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Resective surgery for the treatment of furcation involvement: A systematic review.
Dommisch, Henrik; Walter, Clemens; Dannewitz, Bettina; Eickholz, Peter.
Afiliación
  • Dommisch H; Department of Periodontology and Synoptic Dentistry, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
  • Walter C; Berlin Institute of Health, Berlin, Germany.
  • Dannewitz B; Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine (UZB), University of Basel, Basel, Switzerland.
  • Eickholz P; Department of Periodontology, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
J Clin Periodontol ; 47 Suppl 22: 375-391, 2020 07.
Article en En | MEDLINE | ID: mdl-31912534
OBJECTIVE: To evaluate the benefit of resective surgical periodontal therapy (root amputation or resection, root separation, tunnelling) in periodontitis patients exhibiting class II and III furcation involvement (FI) compared with non-surgical treatment (SRP) or open flap debridement (OFD). MATERIAL: Outcomes were tooth survival (primary), vertical probing attachment gain, and reduction in probing pocket depth (secondary) evidenced by randomized clinical trials, prospective and retrospective cohort studies and case series with ≥ 12 months of follow-up. Search was performed on 3 electronic databases from January 1998 to December 2018. RESULTS: From a total of 683 articles, 66 studies were identified for full-text analysis and 7 studies finally included. Six hundred sixty-seven patients contributed 2,021 teeth with class II or III FI. Data were very heterogeneous regarding follow-up and distribution of FI. A total of 1,515 teeth survived 4 to 30.8 years after therapy. Survival ranged from 38%-94.4% (root amputation or resection, root separation), 62%-67% (tunnelling), 63%-85% (OFD) and 68%-80% (SRP). Overall, treatment provided better results for class II FI than class III. CONCLUSION: Within their limits, the data indicate that in class II and III FI, SRP and OFD may result in similar survival rates as root amputation/resection, root separation or tunnelling.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis / Defectos de Furcación Tipo de estudio: Observational_studies / Systematic_reviews Límite: Humans Idioma: En Revista: J Clin Periodontol Año: 2020 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Periodontitis / Defectos de Furcación Tipo de estudio: Observational_studies / Systematic_reviews Límite: Humans Idioma: En Revista: J Clin Periodontol Año: 2020 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos