Recubrimiento de recesiones gingivales utilizando sustitutos de tejido blando. Revisión bibliográfica.

Abstract

INTRODUCTION: Gingival recession (GR) as the apical displacement to the non-fusion of the periodontal tissues, is of multifactorial etiology. Within the surgical indications, sensitivity and chronic inflammation due to bacterial plaque retention are considered, therefore, different tissue substitutes have been evaluated to restore the gingival architecture, among them we have: Connective tissue graft, Dermal acellular membrane, Porcine collagen membrane, Plasma rich in fibrin. OBJECTIVE: Determine the most efficient soft tissue substitute for covering gingival recessions. MATERIALS AND METHODS: A non- experimental qualitative descriptive study was presented comparing the different types of soft tissue substitutes. The search for articles was carried out in the following search engines: PubMed Cochrane and Scopus. RESULTS: TC was analyzed to be more effective than the other substitutes, with a repetitive percentage of around 80% coating. When the RRmm was mentioned, all the articles, a translation that the ITC obtained a significant improvement compared to the other substitutes. CONCLUSIONS: After the present bibliographic review, it can be concluded that the connective tissue graft continues to be the best substitute or alternative for Miller's type I and II root coating, since it presents a higherpercentage than all the substitutes.The dermal acellular matrix can be considered the second treatment option.