Periodontal granulation tissue preservation in surgical periodontal disease treatment: a pilot prospective cohort study

Moreno Rodríguez, José Antonio; Ortiz Ruiz, Antonio José

Publication:
Periodontal granulation tissue preservation in surgical periodontal disease treatment: a pilot prospective cohort study

dc.archivorevisado	Korean Academy of Periodontology
dc.contributor.author	Moreno Rodríguez, José Antonio
dc.contributor.author	Ortiz Ruiz, Antonio José
dc.contributor.department	Dermatología, Estomatología, Radiología y Medicina Física
dc.date.accessioned	2024-06-19T11:03:42Z
dc.date.available	2024-06-19T11:03:42Z
dc.date.issued	2022-03-16
dc.description	© Korean Academy of Periodontology 2022 . This manuscript version is made available under the CC-BY-NC 4.0 license http://creativecommons.org/licenses/by-nc/4.0/ This document is Published version of a Published Work that appeared in final form in Journal of Periodontal Implant Science. To access the final edited and published work see https://doi.org/10.5051/jpis.2105780289
dc.description.abstract	Purpose The aim of this study was to evaluate the clinical outcomes of periodontal granulation tissue preservation (PGTP) in access flap periodontal surgery. Methods Twenty patients (stage III–IV periodontitis) with 42 deep periodontal pockets that did not resolve after non-surgical treatment were consecutively recruited. Access flap periodontal surgery was modified using PGTP. The clinical periodontal parameters were evaluated at 9 months. The differences in the amount of granulation tissue width (GTw) preserved were evaluated and the influence of smoking was analyzed. Results GTw >1 mm was observed in 97.6% of interproximal defects, and the granulation tissue extended above the bone peak in 71.4% of defects. At 9 months, probing pocket depth reduction (4.33±1.43 mm) and clinical attachment gain (CAG; 4.10±1.75 mm) were statistically significant (P<0.001). The residual probing depth was 3.2±0.89 mm. When GTw extended above the interproximal bone peak (i.e., the interproximal supra-alveolar granulation tissue thickness [iSUPRA-GT] was greater than 0 mm), a significant CAG was recorded in the supra-alveolar component (1.67±1.32 mm, P<0.001). Interproximal gingival recession (iGR) was significant (P<0.05) only in smokers, with a reduction in the interdental papillary tissue height of 0.93±0.76 mm. In non-smokers, there was no increase in the iGR when the iSUPRA-GT was >0 mm. The clinical results in smokers were significantly worse. Conclusions PGTP was used to modify access flap periodontal surgery by preserving affected tissues with the potential for recovery. The results show that preserving periodontal granulation tissue is an effective and conservative procedure in the surgical treatment of periodontal disease.	es
dc.format	application/pdf	es
dc.format.extent	14	es
dc.identifier.citation	Journal of Periodontal Implant Science, 2022, Vol. 52, N. 4, pp. 298–311
dc.identifier.doi	https://doi.org/10.5051/jpis.2105780289
dc.identifier.issn	Electronic: 2093-2286
dc.identifier.issn	Print: 2093-2278
dc.identifier.uri	http://hdl.handle.net/10201/142434
dc.language	eng	es
dc.relation	Ámbito del proyecto: Regional. Agencia financiadora: Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIBArrixaca) Convocatoria: 2021 Nombre del proyecto: "Un nuevo tratamiento quirúrgico mínimamente invasivo para la periodontitis moderada o severa" Código o número del acuerdo de subvención: IMIB21/CI/TIPO I/02	es
dc.relation.publisherversion	https://www.jpis.org/search.php?where=aview&id=10.5051/jpis.2105780289&code=1150JPIS&vmode=FULL
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Atribución-NoComercial 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	*
dc.subject	Bone regeneration	es
dc.subject	Granulation tissue	es
dc.subject	Microsurgery	es
dc.subject	Periodontitis	es
dc.title	Periodontal granulation tissue preservation in surgical periodontal disease treatment: a pilot prospective cohort study	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es