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Intra-marrow penetrations and root coverage outcomes: a systematic review
Vrisiis Kofina1, Ying S Wang2,3, Alissa Fial4
1Department of Surgical Sciences, School of Dentistry, Marquette University, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA.
BMC Oral Health
|May 3, 2023
Summary
Intra-marrow penetrations (IMPs) are rarely used in root coverage procedures. While safe, their specific benefits for root coverage require further investigation through comparative studies.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Intra-marrow penetrations (IMPs) are utilized in guided tissue regeneration (GTR) with documented benefits.
- The application and efficacy of IMPs in root coverage procedures remain underexplored.
Purpose of the Study:
- To systematically review the use and clinical effects of intra-marrow penetrations (IMPs) during periodontal root coverage procedures.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, Cochrane, Web of Science).
- Included studies were human and animal research on gingival recession treatment with IMPs and a minimum 6-month follow-up.
- Data on root coverage, complete root coverage rates, and adverse events were extracted and risk of bias was assessed.
Main Results:
- Five studies met the inclusion criteria, all involving human subjects and treating Miller class I and II recession defects.
- Coronally advanced flaps with IMPs, alone or with GTR, were employed; no studies directly compared IMPs versus no IMPs.
- Mean root coverage was 2.7 mm with 68.5% complete root coverage at a median follow-up of 6 months.
Conclusions:
- Intra-marrow penetrations (IMPs) are infrequently used in root coverage treatments and have not been linked to adverse effects.
- The independent contribution of IMPs to root coverage outcomes has not been established.
- Further clinical trials are necessary to compare protocols with and without IMPs to ascertain their specific benefits for root coverage.
