CAF+CTG might be considered the gold standard in root coverage procedures. The low amount of inconsistency gives support to the reliability of the present findings.

Modifications induced in soil porosity and in stability of soil aggregates were studied for 2 years on an Italian sandy loam soil. Aerobic and anaerobic sludges and their composted mixtures with the organic fraction of urban refuse were used and compared with manure. Addition rates were equivalent to 50 and 150 metric tons/ha of manure on the organic carbon basis. A control plot was also present. Porosity and pore size distribution were measured on thin sections prepared from undisturbed soil samples by using electro‐optical image‐analysis equipment. The stability of soil aggregates was determined by a wet‐sieving method.All organic materials increased the total porosity significantly at all sampling times. Differences between the two application rates were generally not significant. The improvement of total porosity caused by sludges and composts was comparable to that of manure. Modifications of pore size distribution were also observed. Stability of soil aggregates increased slightly in treated samples. The best stabilizing effect was shown by the anaerobic sludge.

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To the best of the authors' knowledge, the present review is the first one to evaluate quantitatively and qualitatively the effect of different interventions on periodontal healing distal to the second molar after extraction of the third molar. GTR-based procedures with or without combined grafting therapies provide some adjunctive clinical benefit compared to standard non-regenerative/non-grafting procedures. However, the overall low quality of evidence suggests a low degree of confidence and certainty in treatment effects. Evidence on variations of surgical M3M removal techniques based on flap design, type of suturing, and periodontal care of M2M is limited both qualitatively and quantitatively.

The aim of this systematic review was to explore the efficacy of different minimal invasive surgical (MIS) and non-surgical (MINST) approaches for the treatment of intra-bony defect in terms of clinical attachment level (CAL) gain and periodontal pocket depth (PPD) reduction. MethodsA detailed review protocol was designed according to PRISMA guideline. Online search was conducted on PubMed, Cochrane library and Embase. Only randomized clinical trials (RCTs) testing MIS or MINST procedure, with or without the application of a regenerative tool for the treatment of intra-bony defect, were included. Cochrane checklist for risk of bias assessment was used. Network meta-Analysis (NMAs) was used to rank the treatment efficacy. ResultsNine RCTs accounting for 244 patients and a total of 244 defects were included. Only two studies were at low risk of bias. CAL gain for included treatment ranged from 2.58 ± 1.13 mm to 4.7 ± 2.5 mm while PPD reduction ranged from 3.19 ± 0.71 mm to 5.3 ± 1.5 mm. On the basis of the ranking curve, MINST showed the lowest probability to be the best treatment option 1 1 2 3 for CAL gain. Pairwise comparisons and treatment rankings suggest superiority for regenerative approaches (CAL difference 0.78 mm, (0.14-1.41); P < 0.05) and surgical treatment elevating only the buccal or palatal flap (CAL difference: 0.95 mm, (0.33-1.57); P < 0.05). ConclusionsMinimally invasive surgical (MIS) and non-surgical (MINST) periodontal therapy show promising results in the treatment of residual pocket with intrabony defect. Clinical relevanceMIS procedures represent a reliable treatment for isolated intra-bony defect.

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The effect of three microbial dextrans of defined molecular weight, on shrinkage and porosity inside clods has been studied on two Italian clay soils, a Fluvisol and a Vertisol.Shrinkage was determined on dried soil samples using an electro-optical apparatus. The same apparatus was also used to measure porosity and pore size distribution inside the clods. For this purpose large thin sections were prepared from cracked soil samples after shrinkage measurements.Dextrans influenced shrinkage and the size distribution of clods and cracks in the two soils. The major effect was found in the Fluvisol where the arrangement of cracks was changed visibly.The dextrans caused a marked increase in total porosity in the Fluvisol but had only a small effect in the Vertisol. In both soils the pore size distribution was changed resulting in a greater number of larger pores in the dextran treated samples.