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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Guided Tissue Regeneration | Research

Intra-marrow penetrations and root coverage outcomes: a systematic review

Authors: Vrisiis Kofina, Ying S. Wang, Alissa Fial, Dimitris N. Tatakis

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

Intra-marrow penetrations (IMPs) have been performed during guided tissue regeneration (GTR) procedures with reported clinical benefits. The aim of this systematic review was to investigate the use and effect of IMPs during root coverage procedures.

Method

A broad search for human and animal studies was performed on PubMed, Cochrane Database of Systematic Reviews and Cochrane Central Registry of Controlled Trials and Web of Science, following a registered review protocol (PROSPERO). All prospective study designs, case series and case reports on gingival recession treatment (follow-up ≥ 6 months) that employed IMPs were included. Root coverage, complete root coverage prevalence, and adverse effects were recorded, and risk of bias was assessed.

Results

Of 16,181 screened titles, 5 articles (all of them human studies) met inclusion criteria. All studies (including two randomized clinical trials) treated Miller class I and II recession defects, using coronally advanced flap with IMPs alone or in conjunction with GTR protocols. Therefore, all treated defects received IMPs and no studies compared protocols with and without IMPs. Outcomes were indirectly compared with existing root coverage literature. Mean root coverage was 2.7 mm and 68.5% at 6.8 months (median: 6 months, range 6–15 months) for sites treated with IMPs.

Conclusion

IMPs are rarely used during root coverage procedures, have not been associated with intra-surgical or wound healing adverse effects and have not been investigated as independent factor. Future clinical studies are needed to directly compare treatment protocols with and without IMPs and investigate the potential benefits of IMPs for root coverage.
Appendix
Available only for authorised users
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Metadata
Title
Intra-marrow penetrations and root coverage outcomes: a systematic review
Authors
Vrisiis Kofina
Ying S. Wang
Alissa Fial
Dimitris N. Tatakis
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02964-6

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