Effect of suturing in root coverage via coronally advanced flaps: A systematic review
Alina Ariceta1, Leandro Chambrone2,3, Sandra Stuhr4
1Department of Periodontology, School of Dentistry, Catholic University of Uruguay, Montevideo, Uruguay.
Clinical Advances in Periodontics
|September 14, 2024
Summary
Selecting the right suture technique and material is key for successful root coverage therapy. Single interrupted sutures, polyglactin 910 or monofilament materials, and 5-0 diameter sutures yield the highest mean root coverage for localized gingival recession defects.
Area of Science:
- Periodontology
- Dental Suturing Techniques
- Gingival Recession Therapy
Background:
- Gingival recession defects (GRD) are a common dental issue.
- Root coverage therapy aims to restore lost gum tissue.
- Monolaminar coronally advanced flaps are used for treatment.
Purpose of the Study:
- To analyze the influence of suturing technique and material on mean root coverage (%MRC).
- To evaluate outcomes in teeth with single/localized gingival recession defects.
- To compare different suture types, materials, and diameters.
Main Methods:
- Systematic review registered in PROSPERO (CRD42024514043).
- Literature search for eligible randomized clinical trials.
- Extraction, categorization, and qualitative analysis of variables.
Main Results:
- 15 randomized clinical trials (301 localized GRD) were included.
- Single interrupted sutures showed 74.1%±0.75% MRC.
- Polyglactin 910 (76.6% ± 15.3%) and monofilament (74.8%±7.1%) materials yielded high MRC.
- 5-0 diameter sutures resulted in the highest pooled MRC (79.1%±9.8%).
Conclusions:
- Single interrupted sutures, polyglactin 910 or monofilament materials, and 5-0 diameter sutures improve MRC.
- No significant difference between sling and single interrupted sutures alone.
- Optimal suture selection enhances root coverage outcomes in GRD treatment.
