Benefits of fibre retention osseous resective surgery in the treatment of shallow infrabony defects. A double-blind, randomized, clinical trial describing clinical, radiographic and patient-reported outcomes
Autor: | Sandro Cincinelli, Maurizio S. Tonetti, Gianfranco Carnevale, Jana Mervelt, Giovan Paolo Pini-Prato, Francesco Cairo, Chiara Martinolli, Michele Nieri |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Gingival and periodontal pocket medicine.medical_treatment Radiography Oral Surgical Procedures Alveolar Bone Loss Dentistry Esthetics Dental law.invention Double blind Double-Blind Method Randomized controlled trial law Surveys and Questionnaires medicine Humans Periodontal Pocket Gingival recession Reduction (orthopedic surgery) Pain Measurement Postoperative Care business.industry Resective surgery Dentin Sensitivity Middle Aged medicine.disease Chronic periodontitis Surgery Treatment Outcome Patient Satisfaction Sample Size Chronic Periodontitis Linear Models Periodontics Female Periodontal Index medicine.symptom business |
Zdroj: | Journal of Clinical Periodontology. 40:163-171 |
ISSN: | 0303-6979 |
Popis: | Background The aim of this randomized clinical trial was to evaluate the efficacy of Apically Positioned Flap with Fibre Retention Osseous Resective Surgery (FibReORS) or Osseous Resective Surgery (ORS) to treat periodontal pockets associated with infrabony defect ≤3 mm at posterior natural teeth. Material and methods Thirty patients with chronic periodontitis showing persistent periodontal pockets after cause-related therapy were enrolled; 15 patients were randomly assigned to FibReORS (test group) and 15 to ORS (control group). Measurements were performed by a blind and calibrated examiner. Outcome measures included intra-operative and post-operative morbidity and root sensitivity, 1-year probing depth (PD), gingival recession (Rec) and radiographic bone changes. Results No differences in clinical and bone defect parameters were observed at baseline. Marginal bone resection was reduced by 0.9–1.6 mm in the FibReORS group. ORS was associated with patient perception of greater surgical hardship (p = 0.0264), higher 1-week pain experience (p = 0.0001) and greater dental hypersensitivity (p = 0.0002). After 1 year, shallow, maintainable PD with no difference between the two procedures (p = 0.3707) was obtained. FibReORS was associated with less final Rec (p |
Databáze: | OpenAIRE |
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