocol were evaluated for complete and mean root coverage as a primary outcome and gingival recession gain as the secondary outcome. Three articles met the eligibility criteria out of 557 titles. In periodontal surgery, HA exhibited better results in complete root coverage and mean root coverage when compared to the control group. Gingival recession reduction, clinical attachment level, and keratinized tissue gain were significantly increased compared to the control groups. However, the comparison presented in the following study might show heterogeneity among the studies and risk of bias in general. Given the scope of this analysis, results suggest that adjunctive treatment with HA gel for root coverage could be clinically beneficial.
Collapse
Affiliation(s)
- Vini Mehta
- Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune 411018, India
| | - Gerta Kaçani
- Department of Prosthetic, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania
| | - Mohammed M. Al Moaleem
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
- Faculty of Dentistry, University of Ibn Al-Nafis for Medical Sciences, Sana’a 4337, Yemen
| | | | - Malak Mohammed Alwafi
- College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Medina 41311, Saudi Arabia
| | | | - Shahad Owaidh Alharbi
- College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Medina 41311, Saudi Arabia
| | | | - Etleva Qeli
- Department of Conservative, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania
| | - Çeljana Toti
- Department of Prosthetic, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania
| | - Agron Meto
- Department of Dentistry, University of Aldent, 1007 Tirana, Albania
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, 98100 Messina, Italy
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy
| |
Collapse
|
2
|
Rajendran P, Bhat S, Anand M. Semilunar papilla preservation flap technique in combination with chorion membrane for pocket reduction and gingival recession coverage. Contemp Clin Dent 2020; 11:190-194. [PMID: 33110336 PMCID: PMC7583541 DOI: 10.4103/ccd.ccd_354_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 03/13/2020] [Accepted: 04/20/2020] [Indexed: 11/22/2022] Open
Abstract
An unavoidable consequence of periodontal flap procedure is gingival recession (GR). Achieving both pocket depth reduction and GR coverage remains a challenge to periodontists. The present case report provides a new innovative technique that will enable all clinicians to achieve pocket depth reduction as well as recession coverage in esthetic zone. The clinical parameters that were assessed at baseline, 1 month, 3 months, and 6 months are probing depth (PD), clinical attachment level (CAL), height of GR (HGR), and gingival biotype. The patient reported with a faulty post and core with crown in relation to maxillary right central incisor with a PD of 8 mm and HGR of 2.5 mm. Following replacement of the crown with respect to the tooth, semilunar incision was made and flap was reflected to visualize the underlying bone. This technique does not involve the interdental papilla at the same time allows the coronal advancement of the flap. A chorion membrane was placed to accelerate the healing as well to provide stable clinical outcome. The patient was evaluated at 10 days, 1 month, 3 months, and 6 months. There was a considerable reduction in PD, GR, and thus gain in CAL. The results remained stable over a period of 6 months.
Collapse
|
3
|
Yan J, Zhang J, Zhang Q, Zhang X, Ji K. Effectiveness of laser adjunctive therapy for surgical treatment of gingival recession with flap graft techniques: a systematic review and meta-analysis. Lasers Med Sci 2018; 33:899-908. [PMID: 29374364 DOI: 10.1007/s10103-018-2440-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 01/08/2018] [Indexed: 02/06/2023]
Abstract
Various flap graft techniques in the treatment of gingival recession have already been reported in the literatures for root coverage. Laser therapy has effects of ablative, hemostatic, and decontamination. Therefore, we performed a meta-analysis of randomized controlled trials (RCTs) to compare the efficacy of flap surgery combined with laser with surgery alone for treating gingival recession. The studies were searched from PubMed, Embase, Web of science, and the Cochrane Central Register of Controlled Trials by two reviewers up to August 2017. The quality of RCTs was assessed by Cochrane Handbook. Data were extracted from studies and analyzed by Review Manager 5.3. 95% confidence interval (CI) and risk ratio (RR) were calculated for dichotomous data. Seven RCTs with 173 patients and 296 teeth were included in the meta-analysis. We found no statistically significant differences between two groups in GRD (gingival recession depth) (P = 0.21), GRW (gingival recession width) (P = 0.92), RES (root esthetic score) (P = 0.21), and CRC (complete root coverage) (P = 0.09). Statistically significant differences were found between two groups in the WKT (width of keratinized tissue) (P < 0.0001) and 1-year follow-up of PD (probing depth) (P = 0.03) and CAL (clinical attachment level) (P < 0.00001). The meta-analysis found that surgery with laser therapy provided clinical advantages in terms of WKT and 1-year follow-up of PD and CAL. However, flap graft associated with laser did not offer additional benefit to root coverage and esthetics in treating gingival recession. More long-term studies are required to assess these parameters.
Collapse
Affiliation(s)
- Jing Yan
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Jie Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China.
| | - Qian Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Xinlu Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Kui Ji
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| |
Collapse
|