Regenerative surgical treatment of furcation defects: A systematic review and Bayesian network meta‐analysis of randomized clinical trials

Abstract

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Comparison of non‐contrast‐enhanced dental magnetic resonance imaging and cone‐beam computed tomography in assessing the horizontal and vertical components of furcation defects in maxillary molars: An in vivo feasibility study

“…The key results of the study were that NCE-dMRI showed (a) sensitivities of ≥98% and specificities of ≥99% in detecting inter-radicular bone loss and (b) high levels of sensitivity in the classification of horizontal degrees/vertical subclasses (reference: CBCT). These data are of clinical relevance, as correct furcation diagnosis provides the basis for prognosis estimation and treatment decisions (Avila-Ortiz et al, 2015;Dommisch et al, 2020;Jepsen et al, 2019;Sanz et al, 2020;Walter et al, 2011). Most importantly, the dMRI technique applied in this study does not require the administration of GBCA in contrast to an earlier study (Juerchott et al, 2020).…”

Feasibility and needs for simultaneous or staged bone augmentation to place prosthetically guided dental implants after extraction or exfoliation of first molars due to severe periodontitis

“…The recently published EFP treatment guidelines recommend that molars with furcation involvement receive periodontal therapy in order to extend their retention and that the presence of furcation involvement is no reason for extraction of such compromised molars (Sanz et al, 2020). Application of these recommendations requires two major lines of scientific evidence supporting interventions on: (a) the ability to retain the compromised molar as long as reasonable (Dommisch et al., 2020; Jepsen et al., 2019); and (b) knowledge of the prospect for their eventual replacement with an appropriate implant supported restoration. Little is known about the possibility to replace first molars lost due to terminal periodontal breakdown.…”

“…The residual amount of bone, rather than the horizontal component of the furcation involvement, as reflected in the vertical subclassification (Tarnow & Fletcher, 1984), has been recently associated with tooth survival (Nibali et al., 2018; Tonetti, Christiansen, & Cortellini, 2017). Advanced treatment options are able to extend retention of these compromised molars (Cortellini, Cortellini, & Tonetti, 2020; Dommisch, Walter, Dannewitz, & Eickholz, 2020; Jepsen et al., 2019), and the recent European S3 clinical guidelines suggest periodontal therapy as the treatment of choice to maintain masticatory function (Sanz et al, 2020). In such cases, however, eventual progression of periodontitis may lead to large amounts of resorption of the alveolar bone and complicate replacement with implant retained fixed partial dentures.…”

Lesões em áreas de furca: fatores etiológicos, diagnóstico e tratamento

“…A utilização de qualquer uma das técnicas regenerativas, para o tratamento de lesões de furca grau III, ainda possui evidências científicas pouco limitadas e os estudos mostram resultados poucos favoráveis e restrita previsibilidade, tornando esse método imprevisível 24,25 . o Exodontia É indicada quando o dente afetado não irá melhorar o qualquer plano de tratamento 11 .…”