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Publication
Estabilidade a longo prazo dos procedimentos de recobrimento radicular com enxertos de tecidos moles
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_33580 | 743.44 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Objetivo: analisar e comparar as técnicas de recobrimento radicular, nomeadamente
CAF+SCTG/CTG, FGG e TUN+SCTG/CTG a longo prazo para o tratamento de
recessões gengivais.
Métodos: foi elaborada uma pesquisa bibliográfica, com recurso a bases de dados
informáticas como a PubMed e B-ON nos quais foram apenas incluídos ensaios clínicos
de forma a comparar os resultados das técnicas, sendo incluídos apenas estudos com um
follow-up mínimo de 3 anos nas técnicas de CAF+SCTG/CTG e FGG, enquanto que
para a TUN+SCTG/CTG foram aceites estudos com 1 ano de follow-up, devido à
escassez de estudos com seguimentos mais longos.
Resultados: foram obtidos e analisados 11 estudos clínicos e 1 meta-análise,
comparando os valores dos parâmetros qualitativos e quantitativos nos recobrimentos
radiculares utilizando técnicas de CAF+SCTG/CTG, FGG e TUN+SCTG/CTG. Os
parâmetros clínicos e estéticos neles avaliados foram descritos.
Conclusões: a interpretação dos resultados obtidos permite concluir que o FGG é uma
boa técnica para aumento do KT, mas não oferece uma boa estética. Surge o CAF+CTG
que a longo prazo fornece uma boa estética e bom recobrimento radicular nos casos de
recessões gengivais localizadas, enquanto que para recessões gengivais múltiplas a
técnica que melhores resultados apresenta é a TUN combinada com CTG.
Objective: to analyze and compare the techniques of root coverage, namely CAF+SCTG/CTG, FGG and TUN+SCTG/CTG, and determine which is the technique with greater stability for long term for the treatment of gingival recessions. Methods: a review was performed using electronic databases such as, PubMed and BON, which included only clinical trials to compare the results of techniques, with a minimum follow-up of 3 years in the CAF+SCTG/CTG, FGG techniques, as long as there was insufficient long-term clinical evidence for tunneling, so 1-year follow-up studies were accepted. Results: 11 controlled clinical trials and 1 meta-analysis were obtained and analyzed comparing the values of the qualitative and quantitative parameters in the root coverage using CAF+SCTG/CTG, FGG and TUN+SCTG/CTG techniques. Clinical and aesthetic parameters evaluated in the studies were described. Conclusions: the interpretation of the results obtained concludes that FGG is a good technique for increasing KT, but does not offer optimal esthetics over time, but CAF + CTG emerges, which in the long term provides good a esthetics and good root coverage in cases of localized gingival recessions, while in cases of multiple gingival recessions the technique that offers the best results is TUN combined with CTG.
Objective: to analyze and compare the techniques of root coverage, namely CAF+SCTG/CTG, FGG and TUN+SCTG/CTG, and determine which is the technique with greater stability for long term for the treatment of gingival recessions. Methods: a review was performed using electronic databases such as, PubMed and BON, which included only clinical trials to compare the results of techniques, with a minimum follow-up of 3 years in the CAF+SCTG/CTG, FGG techniques, as long as there was insufficient long-term clinical evidence for tunneling, so 1-year follow-up studies were accepted. Results: 11 controlled clinical trials and 1 meta-analysis were obtained and analyzed comparing the values of the qualitative and quantitative parameters in the root coverage using CAF+SCTG/CTG, FGG and TUN+SCTG/CTG techniques. Clinical and aesthetic parameters evaluated in the studies were described. Conclusions: the interpretation of the results obtained concludes that FGG is a good technique for increasing KT, but does not offer optimal esthetics over time, but CAF + CTG emerges, which in the long term provides good a esthetics and good root coverage in cases of localized gingival recessions, while in cases of multiple gingival recessions the technique that offers the best results is TUN combined with CTG.
Description
Keywords
Coronally advanced flap Connective tissue graft Free gingival graft Root coverage Subepithelial connective tissue graft Follow-up Gingival recession Long term Tunnel technique Stability