Periodontal regeneration therapies: Are benefits long-term?

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This review of periodontal regeneration therapies included 52 trials. While the results suggest some statistically significant improvements they may not be clinically important. There is also limited data for outcomes longer than 12 months.

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Impacted canines – insufficient evidence for best surgical approach for good periodontal outcomes

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This review of surgical approaches for the management of labially impacted canines only identified 3 small studies at high risk of bias. These provide insufficient evidence to determine the best approach.

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Lasers for surgical periodontal treatment – insufficient evidence of effectiveness

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Eight small trials were identified for this review of lasers as an adjunct to surgical periodontal treatment. The limited number of studies and variation in the types of lasers used means there is insufficient evidence to support their effectiveness.

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Gingival recession: root surface modifiers did not improve surgical outcomes

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Six small randomised controlled trials were found for this review assessing the use of root surface modifiers to improve the outcome of gingival recession surgery. None of the agents evaluated were seen to be of benefit.

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Periodontal surgery: less favourable outcomes in smokers

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This review of periodontal flap surgery identified 8 small studies, all of which demonstrated better outcomes in terms of probing the depth and the attachment level for non-smokers.

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Periodontal surgery for furcation defects

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This review included 11 small low quality studies that suggest clinical benefits at 6 months. Further high quality longer term studies are needed to assess the clinical relevance.

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Periodontal surgery for multiple gingival recessions

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This review of periodontal surgery for multiple gingival recessions includes 9 small RCTs with relatively short follow up periods and suggests that the percentage root coverage can be improved although complete root coverage was more variable.

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Periodontal surgery for localised gingival recessions

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This review of periodontal surgery for localised gingival recession included 51 RCTs and provides evidence to support the use of coronally advanced flap procedures alone or with connective tissue grafts.

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Cost effectiveness of surgery versus root planing in patients with chronic periodontitis

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Both surgical and non-surgical approaches can be used for the treatment of chronic periodontitis. The traditional approach being improving plaque control and non- surgical scaling and root planing (SRP) followed by surgical re-treatment where indicated. The main aim of this study was to compare immediate surgery with SRP in the treatment of advanced periodontal disease [read the full story…]

Access flap surgery treatment for intrabony defects may result in improved clinical outcomes – ADA-EBD critical summary

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The latest critical summary from the ADA-EBD Center considers a 2012 systematic review from Graziani et al.  The aim of the review was to assess the effectiveness of conservative periodontal surgery (CS) for the treatment of periodontitis-related intrabony defects.   Conservative periodontal surgery was defined as procedures that involved debridement of intrabony defects and root surfaces [read the full story…]