Aim: To systemically review the available evidence on the clinical performance of osseous resective surgery (ORS) in the treatment of residual periodontal defects in terms of pocket elimination and biological costs in patients with chronic periodontitis. Materials and methods: Three databases (PubMed, EMBASE and Cochrane) were searched up to January 2019. Clinical trials with a follow-up duration of at least 12 months after ORS with or without fibre retention technique were included. Quantitative synthesis was conducted with random-effect meta-analysis. Results: Overall, 1,765 studies were retrieved, of which 53 full-text articles were screened by two reviewers. Finally, a total of three RCTs were included in the meta-analysis. Random-effect meta-analysis showed a weighted mean percentage of pocket elimination (final PD ≤ 4 mm) at 12 months of 98.3% (95% CI: 96.8; 99.7) with I2 of 26%. The weighted mean amount of resected bone was 0.87 mm (95% CI: 0.49; 1.25), and the weighted mean increase in gingival recession was 2.13 mm (95% CI: 1.49; 2.78) at 12 months. Conclusions: ORS represents an effective surgical approach for the elimination of residual periodontal pockets in the short to medium term. Additional randomized controlled clinical trials with data on pocket elimination are warranted.

Pocket elimination after osseous resective surgery: A systematic review and meta-analysis

Romano F.;Aimetti M.
Last
2020-01-01

Abstract

Aim: To systemically review the available evidence on the clinical performance of osseous resective surgery (ORS) in the treatment of residual periodontal defects in terms of pocket elimination and biological costs in patients with chronic periodontitis. Materials and methods: Three databases (PubMed, EMBASE and Cochrane) were searched up to January 2019. Clinical trials with a follow-up duration of at least 12 months after ORS with or without fibre retention technique were included. Quantitative synthesis was conducted with random-effect meta-analysis. Results: Overall, 1,765 studies were retrieved, of which 53 full-text articles were screened by two reviewers. Finally, a total of three RCTs were included in the meta-analysis. Random-effect meta-analysis showed a weighted mean percentage of pocket elimination (final PD ≤ 4 mm) at 12 months of 98.3% (95% CI: 96.8; 99.7) with I2 of 26%. The weighted mean amount of resected bone was 0.87 mm (95% CI: 0.49; 1.25), and the weighted mean increase in gingival recession was 2.13 mm (95% CI: 1.49; 2.78) at 12 months. Conclusions: ORS represents an effective surgical approach for the elimination of residual periodontal pockets in the short to medium term. Additional randomized controlled clinical trials with data on pocket elimination are warranted.
2020
47
6
756
767
https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13281
periodontal pocket; periodontitis/surgery; residual probing depth; systematic review
Ferrarotti F.; Giraudi M.; Citterio F.; Fratini A.; Gualini G.; Piccoli G.M.; Mariani G.M.; Romano F.; Aimetti M.
File in questo prodotto:
File Dimensione Formato  
Pocket elimination after osseous resective surgery_jcpe.13281.pdf

Accesso riservato

Descrizione: J Clin Periodontol. 2020 Jun;47(6):756-767. doi: 10.1111/jcpe.13281.
Tipo di file: PDF EDITORIALE
Dimensione 913.48 kB
Formato Adobe PDF
913.48 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pocket elimination after Osseous resective surgery.pdf

Open Access dal 21/03/2021

Descrizione: Post print
Tipo di file: POSTPRINT (VERSIONE FINALE DELL’AUTORE)
Dimensione 14.57 MB
Formato Adobe PDF
14.57 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1758020
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 6
social impact