Periodontal surgery: less favourable outcomes in smokers


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.

[read the full story...]

Periodontal surgery for furcation defects


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.

[read the full story...]

Periodontal surgery for multiple gingival recessions


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.

[read the full story...]

Periodontal surgery for localised gingival recessions


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.

[read the full story...]

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


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

shutterstock_19887505 - perio xrays

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…]

Limited evidence for surgical treatments for peri-implantitis


It has been reported that implantitis affects between 2-47% of implants and with the number of implants being placed rising years on year more patients are likely to be affected.  The aim of this review was to assess the effectiveness of different interventions for the treatment of peri-implantitis. Searches were conducted in Medline, PubMed, Embase [read the full story…]