Minimally invasive non-surgical approach for the treatment of periodontal intrabony defects: a retrospective analysis.
نویسندگان
چکیده
AIM The aim of this retrospective analysis was to assess healing of intrabony defects treated with minimally invasive non-surgical therapy (MINST). METHODS A retrospective analysis was carried out in 35 consecutive intrabony defects treated by MINST (without any adjuncts) in 23 non-smoking patients. All defects had a radiographic intrabony component > 3 mm and had clinical and radiographic data available at baseline and 12 after treatment. Pre- and post-treatment radiographs were analysed and bone levels were compared by multilevel linear regression adjusted by latent variable method. RESULTS Following MINST, the average PPD and CAL reduction in the intra-bony defects were 3.12 mm and 2.78 mm respectively (p < 0.001). The average radiographic intrabony vertical defect depth was reduced by 2.93 mm (from 6.74 mm to 3.81 mm) (p < 0.001), whereas the average defect angle changed from and 28.5° at baseline to 44.4° at re-evaluation (p < 0.001). Smaller initial defect angles and deeper initial defect depths were associated with greater defect depth reduction. Greater initial defect angles were associated with less defect angle change. CONCLUSIONS This paper shows considerable clinical and radiographic improvements after MINST, therefore bringing evidence to support its efficacy for the treatment of intrabony defects in non-smokers.
منابع مشابه
Minimally invasive surgical techniques in periodontal regeneration.
A review of the current scientific literature was undertaken to evaluate the efficacy of minimally invasive periodontal regenerative surgery in the treatment of periodontal defects. The impact on clinical outcomes, surgical chair-time, side effects and patient morbidity were evaluated. An electronic search of PUBMED database from January 1987 to December 2011 was undertaken on dental journals u...
متن کاملبررسی کلینیکی و رادیو گرافی کاربرد بتا - تری کلسیم فسفات خالص و Bone Graft Autogenous در ترمیم ضایعات استخوانی دو به سه دیواره پریودنتال
Background and Aims: Intrabony periodontal defects are one of the important problems in periodontal diseases. Treatment of intrabony periodontal defects with synthetic materials such as Cerasorb has been shown to enhance periodontal regeneration. The aim of this study was to compare the effect of Cerasorb with autogenous bone graft (A.B.G) as a gold standard in treatment of two to three wall pe...
متن کاملPrime Incision and Modified Moving Window: A Minimally Invasive Access for Breast Cancer Surgical Treatment
BACKGROUND Conservative surgical treatment has been the treatment of choice for early breast cancer. It allows feasible oncological treatment with a satisfactory cosmetic approach and fast recovery. However, in some cases mastectomy is necessary. This study proposes a surgical approach with only one surgical access through the same incision, which is in line with precepts mentioned abov...
متن کاملComparison of Hemiseptal Intrabony Defects Treatment with a Bioabsorbable Membrane and Flap Debridement Alone
Introduction: Most periodontal treatments aim to reduce probing depths and maintaining or improving attachment. One of these techniques for treatment of intrabony defects is guided tissue regeneration (GTR). The aim of this study was to compare one-wall intrabony defects treatment with GTR and flap debridement alone. Methods: Eight patients aged 32-43 years participated in this randomized contr...
متن کاملThe effect of plasma rich in growth factors (PRGF) in the treatment of periodontal three-walled intrabony defects
Introduction: The aim of periodontal treatment is to regenerate periodontium. Regenerative treatments include the use of plasma that is rich in growth factors (PRGF). Materials & Methods: In a randomized clinical trial, 20 three-walled intrabony defects from five patients with moderate periodontitis were randomly assigned to three groups. Patients in the control group underwent debridement of ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of clinical periodontology
دوره 42 9 شماره
صفحات -
تاریخ انتشار 2015