Received 08.09.2025
DOI: 10.35556/idr-2025-4(113)12-16
Comparative analysis of xenogenic collagen materials for soft tissue augmentation and gingival recession coverage
Melezhechkina I.A., ORCID: 0000-0002-0703-521X
Aliamovskii V.V., ORCID: 0000-0001-6073-2324
Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of the Russian Federation
127006, Russia, Moscow, Dolgorukovskaya St., 4
E-mail address: iraknopka1@gmail.com
Summary
At present, the choice of material for mucogingival surgery remains an important issue, as the correct selection improves the effectiveness and stability of postoperative outcomes. Although autogenous grafts are considered the gold standard for gingival recession coverage and soft tissue augmentation, they have several drawbacks: limited availability of donor tissue for covering recession, extensive uncontrolled necrosis in the palatal area including the donor site, patient discomfort, and postoperative complications such as painful wounds on the palate, heavy bleeding, postoperative bone exposure, and recurrent herpetic lesions. Due to these significant disadvantages, xenogenic materials have become widely used.
The aim of the study was to conduct a comparative analysis of xenogenic collagen materials for soft tissue augmentation and gingival recession coverage, taking into account their advantages and limitations.
Material and methods. A systematic review and analysis of literature sources was conducted using foreign and domestic databases over the past 10 years, including Medline (www.ncbi.nlm.nih.gov), the Russian scientific database eLibrary (https://www.elibrary.ru/), and the Cochrane Library (The Cochrane Central Register of Controlled Trials, CENTRAL, www.thecochranelibrary.com).
Results and discussion. The literature analysis demonstrated that xenogenic collagen membranes possess several advantages over non-resorbable membranes and autogenous grafts. Unlike non-resorbable materials, the use of resorbable collagen membranes eliminates the potential risks associated with prolonged presence of foreign material and the need for a second surgery to remove it. Compared with autogenous grafts, collagen-based materials are associated with reduced postoperative pain and discomfort, and they are not limited by the size of the donor site. Resorbable collagen membranes offer high biocompatibility and potential biological activity, as well as sufficient plasticity, simplicity, and convenience in clinical application.
Conclusion. Currently, the use of resorbable collagen membranes is becoming increasingly widespread and popular. However, further improvements are needed in their properties, particularly in terms of resorption period and stability when exposed in the oral cavity.
Keywords: cross-linked collagen membranes, non-cross-linked collagen membranes, non-resorbable membranes, resorbable collagen membranes, collagen matrices, soft tissue augmentation, gingival recession.
For citation: Melezhechkina I.A., Aliamovskii V.V. Comparative analysis of xenogenic collagen materials for soft tissue augmentation and gingival recession coverage. Stomatology for All / Int. Dental Review. 2025; no. 4 (113): 12–16 (in Russian). doi: 10.35556/idr-2025-4(113)12-16
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