Collagen Matrix vs. Autogenous Connective Tissue Graft for Soft Tissue Augmentation: A Systematic Review and Meta-Analysis
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AuthorVallecillo, Cristina; Toledano Osorio, Manuel; Vallecillo Rivas, Marta; Toledano Pérez, Manuel; Rodríguez Archilla, Alberto; Osorio Ruiz, Raquel
Collagen matricesKeratinized tissueMucosal thicknessSoft tissue graft
Vallecillo, C... [et al.]. Collagen Matrix vs. Autogenous Connective Tissue Graft for Soft Tissue Augmentation: A Systematic Review and Meta-Analysis. Polymers 2021, 13, 1810. [https://doi.org/10.3390/polym13111810]
SponsorshipMinistry of Economy and Competitiveness MAT2017-85999-P MINECO/AEI/FEDER/UE; European Commission MAT2017-85999-P MINECO/AEI/FEDER/UE A-BIO-157-UGR-18/FEDER; University of Granada/Regional Government of Andalusia Research Fund from Spain
Soft tissues have been shown to be critical for the maintenance of both teeth and implants. Currently, regenerative soft tissue techniques propose the use of collagen matrices, which can avoid the drawbacks derived from the obtainment of autogenous tissue graft. A systematic review and meta-analysis were conducted to ascertain the efficacy of collagen matrices (CM) compared to autogenous connective tissue graft (CTG) to improve soft tissue dimensions. An electronic and manual literature searches were performed to identify randomized clinical trials (RCT) or controlled clinical trials (CCT) that compared CTG and CM. Pooled data of width of keratinized tissue (KT) and mucosal thickness (MT) were collected and weighted means were calculated. Heterogeneity was determined using Higgins (I-2). If I-2 > 50% a random-effects model was applied. Nineteen studies were included based on the eligibility criteria. When using CTG a higher MT gain (0.32 mm, ranging from 0.49 to 0.16 mm) was obtained than when employing CM. Similar result was obtained for the width of KT gain, that was 0.46 mm higher (ranging from 0.89 to 0.02 mm) when employing CTG. However, it can be stated that, although autogenous CTG achieves higher values, CM are an effective alternative in terms of total width of KT and MT gain.