Uso de matriz de colágeno volume estável para o recobrimento de recessões gengivais e aumento de espessura em áreas edêntulas ou tratadas com implantes: revisão integrativa.

Abstract

INTRODUCTION: In the search for new soft tissue substitutes, a three-dimensionally stable collagen matrix (Geistlich Fibro-Gide®) has recently been developed to restore soft tissue volume deficiency and cover recessions. However, there are still few studies evaluating its efficacy. OBJECTIVE: To investigate, by means of an integrative review, the scientific evidence on the use of Fibro-gide® for periodontal and peri-implant tissue volume gain and root coverage. METHODOLOGY: This is an integrative review, based on clinical research indexed in Pubmed, Embase, Cochrane, Web of Science and VHL databases. We considered articles in English, published in the last 10 years, referring to clinical studies. The searches were performed in two stages, first relating the biomaterial to periodontal and peri-implant soft tissue volume augmentation, and subsequently to recession coverage. In addition, there was an additional manual search. Data extraction was performed using Microsoft Word®. RESULTS: Eleven articles related to volume gain and 5 related to recession coverage were selected. The studies showed that fibro-gide® provided increased soft tissue thickness and good health, aesthetic, pain and safety parameters, as well as efficacy in conjunction with various surgical techniques and better performance when combined with growth factor. CONCLUSIONS: Despite the limitations of the biomaterial, it has proven to be an option for autogenous subepithelial connective grafting. However, long-term, more standardized studies and evaluations of the combination of the matrix with other materials to improve performance are still needed.