Modern Clinical Procedures in Periodontal Reconstructive Treatment

Nemcovsky, Carlos E.; Nart, José

doi:10.1007/978-3-030-10725-3_6

Cited by 3 publications

(5 citation statements)

References 151 publications

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“…This prevents apical migration of the junctional epithelium, which could otherwise occur. Another advantage of the mechanical isolation is the prevention of contamination by bacteria from the oral cavity (Nemcovsky & Nart, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Additional reports have suggested that regenerative periodontal procedures that include GTR may improve tooth survival and provide long term stability while reducing periodontitis progression and the need for re-intervention (Cortellini et al, 2017;Nemcovsky & Nart, 2019). Furthermore, a combined approach of surgical endodontic treatment and periodontal surgical treatments was recently proposed as an alternative for teeth with endodontic-periodontal lesions (Alquthami et al, 2018;Dietrich et al, 2003;Kim et al, 2008;Mali & Lele, 2011;Oh et al, 2009Oh et al, , 2019Rohilla et al, 2017;Sharma et al, 2014;Tewari et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Effect of guided tissue regeneration on the success of surgical endodontic treatment of teeth with endodontic‐periodontal lesions: A systematic review

et al. 2023

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Background Endodontic‐periodontal lesions may need surgical approach and the application of guided tissue regeneration (GTR) to be treated by a combined approach. Objectives The aim of the present study was to evaluate the effects of GTR on the success (clinical and radiological healing) of teeth with endodontic‐periodontal lesions treated by modern surgical endodontic treatment, by means of a systematic review of the literature. Methods An exhaustive electronic (Medline, Embase and Scopus searched from inception to August 2020) and manual literature search combined with strict inclusion and exclusion criteria was undertaken to identify any clinical (prospective case series or comparative trials) studies that assessed the added benefit of GTR in modern surgical endodontic treatment of teeth with endodontic‐periodontal lesions. The success of the treatment was assessed based on radiographic healing and clinical evaluations. The risk of bias of the identified studies was evaluated using the Cochrane's collaboration RoB 2.0 tool and the Joanna Briggs Institute (JBI) critical appraisal tools. Results A systematic literature search for eligible reports retrieved three randomized controlled trials (RCTs) and one prospective single arm study with a total of 125 teeth in 125 subjects. One of the RCTs has a low risk of bias, while the other two raised some concerns, using the RoB 2.0 tool. Due to the heterogeneity of the results, it was not possible to perform a comparative meta‐analysis and the results are presented in a narrative manner and by calculating pooled outcomes. Pooling together the data from all the included studies, the reported outcome was of complete healing in 58.4% of all cases, of scar tissue formation/incomplete healing in 24% of cases, of uncertain healing in 12.8% of cases, and of failure in 4.8% of all analysed teeth, with a follow‐up ranging from 12 to 60 months. Discussion The scientific evidence about the use of GTR in modern surgical endodontic treatment of endodontic‐periodontal lesion is sparse, and the available results are derived from very heterogeneous studies, thus not permitting to clarify which is the most effective treatment option in these cases. Conclusions There is an absence of studies comparing GTR versus no GTR. Registration The protocol for this review was registered in the PROSPERO database with the registration ID number CRD42022300470.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of guided tissue regeneration on the success of surgical endodontic treatment of teeth with endodontic‐periodontal lesions: A systematic review

et al. 2023

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“…Grafting materials, both autologous and heterologous can also be used either alone or in combination with GTR as a means of improving intra‐bony defects. Different grafting materials are derived from human, animal or synthetic materials and can have osteo‐inductive or osteo‐conductive effects, and they also help maintain space for the blood clot, as well as adding support and stabilization for the clot during the healing phase 61,62 . Long‐term studies looking into the effectiveness of grafts in more extensive periodontal defects, either alone, or in combination with GTR generally show more improvement, as measured by periodontal probing depths, when compared to open flap debridement alone 63,64 …”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

“…The most commonly used preparations are derived from porcine enamel matrix proteins and play a significant role in the formation of the attachment between dentine and cementum 65,66 . Enamel matrix derivatives (EMD) can be applied to the root surface to help initiate the process of tissue regeneration, either alone or in combination with grafting materials 62 . A systematic review of enamel matrix proteins found that although effective, there was little evidence to show that EMD used in combination with grafts was better than the use of EMD alone 67 …”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

“…65,66 Enamel matrix derivatives (EMD) can be applied to the root surface to help initiate the process of tissue regeneration, either alone or in combination with grafting materials. 62 A systematic review of enamel matrix proteins found that although effective, there was little evidence to show that EMD used in combination with grafts was better than the use of EMD alone. 67…”

Section: Evansmentioning

confidence: 99%

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The endodontic‐periodontal juncture: Where two worlds meet. An overview of endo‐perio lesions

Evans

2023

Australian Dental Journal

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Endodontic and periodontal infections can be difficult to differentiate from one another and often share common clinical features making diagnosis challenging. The aim of this review is to discuss endodontic and periodontal infections in situations where they occur concurrently, or where one influences the other. The available literature investigating endodontic and periodontal infections was examined for contemporary knowledge regarding endodontic‐periodontal interactions. Strategies to facilitate diagnosis and treatment planning are discussed. When endodontic and periodontal infections occur together, or signs and symptoms are similar, diagnosis can be challenging. Determining the primary source of infection is imperative to ensure appropriate treatment planning. The pulp and periodontal tissues are intimately related, with many possible pathways for infection from one to the other. Diagnosis of the primary source of the infection can be difficult and sometimes an inter‐disciplinary approach to treatment is required. © 2023 Australian Dental Association.

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