ALLODERM IN MULTIPLE ADJACENT GINGIVAL RECESSION: A SYSTEMATIC REVIEW AND META-ANALYSIS

Objective: Gingival recession is one of the most common mucogingival defects for which patients seek periodontal therapy. Treatment options for gingival recession include surgical procedures with pedicle flaps, free soft tissue grafts, gingival veneering, restorations, etc. When multiple gingival recessions involving adjacent teeth are present, the first choice is to address all recession defects at one surgical time. This systematic review and meta-analysis aimed to compare the effectiveness of Alloderm over Connective Tissue graft (CTG) in managing multiple gingival recessions. Methods: A literature search with appropriate keywords was done with electronic databases viz. MEDLINE Ovid (from 1946 onwards); SCOPUS and EBSCO. (Multiple gingival recession) or multiple root coverage) and coronally advanced flap; (multiple gingival recession) or multiple root exposure) and connective tissue graft is the search term used. Results: Randomized controlled trials comparing Alloderm with CTG were included. The risk of bias of included studies was assessed, and metanalysis was done using Rev Man (VERSION 5.4). Of the 367 articles, only three went for meta-analysis. Conclusion:  A statistically significant difference was shown in clinical outcomes of Alloderm compared with CTG at six months follow-up. Hence ADMA could be used as an alternative to the connective tissue graft.