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Efficacy of treatment of class II furcation lesions using membrane associated with bone grafting in mandibular molars compared to membrane only: a systematic review and meta-analysis / Eficacia del tratamiento de lesiones de furca grado II utilizando membrana asociada con injerto óseo en molares mandibulares en comparación con solamente membrana: revisión sistemática y metanálisis
Lima Costa Barcelos, Giovanna; Carvalho Santos, Alice Cecília; Guimarães Abreu, Lucas; Andrade, Ernesto Javier; Esteves Lima, Rafael Paschoal.
Afiliação
  • Lima Costa Barcelos, Giovanna; Federal University of Minas Gerais. Faculty of Dentistry. Department of Clinical Dentistry, Pathology and Oral Surgery. BR
  • Carvalho Santos, Alice Cecília; Federal University of Minas Gerais. Faculty of Dentistry. Department of Clinical Dentistry, Pathology and Oral Surgery. BR
  • Guimarães Abreu, Lucas; Federal University of Minas Gerais. Faculty of Dentistry. Department of Pediatric Dentistry and Orthodontics. BR
  • Andrade, Ernesto Javier; Universidad de la República. Facultad de Odontología. Montevideo. UY
  • Esteves Lima, Rafael Paschoal; Federal University of Minas Gerais. Faculty of Dentistry. Department of Clinical Dentistry, Pathology and Oral Surgery. BR
J. oral res. (Impresa) ; 12(1): 152-167, abr. 4, 2023. tab, ilus
Artigo em Inglês | LILACS | ID: biblio-1516525
Biblioteca responsável: CL30.1
ABSTRACT
Objective: The objective of the present systematic review and meta-analysis was to compare treatment with membrane associated with bone grafting and treatment exclusively with membrane in the approach of Class II furcation defects in mandibular molars. Materials and Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement was followed. Searches were conducted in five databases (PubMed, Web of Science, Scopus, Ovid, and Lilacs), in Septem-ber 2021, without restriction regarding publication year or language. Studies comparing membranes associated with bone grafting and membranes exclusively in the treatment of Class II furcation lesions were included. Cross-sectional, case-control studies, and reviews were excluded. Study selection, data extraction, and risk of bias assessment (MINORS) were performed by two review authors. The certainty of the evidence (GRADE) was evaluated and meta-analysis was performed. Mean difference (MD) and 95% confidence interval (CI) were provided. Results: Four hundred eighty-six references were iden-tified and four studies were included. Greater reduction in probing depth [MD = 0.32 (CI = 0.09, 0.56)] and greater clinical attachment level gain [MD = 0.41 (CI = 0.24, 0.57)] were observed when membrane and bone grafting were used. The risk of bias of included studies was low. Conclusions: This present systematic review and meta-analysis demonstrated that treatment of Class II furcation defects in mandibular molars using membrane and bone grafing is significantly more efficacious than treatment with the exclusive use of membrane.
RESUMEN
Objetivo: El objetivo de la presente revisión sistemática y metanálisis fue comparar el tratamiento con membrana asociado a injerto óseo y el tratamiento exclusivamente con membrana en el abordaje de lesiones de furca grado II en molares mandibulares. Materiales y Métodos: Se siguió la declaración de elementos de informe preferidos para revisiones sistemáticas y metanálisis (PRISMA). Las búsquedas se realizaron en cinco bases de datos (PubMed, Web of Science, Scopus, Ovid y Lilacs), en septiembre de 2021, sin restricción de año de publicación o idioma. Se incluyeron estudios que compararon membranas asociadas con injertos óseos y membranas exclusivamente en el tratamiento de lesiones de furca de grado II. Se excluyeron los estudios transversales, de casos y controles y las revisiones. Dos revisores realizaron la selección de estudios, la extracción de datos y la evaluación del riesgo de sesgo (MINORS). Se evaluó la certeza de la evidencia (GRADE) y se realizó un metanálisis. Se proporcionaron la diferencia de medias (DM) y el intervalo de confianza (IC) del 95%. Resultados: Se identificaron 486 referencias y se incluyeron cuatro estudios. Se observó una mayor reducción en la profundidad de sondaje [DM = 0,32 (IC = 0,09, 0,56)] y una mayor ganancia en el nivel de inserción clínica [DM = 0,41 (IC= 0,24, 0,57)] cuando se utilizaron injertos de membrana y hueso. El riesgo de sesgo de los estudios incluidos fue bajo. Conclusión: La presente revisión sistemática y metanálisis demostró que el tratamiento de los defectos de furca de grado II en molares mandibulares utilizando membrana e injertos de hueso es significativamente más eficaz que el tratamiento con el uso exclusivo de membrana.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Transplante Ósseo / Defeitos da Furca Tipo de estudo: Revisão sistemática Limite: Humanos Idioma: Inglês Revista: J. oral res. (Impresa) Assunto da revista: Odontologia Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Brasil / Uruguai Instituição/País de afiliação: Federal University of Minas Gerais/BR / Universidad de la República/UY

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Transplante Ósseo / Defeitos da Furca Tipo de estudo: Revisão sistemática Limite: Humanos Idioma: Inglês Revista: J. oral res. (Impresa) Assunto da revista: Odontologia Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Brasil / Uruguai Instituição/País de afiliação: Federal University of Minas Gerais/BR / Universidad de la República/UY
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