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Supra-alveolar attachment gain in the treatment of combined intra-suprabony periodontal defects by non-incised papillae surgical approach

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J Clinic Periodontology - 2019 - Moreno Rodríguez - Supra‐alveolar attachment gain in the treatment of combined.pdf(1.23 MB)
Date
2019-07-22
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Authors
Moreno Rodríguez, José Antonio ; Ortiz Ruiz, Antonio José ; Caffesse, Raúl G.
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Publisher
Wiley
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Dermatología, Estomatología, Radiología y Medicina Física
DOI
https://doi.org/10.1111/jcpe.13158
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info:eu-repo/semantics/article
Description
©2019 John Wiley & Sons. This document is the Published version of a Published Work that appeared in final form in Journal of Clinical Periodontology. To access the final edited and published work see https://doi.org/10.1111/jcpe.13158
Abstract
Aim: To assess the effectiveness of non-incised papillae surgical approach (NIPSA) in periodontal reconstructive surgery of combined intra-suprabony defects. Materials and Methods: Patients with deep periodontal defects treated with NIPSA (n = 20) were analysed. Defects were treated with enamel matrix derivative plus xenograft. Clinical outcomes were assessed before surgery and at 12 months. Wound closure was assessed one week post-surgery. Supra-alveolar attachment gain (SUPRA-AG) was recorded at 12 months post-surgery. Results: Non-incised papillae surgical approach showed significant improvements in clinical attachment gain (5.9 ± 2.38 mm; p < 0.001), recession reduction (0.25 ± 0.44; p < 0.05) and tip of the papillae coronal displacement (0.4 ± 0.5; p < 0.05). It also showed complete wound closure of the apical mucosal incision in the 85% of the cases, with no interproximal tissue necrosis. SUPRA-AG (1.9 ± 1.74) showed a positive tendency, associated with complete intrabony defect resolution. Conclusions: Non-incised papillae surgical approach promoted primary intention healing, wound stability and space provision for optimal periodontal reconstruction, preserving supra-alveolar soft tissue integrity.
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Periodontitis , Reconstructive surgery , Regeneration , Surgical flaps
Citation
J Clin Periodontol. 2019 46:927–936
URI
http://hdl.handle.net/10201/142539
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