medigraphic.com
Órgano Ofical de la Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla

2014, Number 47

<< Back Next >>

Oral 2014; 15 (47)

Comparative study of the minimally-invasive single-flap technique in combination with emdogain® in the treatment of periodontal infraosseous defects

Guerrero ÁF, Téllez JH, Túdon TE, Oliver PR

Language: Spanish
References: 13
Page: 1074-1081
PDF size: 683.38 Kb.


ABSTRACT

Objectives. This study was designed lo evaluate the efficacy of the minimally-invasive single-flap technique in combination with Emdogain on the re-establishment of the periodontal parameters ovar periodontal infraosseous defects in 60 days. Materials and methods. Twelve periodontal defects with similar charocteristics were treated using the minimolly-invasive single-flap surgicol technique using thin surgical instruments and enomel matrix derivative (Emdogain®). The study was designed for periodontal infroosseous defects in posterior teeth with the purpose of reflect a flap with the leost trauma possible, ochieve stability and primary closure. The enamel motrix derivotive (Emdogain ®) was used only in 6 outof 1 2 infraosseous defects (Experimental group) placing it in the root surface and on the other 6 infraosseous defects a blood dat was formed over the surgical orea, and 4-0 Polytetrafluoroethylen (PTFE) sutures were placed, and removed after 7 days. The measurements ofthe periodontal parometers were evaluated at 21 and 60 days. Results. lt was found a reduction of the periodontal probing (PP) of 2.42‹ 0.55mm in 60 days (p.‹ 0.0001). The control group had a reduction ofthe PP of 2.0mm‹ 4.0mm, in 60 days (p.‹ 0.038), the experimental group had a reduction of the PP of 2.83 ‹ 0.2 1 mm in 60 days, being 13.65% more effective the experimental group. No changes overthe gingival margin recession were found, keeping an average of 0.58‹ l. 78mm during the study. The level of clinical attachment had a reduccion in the control group of 1.83 mm. and the experimental group 2.55 mm. (p‹ 0.428). Conclusions. The minimally-invosive single-flap surgicol technique is an effective procedure in the treatment of periodontal infraosseous defects not exceeding 5mm, without causing gingival recession. In combination with emdogain it is fovorable to treat periodontal infraosseous defects.


REFERENCES

  1. Cortellini, P.,l'n>to, GP., Tonetti, MS., (1995) The modified papilla preseMIIion technique. A nsurgicol approoch for interproximol regenenotive procedures, Joumol ofl'eriodontology, 66, 261· 6.

  2. Cortellini, P., Prato, GP., Tonelli, MS., (1996) The modiñed popilla preservation t.dlnique with bioresorbable barrier membnones in 1he t"""ment ol intnobany dorlec:ts. Cose reports, The lnlematlonol Joumal of Pericdontics and Restorative Dentistry, Vol 16, No 6, pp. 546-9.

  3. Cortellini, P., Prato, GP., Tonelli, MS., (1999) A Nowl Surgical Approoch forthe Monagement of Soft Tissues in Regenenotive l'n>cedure, The lntematlonol Joumal of l'eriodontics and Restorative Dentistry, Vol 19, No, 6,pp. 589-99.

  4. Cortellini, P., Tonetti, MS., (2007) Minimolly invosive surgical iechnique and enamel matrix derivati .. in intro-bony d..n.do 1: clinicgl oukomes gnd morbidi!y. Jurnol of Cliniwl Periodontoly. Val 34, Na. 12 pp. 1 0828.

  5. Cortellini, P., Tonelli, MS., (2009)1mproved wound stobility with a modilied minimally invasive surgicol teehnique in the regenerative treatment of isolated interdentol introbony d..n.do., Joumol ofCiiniegl Periodontoly, Vol. 36,No.2. pp 15763.

  6. Cury, PR., Ar..ujo, NS., Bowie, J., Sallum, EA., Jelltx>at, MK., (2004) Comparison belwBen sub!noction nodiognophy and eonventional nodiognophie interpretation during long-term M:Iuation of periadontol thenapy in Cla .. ll lurcatian d..n.do, Jau mal of Periodantology, Vol. 75, No. 8, pp 1145-49.

  7. Harrel, SK., Wilson, TG., Nunn, ME., (2005) Prospeetive assessment of the use ol enamel matrix pnateins with minimally invosive surgery. Joumal of l'loriodontolagy, Val. 7 6, Na. 3, pp. 380-84.

  8. Lindhe, J., Nyman, S., (1975) The eflect of plaque egntrol and surgiegl podcet elimination on 1he establishment and mainlenance of periodontal heolth. A longitudinal study, Joumal of Clinieol Periodantology, Vol. 2, No. 2, pp. 67-79.

  9. Seuleon, A, (1999) Heoling of human intnobony d..n.do following treatment with enamel matrix pnateins or guided tissue negeneration, Journal of l'loriodontology, Vol. 34, No. 6, pp. 31 0-22.

  10. Saeransky, SS., (1970) Relationship al bacteria lo the ellology of periodontol disease. Joumal ol Dental Research, Vol. 49, No. 2. pp.20322.

  11. Tormow, D.P., Mogner, AW. , Fletcher, P., (1992) The elfect offhe distonce from !he contoct point to 1he eres! ol bone on 1he presence or absence ol the inlerproximal dental papilla, Journal of Periodontology, Vol. 63, No. 12, pp. 995 6.

  12. Trombelli, L., Simonelli, A., Pnamstnaller, M., Wikeaj6, UM., Farina, R., (201 O) Single flap opprooch with ond withou1 guided tissue regeneration ond a hydroxyopotilv biomaterial in 1he management ol intraosseous periodontal dorlec:ts, Jo u mal oll'eriodontology, Vol. 81, No. 9, pp. 1256-63

  13. Waerhaug J. (1 979) The infrabony podwt and i1s relationship to trauma from ocdusion ond subgingival plaque, Joumal oll'eriodontology, Vol. 50, No. 7, pp. 35565. or




2020     |     www.medigraphic.com