Long-term results of periodontal regenerative therapy: A retrospective practice-based cohort study.
J Clin Periodontol
; 44(5): 520-529, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-28303584
ABSTRACT
AIM:
Evaluation of the long-term effectiveness of regenerative treatment of intra-bony defects in periodontal practice. MATERIAL ANDMETHODS:
A total of 1,008 intra-bony defects in 176 patients were analysed after using collagen-added deproteinized bovine bone mineral (DBBMc) with or without collagen membrane (CM) or enamel matrix derivative (EMD). Defects were classified as one- and two-wall and as shallow (≤6 mm), moderate (>6 and <11 mm) and deep (≥11 mm). Radiographic bone level changes were evaluated after 1 year, 2 to 4 years and 5 to 10 years.RESULTS:
Mean radiographic defect fill was 3.8 mm after 1 year and remained stable up to 10 years. Deep and moderate defects showed a higher degree of fill than shallow defects (53.3%, 49.2%, 42.9%). Tooth loss amounted to 2.6%, was dependent on initial defect size (1.2% shallow, 1.4% moderate, 5.7% deep defects) and occurred mainly due to endodontic reasons.CONCLUSIONS:
Within the limits of the retrospective study design, the findings indicate that periodontal treatment using DBBMc with or without CM or EMD can lead to long-term defect reduction and tooth survival for up to 10 years in the setting of a periodontal practice.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Regeneração Tecidual Guiada Periodontal
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Perda da Inserção Periodontal
Tipo de estudo:
Etiology_studies
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Observational_studies
Limite:
Adult
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Aged
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Animals
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Clin Periodontol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Alemanha