Microsurgical access flap and enamel matrix derivative for the treatment of periodontal intrabony defects: a controlled clinical study

Wachtel, Hannes; Schenk, Günther; Böhm, Sonja; Weng, Dietmar; Zuhr, Otto; Hürzeler, Markus B.

doi:10.1034/j.1600-051x.2003.00013.x

Cited by 193 publications

(243 citation statements)

References 35 publications

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“…The procedure resulted in significant gain in CAL and minimal gingival recession. Wachtel et al conducted a study on 11 patients to assess the clinical effect of EMD treatment as an adjunct to the microsurgical access flap (Wachtel H et al, 2003). Both test and control treatment resulted in a statistically significant mean CAL gain of 2.8 and 2mm at 6 months, and 3.6 and 1.7mm at 12 months, respectively.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive techniques for periodontal regenerative therapy- an overview

Karthikeyan¹,

Vijayalakshmi²,

Mahendra³

2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACTMinimally Invasive Periodontal Surgery (MIPS) is a surgical technique using small incisions indicated for performing regenerative therapy in periodontal defects. It can be performed using magnification from surgical microscopes, surgical telescopes, or endoscopic visualization. MIPS seals the healing wound from the contaminated oral environment by ensuring primary closure. Preserving soft tissues and maintaining minimal gingival recession, minimal hypersensitivity claim to be essential requisites to meet the demands of the patient and the clinician in the esthetic zone. Minimally invasive methods for periodontal treatment yield long-term reductions of probing depths and enhanced clinical attachment levels. The exclusive property of MIPS is that it reduces the chair time required to perform the procedure and results in limited morbidity to the patient during the surgical procedure, as well as in the postoperative period. However, it cannot be applied in all cases. A stepwise decisional algorithm should support clinicians in choosing the proper approach.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive techniques for periodontal regenerative therapy- an overview

Karthikeyan¹,

Vijayalakshmi²,

Mahendra³

2017

Int J Recent Sci Res

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“…Wachel et al 12 evaluated periodontal regeneration in 11 patients with bilateral infra bony defects. The patients were divided into 2groups: one subjected to Endogain® and microsurgery, and a control group subjected only to microsurgery.…”

Section: Discussionmentioning

confidence: 99%

Minimally Traumatic Surgical Procedures in Periodontics: a Review

Schwartz-Filho¹,

Brandt²,

Roman-Torres³

2015

J. Health Scie.

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The concept of minimally invasive procedures can be extended to all fields of dentistry. Periodontics, in particular, has been reported as one of the areas with great benefits. This review aims to describe the use of minimally invasive procedures in periodontal surgery, its concepts, applications, and possible benefits from its use. For that, 682 articles published between 1950 and 2012 focused on minimally invasive periodontal surgery were evaluated. Of them, 669 studies did not describe clearly the procedures, and did not attend the inclusion criteria. The results showed that proper lighting promotes increased visual acuity during surgical procedures, favoring the precision associated with microsurgical instruments specifically designed, allowing a more accurate manipulation of the soft and hard tissues. Surgical access avoids unnecessary tissues removal, optimizing the debridement, improving vascularisation, and therefore the possibility of obtaining primary healing of surgical wounds. The microsurgical approach can improve the predictability of different periodontal procedures, providing better results and cause less postoperative discomfort. However, few controlled methodologies on the use of instruments to promote minimally invasive procedures in periodontics have been found in literature. Therefore, studies are needed to determine whether microsurgical techniques can lead to a significant difference in the successful outcome. Most of the studies are based on observations and experiences of the authors, which clearly show that there are advantages in having better lighting, better vision, and a more controlled and less traumatic technique.Keywords: Gingival Recession. Gengivoplasty. Wound Healing. Resumo

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“…Of the 19 studies included, nine had a split-mouth design -six with a follow-up period of 12 months (14,16,23,27,28,34) and three with duration of over 24 months (15,35,36) -and ten had a parallel design -five with a follow-up period of 12 months (10,17,(37)(38)(39) and five with a follow-up period of over 24 months (24,25,29,40,41). Regarding the evaluated outcomes, PD and CAL were evaluated in all the studies, gingival recession (GR) was additionally evaluated in eight studies (15,16,24,25,29,36,39,41) and bone filling in twelve studies (10,(14)(15)(16)(23)(24)(25)27,29,36,39,41).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One of the indications for the use of EMDPs is for the management of infrabony periodontal defects (IPD). The use of EMDP in such defects has been histologically evaluated in animals (19,20) and in humans (8,15,21,22) with promising results regarding periodontal regeneration, and their clinical results have been shown to be significantly better than those of their comparative controls (14,15,(23)(24)(25)(26)(27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

Do the Clinical Effects of Enamel Matrix Derivatives in Infrabony Defects Decrease Overtime? A Systematic Review and Meta-Analysis

Zanatta

Souza²,

Pinto

et al. 2013

Braz. Dent. J.

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Previous systematic reviews have demonstrated better results with enamel matrix derivative proteins (EMDP) as compared with open flap debridement (OFD) for the management of infrabony periodontal defects (IPD). The aim of this study was to determine whether these differences vary according to the follow-up and quality of the studies. Cochrane Central Register of Controlled Trials, Medline/PubMed, Lilacs, Embase and Web of Science electronic databases were searched up to August 2013 for randomized clinical trials.Eligible outcomes were changes in probing depth (PD), clinical attachment level (CAL),gingival recession (GR) and bone changes (BC). Studies with follow-up of 12 months showed differences of 0.97 mm (CI95% 0.52 -1.43) and 1.19 mm (CI95% 0.77 -1.60) for PD and CAL, respectively, favorable for EMDP. Studies with follow-up ≥ 24 months presented advantages of 1.11 mm (CI95% 0.74 -1.48) for CAL and 0.83 mm (CI95% 0.19 -1.48) for PD,with use of EMDP. Considering the quality of studies, those with low risk of bias showed lower difference between groups, presenting 0.8 mm (CI95% 0.24-1.36) for CAL, favorable for EMDP and without differences for PS (0.51 mm, CI95% -0.21 -1.23). In conclusion, follow-up time (< or > 2 years) and the risk of bias influence the results of treatment with EMDP in IPD.

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Microsurgical access flap and enamel matrix derivative for the treatment of periodontal intrabony defects: a controlled clinical study

Cited by 193 publications

References 35 publications

Minimally invasive techniques for periodontal regenerative therapy- an overview

Minimally invasive techniques for periodontal regenerative therapy- an overview

Minimally Traumatic Surgical Procedures in Periodontics: a Review

Do the Clinical Effects of Enamel Matrix Derivatives in Infrabony Defects Decrease Overtime? A Systematic Review and Meta-Analysis

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