Minimally Invasive Surgical Strategies in Regenerative/Reconstructive Periodontal Therapy.
Guided tissue regeneration
periodontal regeneration
wound healing
Journal
Clinical advances in periodontics
ISSN: 2163-0097
Titre abrégé: Clin Adv Periodontics
Pays: United States
ID NLM: 101597440
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
20
06
2020
accepted:
27
10
2020
pubmed:
11
12
2020
medline:
31
7
2021
entrez:
10
12
2020
Statut:
ppublish
Résumé
After a quick overview on the original principles of guided periodontal regeneration (GTR), the aim of this paper focuses on the advantages of minimally invasive surgical techniques for periodontal regeneration/reconstruction. The specific clinical question to answer is: Are there new clinical parameters useful to choose the best minimal invasive surgery approach for each periodontal defect? An update of the decision trees is to propose after highlighting some clinical parameters deemed relevant for the choice of the most suitable minimally invasive surgical approach and which therefore are considered by us having a place in the new decision trees. Starting from the paper of Evian dated 1985 until that of Aslan in 2017, we have analyzed the minimal periodontal surgical techniques proposed for the periodontal regeneration. In addition to the parameters set in the various flowcharts, we have highlighted the following additional parameters: papilla height loss; supra bone component of the defect; Δ Bone Sounding; width of keratinized tissue. The decision-making chart improved with the new clinically relevant factors may serve as a useful guideline for dentists, but to definitively validate it, further studies need to be developed in the future. In order to clarify the proposed flow chart, the authors present two different clinical cases.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
116-123Informations de copyright
© 2020 American Academy of Periodontology.
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