Are Surgical Root Coverage Procedures Effective for Controling Cervical Dentin Hypersensibility? A Systematic Review and Meta-analysis

Authors: Liliane Cristina Nogueira Marinho, Guilherme Carlos Beiruth Freire, Letícia Virgínia de Freitas Chaves, Boniek Castillo Dutra Borges, Ana Rafaela Luz de Aquino Martins, Ruthinéia Diógenes Alves Uchoa Lins, Endi Lanza Galvão, Patricia Furtado Gonçalv

Abstract

Aim: The aim of this study was to review the efficacy of surgical root coverage for reducing cervical dentin hypersensitivity (CDH), when associated with gingival recession. Materials and methods: The PubMed, Scopus, Web of Science, Cochrane Library and Virtual Health Library databases were searched until September 2020. Randomized clinical trials related to dentinal hypersensitivity, before and after surgery, were included. The methodological quality of the studies was determined through an assessment based on Consolidated Reporting Standards. Meta-analyses were conducted for dichotomous and continuous data to consider the frequency and amount of CDH, respectively, at baseline and the post-surgical root coverage technique. Results: A total of 886 studies were evaluated, and twenty articles were included. Surgical interventions reduced the chance of CDH, compared to no technique applied at baseline (OR = 0.14, 95% CI = [0.08, 0.25], I2 = 73%); and were also effective in reducing the scores of Visual Analogic Scale (VAS) (MD = -2.64, 95% CI = [-3.11, -2.16], I2 = 0%). Conclusions: Root coverage of Miller Classification type I and II gingival recessions, or Cairo Classification RT1, reduced dentin hypersensitivity and highlighted the advantages of the use of surgical procedures.

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