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Italy; Section of Endodontics, Department of Background: The aim of this study was to perform a systematic review (SR) of Surgery and Translational Medicine, randomized controlled trials (RCTs) to explore if periodontal plastic surgery University of Florence, Florence, Italy; procedures for the treatment of single and multiple gingival recessions (Rec) may European Research Group on Periodontology (ERGOPERIO), Berne, improve aesthetics at patient and professional levels. Switzerland Material and Methods: In order to combine evidence from direct and indirect comparisons by different trials a Bayesian network meta-analysis (BNM) was planned. A literature search on PubMed, Cochrane libraries, EMBASE, and hand-searched journals until January 2016 was conducted to identify RCTs presenting aesthetic outcomes after root coverage using standardized evaluations at patient and professional level. Results: A total of 16 RCTs were selected in the SR; three RTCs presenting professional aesthetic evaluation with Root coverage Aesthetic Score (RES) and three showing final self-perception using the Visual Analogue Scale (VAS Est) could be included in a BNM model. Coronally Advanced Flap plus Connective Tissue Graft (CAF + CTG) and CAF + Acellular Dermal Matrix (ADM) and Autologous Fibroblasts (AF) were associated with the best RES outcomes (best probability = 24% and 64%, respectively),
Journal Of Clinical Periodontology – Wiley
Published: Nov 1, 2016
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