Evidence map›Paper›PMID 36057652›Full record

Trial reportClinical oral investigations2023

Clinical outcomes of root coverage using porcine-derived collagen matrix with modified coronally advanced tunnel technique (MCAT) in multiple gingival recessions in smokers - a randomized controlled clinical trial.

Mikkili Rajya Lakshmi, Sruthima N V S Gottumukkala, Gautami S Penmetsa, K S V Ramesh, P Mohan Kumar, E Santosh Vamsi, M Bindu Mounica

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Flapless Decoronation: A Minimally Invasive Approach.International journal of environmental research and public health · 2022
    Article
  8. Article
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

7 authors at 2 institutions in 1 country.

Mikkili Rajya LakshmiDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
Sruthima N V S GottumukkalaDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India. sruthima@vdc.edu.in.
Gautami S PenmetsaDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
K S V RameshDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
P Mohan KumarDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
E Santosh VamsiDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
M Bindu MounicaDepartment of Periodontics and Implantology, Vishnu Dental College, Vishnupur, Bhimavaram, 534202, West Godavari, Andhra Pradesh, India.
Vishnu Dental CollegeMNR Dental College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRoot coverage (RC) is an integral part in management of gingival recessions. Unlike isolated recessions, treating multiple recessions is the most challenging scenario especially in smokers who have reported reduced RC in terms of quantity and stability. Modified coronally advanced tunnel (MCAT) technique due to its improved vascularity along with use of porcine-derived collagen matrix (PDCM) (Mucograft™) with its bilayered dense collagen matrix may be a predictable alternative to conventional gold standard subepithelial connective tissue graft (SCTG). The purpose of this study was to compare the results of RC achieved using PDCM and SCTG with the MCAT approach in the treatment of multiple gingival recessions in smokers. METHODOLOGY: This is a prospective randomized controlled clinical study registered under clinical trial registry (CTRI no. CTRI/2020/03/024238) including 28 patients with 64 recession defects. Smokers (≥ 10 cigarettes/day for ≥ 5 years) fulfilling the inclusion criteria were randomized into the SCTG and PDCM groups which were treated with SCTG using MCAT and PDCM using MCAT technique, respectively. Recession depth (RD), recession width (RW), width of keratinized tissue (WKT), thickness of keratinized gingiva (TKG), and %RC were assessed at baseline, 3, and 6 months. Complete RC (CRC) at 3 and 6 months, RC aesthetic scores (RCES) at 6 months.

resultsBoth groups showed significant improvement in all clinical parameters. Intergroup comparison of root coverage parameters in smokers showed better performance of the PDCM group in terms of RD, %RC, TKG, WKT, CRC (45.06%), and RCES (p < 0.001) compared to the SCTG group. Time taken for surgical procedure and visual analog pain scores were significantly lesser in the PDCM group.

conclusionPDCM showed good predictable results in terms of all RC parameters compared to SCTG and thus may be used as a predictable alternative to SCTG for RC in smokers. CLINICAL SIGNIFICANCE: PDCM can be used as a potential alternative to gold standard subepithelial connective tissue graft in smokers with better patient compliance.

Indexed as

Gingival RecessionCollagenConnective TissueEsthetics, DentalGingivaHumansSmokersSurgical FlapsTooth RootTreatment OutcomeCollagenConnective tissueGingival recessionMucograftPorcineSmokers

Identifiers

PMID36057652
OpenAlexW4294541955

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.