Long‐Term Effect of Four Surgical Periodontal Therapies and One Non‐Surgical Therapy: A Systematic Review and Meta‐Analysis

Mailoa, James; Lin, Guo‐Hao; Khoshkam, Vahid; MacEachern, Mark; Chan, Hsun‐Liang; Wang, Hom Lay

doi:10.1902/jop.2015.150159

Cited by 41 publications

(29 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Scaling and root planing (SRP) still represents the highest standard of care and mechanically disrupts these biofilms. Nevertheless, a complete elimination of the pathogenic biofilm is not always achieved, due in great part to issues of site accessibility [3,4].…”

Section: Introductionmentioning

confidence: 99%

The effect of green tea as an adjunct to scaling and root planing in non-surgical periodontitis therapy: a systematic review

et al. 2018

View full text Add to dashboard Cite

OBJECTIVE To provide a systematic overview on the efficacy of green tea catechin as an adjunct to scaling and root planing (SRP) in terms of probing pocket depth (PPD). MATERIALS AND METHODS A systematic literature search was performed using electronic databases in PubMed, Scopus, Medline, Cochrane, CINAHL, and Web of Science on randomized clinical trials up to January 2017. The research question was posed in accordance with PRISMA guidelines. RESULTS The search provided 234 studies. After analyzing the full texts, five studies were included, with four studies qualifying for metaanalysis. Mean PPD reduction was significantly higher ( = 0.05) when green tea catechin was used as an adjunct to SRP (test group) than with SRP alone (control group). The difference in the reduction was 0.74 mm [0.35-1.13; 95% CI]. CONCLUSION The local application of green tea catechin as an adjunct to SRP may result in a beneficial reduction in PPD. Due to the highly heterogeneous data and some risk of bias, however, this data still needs to be interpreted with caution. CLINICAL RELEVANCE The finding suggests that green tea catechin may be a topical adjunct to SRP without negative side effects. AbstractObjective: To provide a systematic overview on the efficacy of green tea catechin as an adjunct to scaling and root planing (SRP) in terms of probing pocket depth (PPD). Materials and Methods:A systematic literature search was performed using electronic databases in PubMed, Scopus, Medline, Cochrane, CINAHL and Web of Science on randomized clinical trials up to January 2017. The research question was posed in accordance with PRISMA guidelines. Results:The search provided 234 studies. After analyzing the full texts, five studies were included, with four studies qualifying for meta-analysis. Mean PPD reduction was significantly higher (α=0.05) when green tea catechin was used as an adjunct to SRP (test group) than with SRP alone (control group). The difference in the reduction was 0.74 mm [0.35 -1.13; 95% CI]. Conclusion:The local application of green tea catechin as an adjunct to SRP may result in a beneficial reduction in PPD. Due to the highly heterogeneous data and some risk of bias, however, this data still needs to be interpreted with caution.Clinical Relevance: The finding suggests that green tea catechin may be a topical adjunct to SRP without negative side effects.

show abstract

Section: Introductionmentioning

confidence: 99%

The effect of green tea as an adjunct to scaling and root planing in non-surgical periodontitis therapy: a systematic review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…To the best knowledge of the authors, this study provides the first data comparing PSR scores with actual periodontal access surgery needs formulated by experienced and calibrated periodontal specialists performing comprehensive clinical and radiographic evaluations and applying standardized decision‐making criteria. Periodontal access surgical needs determined prior to treatment were almost always found (94.5%) in dentition sextants with pretreatment PSR scores of 4, confirming that deep periodontal pockets are frequently judged by clinicians as needing surgical access 26,27 …”

Section: Discussionmentioning

confidence: 85%

“…Periodontal access surgical needs determined prior to treatment were almost always found (94.5%) in dentition sextants with pretreatment PSR scores of 4, confirming that deep periodontal pockets are frequently judged by clinicians as needing surgical access. 26,27 However, pretreatment PSR scores of 4 markedly overestimated surgical access needs remaining after completion of non-surgical periodontal therapy. Only 37.6% of sextants with both pretreatment PSR scores of 4 and a pretreatment access surgery need continued to have surgical access needs persisting after nonsurgical periodontal therapy.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Periodontal Screening and Recording Index Scores and Need for Periodontal Access Surgery

Rams

Loesche

2017

Journal of Periodontology

View full text Add to dashboard Cite

Pretreatment PSR index scores of 4 were a strong indicator of periodontal access surgery needs in untreated dentition sextants but markedly overestimated surgical access needs remaining after completion of non-surgical periodontal therapy. These findings raise questions about the usefulness of pretreatment PSR evaluations for estimating potential periodontal access surgery needs in patients to be initially treated with non-surgical periodontal therapy.

show abstract

“…Then, with the aid of scalpel (Golgran, São Cateano do Sul, SP, Brazil) and size 15 blade (Solidor, Barueri, SP, Brazil), the wedge-shaped incision was performed on the posterior edentulous area of tooth #17, with approximately 3 mm from the two incisions comprising the wedge. We opted to perform the modified Widman incision [10] from the distal buccal area to the medium of the buccal surface, approximately 2 mm far from the gingival sulcus. Sulcular incision extended from the half of the buccal surface to the mesial surface of tooth #16, as seen in figure 2A.…”

Section: Case Reportmentioning

confidence: 99%

Crown lengthening surgery and transurgical restoration

Tortoriello

Moura

Costa

et al. 2016

RSBO

View full text Add to dashboard Cite

Introduction: The crown lengthening surgery and the transurgical restoration are alternative procedures to enable the restoration of teeth inaccessible to the conventional techniques and restore the lost biological space. Objective: This study aimed to present clinically the reconstruction of a right maxillary second molar through crown lengthening surgery associated with transurgical restoration with composite resin in a patient treated in the Integrated Clinics of the University of Ribeirão Preto. Case report: Patient E.H.C.V., female, aged 51 years, attended the dental clinic of the University of Ribeirão Preto. The anamnesis showed a favorable health history and the clinical examination showed great tooth crown destruction of tooth #17. The treatment planning included the crown lengthening periodontal surgery with regularization of alveolar bone on the buccal surface of tooth #17, rubber dam isolation, the restauration of the compromised area with composite resin, and suture in the same session. After 7 days, the sutures were removed and the restoration polished. Conclusion: It can be concluded that the use of this technique is a viable, fast, and satisfactory solution, with good results, favoring the health and aesthetics, returning function and better social life to the patient.

show abstract

Long‐Term Effect of Four Surgical Periodontal Therapies and One Non‐Surgical Therapy: A Systematic Review and Meta‐Analysis

Abstract: Surgical therapy had significantly more CAL loss than non-surgical therapy in shallow PD. In moderate PD, MWF had significantly more PD reduction than SRP, and there was significantly less CAL gain with surgical therapy. In deep PD, OS had significantly higher PD reduction than SRP.

Cited by 41 publications

References 51 publications

The effect of green tea as an adjunct to scaling and root planing in non-surgical periodontitis therapy: a systematic review

The effect of green tea as an adjunct to scaling and root planing in non-surgical periodontitis therapy: a systematic review

Relationship Between Periodontal Screening and Recording Index Scores and Need for Periodontal Access Surgery

Crown lengthening surgery and transurgical restoration

Contact Info

Product

Resources

About