Evidence map›Paper›PMID 30151706›Full record

ArticleClinical oral investigations2019

Influence of suturing technique on marginal flap stability following coronally advanced flap: a cadaver study.

Lorenzo Tavelli, Shayan Barootchi, Andrea Ravidà, Fernando Suárez-López Del Amo, Giulio Rasperini, Hom-Lay Wang

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05472233 (The Effect of Sutures Removal Protocols on Coronally Advanced Flap for Root Coverage Outcomes), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05472233 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Sutures Removal Protocols on Coronally Advanced Flap for Root Coverage Outcomes: a Retrospective Study

TypeinterventionalSponsorUniversity of CagliariRan2022 to 2025Enrolled20ConditionsGingival RecessionArmsSuture removal after Coronally Positioned Flap
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Lorenzo TavelliDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, Michigan, 48109-1078, USA. tavelli@umich.edu.ORCID http://orcid.org/0000-0003-4864-3964
Shayan BarootchiDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, Michigan, 48109-1078, USA.
Andrea RavidàDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, Michigan, 48109-1078, USA.
Fernando Suárez-López Del AmoDepartment of Periodontics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Giulio RasperiniDepartment of Biomedical, Surgical and Dental Sciences, Foundation IRCCS Ca' Granda Polyclinic, University of Milan, Milan, Italy.
Hom-Lay WangDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, Michigan, 48109-1078, USA.
University of Michigan · USUniversity of Milan · ITUniversity of Oklahoma Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe outcomes of periodontal soft tissue root coverage procedures can be influenced by a variety of different factors. Following coronally advanced flap (CAF), the impact of marginal flap stability (MFS) through the employment of specific suturing techniques has not yet been investigated. The purpose of this study was to compare the MFS of CAF following three different suture techniques.

methodsFifty-six CAF procedures were performed on seven fresh human cadaver heads. The MFS following simple interrupted, single sling or sling and tag (SAT) suture techniques were investigated through a specific tool involving a load cell-based recording device.

resultsA highly statistically significant MFS was observed for sling and SAT sutures compared to the simple interrupted suture (p < 0.001). SAT suture technique was related to the greatest MFS (p < 0.001). The addition of sutures to the vertical releasing incision was able to provide a greater MFS compared to the suturing of the papillae alone (p < 0.001). No statistically significant difference was observed with regard to the suturing sequence between the two sling groups when the vertical incisions were sutured before or after the surgical papillae (p > 0.05). Linear regression model showed a positive correlation between thicker gingival tissue and MFS changes (p < 0.001).

conclusionsSuturing technique highly affects the MFS following CAF on cadavers. Flap thickness was shown to be a positive predictor for flap stability. CLINICAL RELEVANCE: Within the limitation of this study, the suturing of CAF with the SAT technique may provide higher MFS. However, clinical studies are necessary to validate these findings.

Indexed as

Gingival RecessionSurgical FlapsSuture TechniquesCadaverGingivaHumansTooth RootTreatment OutcomeCadaverGingival recessionSuturesSuture techniques

Identifiers

PMID30151706
OpenAlexW2889428329

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.