Por favor, use este identificador para citar o enlazar este ítem:
https://doi.org/10.5051/jpis.2105780289
Twittear
Título: | Periodontal granulation tissue preservation in surgical periodontal disease treatment: a pilot prospective cohort study |
Fecha de publicación: | 16-mar-2022 |
Cita bibliográfica: | Journal of Periodontal Implant Science, 2022, Vol. 52, N. 4, pp. 298–311 |
ISSN: | Electronic: 2093-2286 Print: 2093-2278 |
Palabras clave: | Bone regeneration Granulation tissue Microsurgery Periodontitis |
Resumen: | Purpose The aim of this study was to evaluate the clinical outcomes of periodontal granulation tissue preservation (PGTP) in access flap periodontal surgery. Methods Twenty patients (stage III–IV periodontitis) with 42 deep periodontal pockets that did not resolve after non-surgical treatment were consecutively recruited. Access flap periodontal surgery was modified using PGTP. The clinical periodontal parameters were evaluated at 9 months. The differences in the amount of granulation tissue width (GTw) preserved were evaluated and the influence of smoking was analyzed. Results GTw >1 mm was observed in 97.6% of interproximal defects, and the granulation tissue extended above the bone peak in 71.4% of defects. At 9 months, probing pocket depth reduction (4.33±1.43 mm) and clinical attachment gain (CAG; 4.10±1.75 mm) were statistically significant (P<0.001). The residual probing depth was 3.2±0.89 mm. When GTw extended above the interproximal bone peak (i.e., the interproximal supra-alveolar granulation tissue thickness [iSUPRA-GT] was greater than 0 mm), a significant CAG was recorded in the supra-alveolar component (1.67±1.32 mm, P<0.001). Interproximal gingival recession (iGR) was significant (P<0.05) only in smokers, with a reduction in the interdental papillary tissue height of 0.93±0.76 mm. In non-smokers, there was no increase in the iGR when the iSUPRA-GT was >0 mm. The clinical results in smokers were significantly worse. Conclusions PGTP was used to modify access flap periodontal surgery by preserving affected tissues with the potential for recovery. The results show that preserving periodontal granulation tissue is an effective and conservative procedure in the surgical treatment of periodontal disease. |
Autor/es principal/es: | Moreno Rodríguez, José Antonio Ortiz Ruiz, Antonio José |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Dermatología, Estomatología, Radiología y Medicina Física |
Versión del editor: | https://www.jpis.org/search.php?where=aview&id=10.5051/jpis.2105780289&code=1150JPIS&vmode=FULL |
URI: | http://hdl.handle.net/10201/142434 |
DOI: | https://doi.org/10.5051/jpis.2105780289 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 14 |
Derechos: | info:eu-repo/semantics/openAccess Atribución-NoComercial 4.0 Internacional |
Descripción: | © Korean Academy of Periodontology 2022 . This manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/ This document is Published version of a Published Work that appeared in final form in Journal of Periodontal Implant Science. To access the final edited and published work see https://doi.org/10.5051/jpis.2105780289 |
Aparece en las colecciones: | Artículos: Dermatología, Estomatología, Radiología y Medicina Física |
Ficheros en este ítem:
Fichero | Descripción | Tamaño | Formato | |
---|---|---|---|---|
jpis-52-298.pdf | 3,1 MB | Adobe PDF | Visualizar/Abrir |
Este ítem está sujeto a una licencia Creative Commons Licencia Creative Commons