Evidence map›Paper›PMID 39463191›Full record

ArticleClinical oral investigations2024

Digital workflow to assess gingival recession coverage independently of the cemento-enamel Junction: a prospective clinical study using the modified coronally advanced tunnel technique with porcine dermal matrix.

Gerhard Iglhaut, Tobias Fretwurst, Larissa Schulte, Anton Sculean, Kirstin Vach, Katja Nelson, Victoria Constanze Landwehr

Abstract readClinical Study
In one paragraph

Article in Clinical oral investigations, 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
–field-weighted citation impact
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.

  1. Article
  2. 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.

Gerhard IglhautDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Center for Dental Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, Freiburg, 79106, Germany. gerhard.iglhaut@uniklinik-freiburg.de.
Tobias FretwurstDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Center for Dental Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, Freiburg, 79106, Germany.
Larissa SchulteDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Center for Dental Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, Freiburg, 79106, Germany.
Anton SculeanDepartment of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, Bern, 3010, Switzerland.
Kirstin VachInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Stefan-Meier-Straße 26, Freiburg, 79104, Germany.
Katja NelsonDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Center for Dental Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, Freiburg, 79106, Germany.
Victoria Constanze LandwehrDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Center for Dental Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, Freiburg, 79106, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe limited number of studies using digital workflows to measure soft tissue changes depend on the cemento-enamel junction (CEJ), which has been reported to be unreliable. Our primary objective was to apply an advanced digital assessment method, measuring independent from the CEJ to evaluate the modified coronally advanced tunnel technique (MCAT) with a porcine dermal matrix (PDM) for gingival recession coverage. MATERIALS AND

methodsPatients with type RT1 and RT2 gingival recessions were treated with the MCAT and a PDM. Plaster casts (preoperative and 6 months postoperative) were digitalized. Subsequent stereolithography (STL)-files were imported and superimposed in the open-source software GOM Inspect for computer-based analysis. Recession depth, mean root and complete root coverage (mRC and cRC), mean recession reduction (mRR) and gingival thickness were evaluated. Statistical analysis was performed using mixed linear models.

resultsA total of 82 teeth (19 patients) were included in the study. Healing was uneventful in all patients. The mean preoperative recession depth was 1.34 ± 0.92 mm. mRC was 65.06 ± 48.26%, cRC was 25.61%, mRR was 0.87 ± 0.83 mm, and gingival thickness gain was 0.33 ± 0.30 mm, with comparable results for RT1 and RT2. Neither tooth type nor type of jaw had any effect on the amount of root coverage.

conclusionsThe digital evaluation workflow employed offers an approach to evaluate gingival recession coverage outcomes independent of the CEJ. The PDM used in combination with the MCAT shows promising results for root coverage.

Indexed as

Gingival RecessionWorkflowAdultAnimalsFemaleGingivoplastyHumansMaleMiddle AgedModels, DentalProspective StudiesStereolithographySwineTooth CervixTreatment OutcomeCoronally advanced tunnel techniqueDigital measurementGingival recessionRecession typeRoot coverage

Identifiers

PMID39463191
PMCPMC11513702

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Registered trials

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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.