Journal article
Efficacy of microsurgery and comparison to macrosurgery for gingival recession treatment: a systematic review with meta-analysis
Clinical oral investigations, Vol.25(7), pp.4269-4280
07/01/2021
DOI: 10.1007/s00784-021-03954-0
PMID: 33928441
Abstract
Objectives Microsurgical principles, techniques, and armamentarium have made significant contributions to the periodontal plastic surgery. The present meta-analysis aimed to investigate the overall efficacy of microsurgery on root coverage, and its clinical outcomes when compared to traditional macrosurgery. Material and methods Electronic searches on PubMed, Embase, and CINAHL were used to retrieve prospective clinical trials. Primary outcomes were the mean root coverage (mRC) and probability of achieving complete root coverage (cRC), with secondary outcomes as other periodontal parameters and patient-reported outcome measures (PROMs). Results Nineteen studies were included in the quantitative analysis. Microsurgery was estimated to achieve 83.3% mRC and 69.3% cRC. From a subgroup of 9 comparative studies, it was estimated microsurgery increased mRC by 6.6% (p<0.001) and cRC by 27.9% (p<0.01) compared to macrosurgical control treatments. Operating microscope (OM) yielded a significantly 6.7% higher mRC than the control group (p=0.002), while using loupes showed 6.16% increase in mRC with a borderline significance (p=0.09). OM and loupes-only had a 31.05% (p=0.001) and 25.54% (p=0.001) increases in achieving cRC compared to control, respectively. As for PROMs, microsurgery reduced postoperative pain (p<0.001) and enhanced esthetics (p= 0.05). Conclusions Microsurgery significantly improved mean root coverage, probability of achieving complete root coverage, esthetics, and post-surgical recovery. Microsurgery enhances not only subclinical healing but also clinical outcomes, possibly owing to its minimally invasive approach and surgical precision.
Details
- Title: Subtitle
- Efficacy of microsurgery and comparison to macrosurgery for gingival recession treatment: a systematic review with meta-analysis
- Creators
- Riccardo Di Gianfilippo - University of Michigan–Ann ArborI-Ching Wang - University of Michigan–Ann ArborLarissa Steigmann - University of Michigan–Ann ArborDiego Velasquez - University of Michigan–Ann ArborHom-Lay Wang - University of Michigan–Ann ArborHsun-Liang Chan - University of Michigan–Ann Arbor
- Resource Type
- Journal article
- Publication Details
- Clinical oral investigations, Vol.25(7), pp.4269-4280
- Publisher
- Springer Nature
- DOI
- 10.1007/s00784-021-03954-0
- PMID
- 33928441
- ISSN
- 1432-6981
- eISSN
- 1436-3771
- Number of pages
- 12
- Grant note
- Zeiss
- Language
- English
- Date published
- 07/01/2021
- Academic Unit
- Periodontics
- Record Identifier
- 9984367746902771
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