Abstract
Objective: Based on a review of the literature, we evaluated the clinical effect of the combination of enamel matrix derivative proteins (EMDP) and coronally advanced flap (CAF) surgery in the treatment of gingival recession (GR).Methods: Information was retrieved from the electronic databases PubMed, Lilacs, Scielo, Medline and the Cochrane Library. Controlled, randomized clinical studies of intervention in humans published in English or Spanish between 2000 and 2013 were eligible.Results: The initial sample consisted of 171 publications. Of these, eight were selected which compared CAF+EMDP (study) with CAF alone (control) in the treatment of GR. Invariably, RH decreased in both the study group and the control group. Likewise, GR width and probing depth decreased and the clinical attachment level increased in both groups, but results were significantly better in the study group. Conclusion: Despite the absence of an overall significant difference between treatment with CAF + EMDP and CAF alone, the addition of EMDP appears to increase the likelihood of achieving complete root coverage and clinically and aesthetically satisfactory results.
Highlights
Gingival recession (GR) occurs when the gingival margin is apical to the cementoenamel junction, clinically resulting in exposure of the root surface and loss of attachment [1]
Esses trabalhos relataram uma redução significativa na altura das recessões gengivais (RG) tratadas com retalho posicionado coronariamente (RPC) e RPC+proteínas derivadas da matriz do esmalte (PDME)
Houve redução da largura da RG e profundidade de sondagem, com ganhos no nível de inserção clínica em ambos os tratamentos, com melhores resultados no grupo RPC + PDME
Summary
Gingival recession (GR) occurs when the gingival margin is apical to the cementoenamel junction, clinically resulting in exposure of the root surface and loss of attachment [1]. Associated with pain and dental tenderness, the condition can compromise aesthetics and dental vitality [4]. It is an important risk factor for the development of root caries [4,5]. Patients with Millers class I and II GR present no periodontal attachment loss in the interproximal area and complete root coverage is achievable. In Millers class III GR, loss of periodontal attachment is mild to moderate and only partial root coverage is achievable. In Millers class IV GR, interproximal tissue loss is so severe that no root coverage is possible [6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
