Evidence map›Paper›PMID 38517552›Full record

ArticleInternational journal of implant dentistry2024

Biomechanical analysis of the human derived soft tissue graft Epiflex for use in oral soft tissue augmentation.

Keyvan Sagheb, Robert Noelken, Saskia-Vanessa Schröger, Christian Walter, Julian Jakob Graef, Sven Schumann

Open access · diamondAbstract read
In one paragraph

Article in International journal of implant dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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 1 institution in 2 countries.

Keyvan SaghebDepartment of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany.
Robert NoelkenDepartment of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany.
Saskia-Vanessa SchrögerDepartment of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany.
Christian WalterDepartment of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany.
Julian Jakob GraefDepartment of Oral and Maxillofacial Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany. graefjul@uni-mainz.de.ORCID 0009-0001-6990-0862
Sven SchumannInstitute of Anatomy, University Medical Center of the Johannes Gutenberg-University Mainz, 55131, Mainz, Germany.
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the biomechanical properties, cell migration, and revascularization of the acellular dermal matrix Epiflex. As a decellularized, freeze-dried human skin graft, Epiflex has broad applications in medical fields, particularly in implantology and dentistry. Understanding its biomechanical characteristics is crucial for its clinical adoption as a novel soft tissue graft option.

methodsEpiflex (n = 3) was evaluated in comparison to palatal tissue from body donors (n = 3). Key metrics, such as elongation and tear resistance, were quantified. Both graft types underwent histological analysis and scanning electron microscopy. Additionally, the healing properties of Epiflex were assessed using a Chorioallantoic Membrane (CAM) Assay.

resultsBiomechanically, Epiflex (mean = 116.01 N) demonstrated the ability to withstand greater forces (p = 0.013) than human palatal tissue (mean = 12.58 N). When comparing the elongation, no significant difference was measured (ASG mean = 9.93 mm, EF mean = 9.7 mm). Histologically, Epiflex exhibited a loosely connected network of collagen fibers with a dense upper layer. The CAM Assay indicated efficient revascularization.

conclusionEpiflex appears to be a viable option for soft tissue augmentation, particularly appealing to patient groups who avoid all or specific animal-derived products due to ethical or religious reasons.

Indexed as

Acellular DermisWound HealingAnimalsConnective TissueHumansSkin TransplantationAcellular dermal matrixEpiflexImplantologySoft tissue augmentation

Identifiers

PMID38517552
PMCPMC10959861
OpenAlexW4393086134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.