Clinical performance of minimally invasive periodontal surgery in the treatment of infrabony defects: Systematic review and meta-analysis.
J Clin Periodontol
; 46(12): 1236-1253, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31559646
ABSTRACT
AIM:
To assess the effectiveness, in terms of clinical performance and patient perception, of minimally invasive periodontal surgeries (MIPSs), and to compare MIPSs to traditional surgery in the treatment of periodontal infrabony defects. MATERIALS ANDMETHODS:
An electronic search and a manual search were carried out to identify studies investigating clinical (CAL, PPD, REC), radiographic (bone fill) and patient's centred (VAS) outcomes at least 6 months after MIPSs. A linear mixed-effect model was used for meta-analysis. Subgroup analyses were performed according to the study quality (RCT or case series). A meta-analysis assessing differences in clinical parameters between MIPSs and traditional flaps was also performed.RESULTS:
Meta-analysis from the 18 included studies revealed a PPD reduction of 4.24 mm (95% CI = 3.79-4.69 mm), a CAL gain of 3.89 mm (95% CI = 3.42-4.35 mm), a REC increase of 0.44 mm (95% CI = 0.11-0.77 mm), a radiographic bone fill gain of 58.25% (95% CI = 42.30%-74.21%) and a VAS value of 1.16 (95% CI = 0.78-1.54). Based on 2 RCTs, MIPSs are more effective than traditional surgery for PPD reduction (0.93 mm, 95% CI = 1.71-0.15) and CAL gain (1 mm, 95% CI = 1.75-.24).CONCLUSION:
Minimally invasive periodontal surgeries may be considered for the treatment of periodontal infrabony defects. However, the real effect cannot be systematically evaluated due to the paucity of studies comparing MIPSs to traditional flap for periodontal reconstructive surgery.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Perda do Osso Alveolar
/
Regeneração Tecidual Guiada Periodontal
Tipo de estudo:
Guideline
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article