PDF(Pubmed)
Abstract：
OBJECTIVE: This systematic review evaluates the efficacy of buccal pad fat (BPF) as an autologous graft in the treatment of gingival recession (GR). Thus, the research question explores if the BPF can serve as a viable alternative to the gold standard connective tissue graft.
METHODS: Only seven studies met the inclusion criteria were critically appraised including the randomized controlled clinical trials, and case series. The inclusion criteria were systemically healthy individuals in the age range (18-65 years old) with Miller\'s classification of GR either class I, II, III, or IV while exclusion criteria were patients with poor oral hygiene, pregnant and lactating patients, teeth with caries, any prior surgery in the relevant regions, and use of medications.
RESULTS: The review included 117 patients with 136 GR defects. The age of participants ranges from 20 to 65 years old with the higher percentage of root coverage (%RC) at 6 months in the pedicled BPF group which was 89.30%while the lowest (%RC) at 6 months in the same group was 46.78%. The BPF group\'s width of keratinized gingiva (WKG) values indicate a notable improvement, suggesting a positive impact on WKG compared to the control group.
CONCLUSIONS: BPF can be considered as a promising graft to augment gingival tissues at different sites in the oral cavity with different Miller\'s classes of GR providing a new era in GR treatment.
METHODS: Only seven studies met the inclusion criteria were critically appraised including the randomized controlled clinical trials, and case series. The inclusion criteria were systemically healthy individuals in the age range (18-65 years old) with Miller\'s classification of GR either class I, II, III, or IV while exclusion criteria were patients with poor oral hygiene, pregnant and lactating patients, teeth with caries, any prior surgery in the relevant regions, and use of medications.
RESULTS: The review included 117 patients with 136 GR defects. The age of participants ranges from 20 to 65 years old with the higher percentage of root coverage (%RC) at 6 months in the pedicled BPF group which was 89.30%while the lowest (%RC) at 6 months in the same group was 46.78%. The BPF group\'s width of keratinized gingiva (WKG) values indicate a notable improvement, suggesting a positive impact on WKG compared to the control group.
CONCLUSIONS: BPF can be considered as a promising graft to augment gingival tissues at different sites in the oral cavity with different Miller\'s classes of GR providing a new era in GR treatment.
摘要：
目的：本系统评价颊垫脂肪（BPF）作为自体移植物治疗牙龈萎缩（GR）的疗效。因此，该研究问题探讨了BPF是否可以作为金标准结缔组织移植物的可行替代品。
方法：只有7项符合纳入标准的研究得到了严格评估，包括随机对照临床试验。案例系列。纳入标准为年龄范围（18-65岁）的系统健康个体，Miller的GR分类为I类，II,III,或IV，而排除标准是口腔卫生差的患者，孕妇和哺乳期患者，有龋齿的牙齿，任何先前在相关地区的手术，和使用药物。
结果：本综述纳入了117例136例GR缺陷患者。参与者的年龄范围为20至65岁，带蒂BPF组6个月时的根覆盖率（％RC）较高，为89.30％，而同一组6个月时的最低（％RC）为46.78％。BPF组角化牙龈宽度（WKG）值表明有显著改善，提示与对照组相比，对WKG有积极影响。
结论：BPF可以被认为是一种有希望的移植物，可以用不同的Miller类别的GR增强口腔不同部位的牙龈组织，为GR治疗提供了新的时代。
方法：只有7项符合纳入标准的研究得到了严格评估，包括随机对照临床试验。案例系列。纳入标准为年龄范围（18-65岁）的系统健康个体，Miller的GR分类为I类，II,III,或IV，而排除标准是口腔卫生差的患者，孕妇和哺乳期患者，有龋齿的牙齿，任何先前在相关地区的手术，和使用药物。
结果：本综述纳入了117例136例GR缺陷患者。参与者的年龄范围为20至65岁，带蒂BPF组6个月时的根覆盖率（％RC）较高，为89.30％，而同一组6个月时的最低（％RC）为46.78％。BPF组角化牙龈宽度（WKG）值表明有显著改善，提示与对照组相比，对WKG有积极影响。
结论：BPF可以被认为是一种有希望的移植物，可以用不同的Miller类别的GR增强口腔不同部位的牙龈组织，为GR治疗提供了新的时代。
