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Minimally invasive regenerative periodontal surgery - full papilla preservation: a literature review
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Abstract(s)
Objetivo: O objetivo deste estudo foi descobrir se, entre pacientes com defeitos intrabônicos, as técnicas completas de preservação da papila melhoram os resultados clínicos e centrados no paciente em comparação às técnicas convencionais.
Materiais e Métodos: 11 ensaios clínicos randomizados foram avaliados nesta revisão de literatura. Os resultados primários foram profundidade de sondagem, nível de apego clínico e recessão. Os desfechos secundários foram os centrados no paciente. 319 locais em 313 pacientes foram tratados nos 11 artigos. 73 pacientes (25%) receberam uma abordagem completa de preservação da papila. 52,7% de todos os pacientes eram homens (165) e os estudos incluíram 5,5% de fumantes (16). Todos os pacientes foram diagnosticados com doença periodontal avançada.
Resultados: Todos os estudos mostraram redução da profundidade de sondagem, ganho de inserção clínica e aumento da recessão, em todas as diferentes técnicas. A redução média da DP foi de 4,33±1,50mm, o ganho médio da CAL foi de 3,81±1,53mm e o aumento médio da recessão foi de 0,22±0,80mm.
Conclusões: Dentro das limitações, esta revisão de literatura apontou uma leve tendência a melhores resultados nas técnicas de preservação total da papila em comparação com o grupo de papilas elevadas. De maneira mais ampla, há uma clara tendência de que cirurgias mais minimamente invasivas resultem em melhores resultados clínicos e centrados no paciente.
Objective: The aim of this study was to find out if, among patients with intrabony defects, full papilla preservation techniques improve clinical and patient-centered outcomes as compared to conventional techniques. Materials and Methods: 11 randomized control trials were assessed is this literature review. Primary outcomes were probing depth, clinical attachment level and recession. Secondary outcomes were patient-centered outcomes. 319 sites in 313 patients were treated in all 11 articles. 73 patients (25%) received a full papilla preservation approach. 52,7% of all patients were men (165) and the studies included 5,5% of smokers (16). All patients were diagnosed with advanced periodontal disease. Results: All studies showed probing depth reduction, clinical attachment gain and recession increase, across all different techniques. Mean PD reduction was 4.33±1,50mm, mean CAL gain was 3,81±1,53mm and mean recession increase was 0,22±0,80mm. Conclusion: Within the limitations, this literature review pointed out a slight tendency towards better outcomes in full papilla preservation techniques compared to elevated papilla group. More broadly, there is a clear tendency where more minimally invasive surgeries result in better clinical and patient-centered outcomes.
Objective: The aim of this study was to find out if, among patients with intrabony defects, full papilla preservation techniques improve clinical and patient-centered outcomes as compared to conventional techniques. Materials and Methods: 11 randomized control trials were assessed is this literature review. Primary outcomes were probing depth, clinical attachment level and recession. Secondary outcomes were patient-centered outcomes. 319 sites in 313 patients were treated in all 11 articles. 73 patients (25%) received a full papilla preservation approach. 52,7% of all patients were men (165) and the studies included 5,5% of smokers (16). All patients were diagnosed with advanced periodontal disease. Results: All studies showed probing depth reduction, clinical attachment gain and recession increase, across all different techniques. Mean PD reduction was 4.33±1,50mm, mean CAL gain was 3,81±1,53mm and mean recession increase was 0,22±0,80mm. Conclusion: Within the limitations, this literature review pointed out a slight tendency towards better outcomes in full papilla preservation techniques compared to elevated papilla group. More broadly, there is a clear tendency where more minimally invasive surgeries result in better clinical and patient-centered outcomes.
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Keywords
Periodontite Defeito intrabono Cirurgia minimamente invasiva Preservação total das papilas Regeneração Periodontitis Intrabony defect Minimally invasive surgery Full papilla preservation Regeneration