ĐẶC ĐIỂM PHẪU THUẬT ĐIỀU TRỊ CO LỢI CÓ SỬ DỤNG VẠT TRƯỢT VỀ PHÍA THÂN RĂNG: TỔNG QUAN LUẬN ĐIỂM

Abstract

Objectives: To synthesize evidence from the literature on the surgical characteristics of gingival recession using coronally advanced flap. Subjects and method: The study was conducted on scientific articles in English, published on the medical databases, related to the research objectives according to PRISMA – ScR. Results: Out of 1306 articles found on the databases, 22 articles were found that matched the research criteria. A total of 587 patients (1270 teeth) underwent surgery with ages ranging from 18 to 59. The studies were mainly performed in India and Turkey. There were 5 low-quality studies according to JADAD scale. Surgical procedures were very diverse, of which 81.8% of the studies used trapezoidal flap and only 2 surgeries used microscopy. Most studies only treat the root surface by mechanisms; some chemical treatment, mainly EDTA 24%. Conclusion: Most of the surgeries in the study were traditional surgery using a trapezoidal coronally advanced flap with split-full-split thickness according to Zucchelli's technique, the root surface was instrumented mechanically. After flipping the flap, the graft (if any) was sutured with absorbable sutures, the flap was covered to cement – enamel junction and sutured with non-absorbable sutures.