The effect of suturing protocols on coronally advanced flap root-coverage outcomes: A Meta-Analysis

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dc.contributor.authorTatakis, Dimitris N.
dc.contributor.authorChambrone, Leandro
dc.contributor.orcidChambrone, Leandro [0000-0002-2838-1015]
dc.date.accessioned2020-11-18T17:38:43Z
dc.date.available2020-11-18T17:38:43Z
dc.date.issued2016
dc.description.abstractenglishThe purpose of this systematic review and meta-analysis was to investigate whether suturing protocols (suture removal timing and/or type of suture material) influence root coverage outcomes in recession defects treated with a coronally advanced flap (CAF) procedure. Databases (MEDLINE, EMBASE) were searched for randomized clinical trials (RCTs) that assessed single-tooth, Miller Class I/II recession defects, surgically treated by CAF. Mixed-effects linear regression analysis evaluated differences on complete root coverage (CRC) between RCTs with early (<10 days postoperatively) and late (≥10 days) suture removal, as well as between RCTs using absorbable and non-absorbable sutures removed ≥10 days postoperatively. Seventeen RCTs were eligible for inclusion. Overall, data from 325 single gingival recession defects revealed a statistically significant superior proportion of sites exhibiting CRC when sutures were removed ≥10 days postoperatively compared to those in which sutures were removed <10 days (P = 0.03). Conversely, there were no significant differences in CRC outcomes between absorbable and non-absorbable sutures when they were removed ≥10 days after surgery (P = 1.00). The majority of included RCTs (59%) reported use of non-absorbable suture materials. Within the limitations of the available data, it can be concluded that early suture removal (<10 days) can negatively influence root-coverage outcomes in single-tooth defects treated by a CAF procedure. There is a strong need for studies designed specifically to investigate suturing protocols in root-coverage procedures.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1902/jop.2015.150394
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1943-3670
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5082
dc.language.isoeng
dc.publisherWileyspa
dc.publisher.journalJournal of Periodontologyspa
dc.relation.ispartofseriesJournal of Periodontology, 1943-3670, Vol. 87, No. 2, 2016, p. 148-155spa
dc.relation.urihttps://aap.onlinelibrary.wiley.com/doi/abs/10.1902/jop.2015.150394
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2016-02-01
dc.rights.localAcceso abiertospa
dc.subject.keywordsClinical trialspa
dc.subject.keywordsGingival recessionspa
dc.subject.keywordsReviewspa
dc.subject.keywordsSurgical flapsspa
dc.subject.keywordsSuturesspa
dc.subject.keywordsTooth rootspa
dc.titleThe effect of suturing protocols on coronally advanced flap root-coverage outcomes: A Meta-Analysisspa
dc.title.translatedThe effect of suturing protocols on coronally advanced flap root-coverage outcomes: A Meta-Analysisspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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