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New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review

OBJECTIVES: To review novel techniques of preserving the entire papilla to minimize the trauma of fragile papilla in periodontal regeneration surgeries. MATERIAL AND METHODS: Electronic databases (Pubmed) and relevant journals were searched until September 4, 2020. Randomized controlled trials, cros...

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Autor principal: Pei, Xiyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543449/
https://www.ncbi.nlm.nih.gov/pubmed/33594801
http://dx.doi.org/10.1002/cre2.410
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author Pei, Xiyan
author_facet Pei, Xiyan
author_sort Pei, Xiyan
collection PubMed
description OBJECTIVES: To review novel techniques of preserving the entire papilla to minimize the trauma of fragile papilla in periodontal regeneration surgeries. MATERIAL AND METHODS: Electronic databases (Pubmed) and relevant journals were searched until September 4, 2020. Randomized controlled trials, cross‐sectional and cohort studies in English were included. Three novel approaches of preserving the entire papilla were applied to bone regeneration for intrabony defects, which were entire papilla preservations (EPP), nonincised papillae surgical approach (NIPSA) and modified vestibular incision subperiosteal tunnel access (M‐VISTA). RESULTS: Randomized control trials of the novel preserving entire papilla techniques were rarely reported. There were only case series or cohort studies. Several papilla preservation techniques (PPT) or minimally invasiveness surgical techniques (MIST) have existed for a long time. However, these techniques still have dissection at the papilla. There were no related RCTs comparing the three novel approaches of keeping the entire papilla with PPT and MIST. All three techniques showed totally primary wound closure. Compared with PPT/MIST, EPP and NIPSA seemed to have better clinical outcomes in reducing probing depth (PD) and clinical attachment level (CAL) gain. CONCLUSIONS: EPP and NIPSA seemed to have advanced results of PD reduction and CAL gain than PPT and MIST. This is needed to be confirmed by further research.
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spelling pubmed-85434492021-10-29 New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review Pei, Xiyan Clin Exp Dent Res Review Article OBJECTIVES: To review novel techniques of preserving the entire papilla to minimize the trauma of fragile papilla in periodontal regeneration surgeries. MATERIAL AND METHODS: Electronic databases (Pubmed) and relevant journals were searched until September 4, 2020. Randomized controlled trials, cross‐sectional and cohort studies in English were included. Three novel approaches of preserving the entire papilla were applied to bone regeneration for intrabony defects, which were entire papilla preservations (EPP), nonincised papillae surgical approach (NIPSA) and modified vestibular incision subperiosteal tunnel access (M‐VISTA). RESULTS: Randomized control trials of the novel preserving entire papilla techniques were rarely reported. There were only case series or cohort studies. Several papilla preservation techniques (PPT) or minimally invasiveness surgical techniques (MIST) have existed for a long time. However, these techniques still have dissection at the papilla. There were no related RCTs comparing the three novel approaches of keeping the entire papilla with PPT and MIST. All three techniques showed totally primary wound closure. Compared with PPT/MIST, EPP and NIPSA seemed to have better clinical outcomes in reducing probing depth (PD) and clinical attachment level (CAL) gain. CONCLUSIONS: EPP and NIPSA seemed to have advanced results of PD reduction and CAL gain than PPT and MIST. This is needed to be confirmed by further research. John Wiley and Sons Inc. 2021-02-16 /pmc/articles/PMC8543449/ /pubmed/33594801 http://dx.doi.org/10.1002/cre2.410 Text en © 2021 The Author. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Pei, Xiyan
New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title_full New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title_fullStr New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title_full_unstemmed New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title_short New surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: A narrative review
title_sort new surgery approaches preserving entire papilla to treat isolated interdental intrabony defects: a narrative review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543449/
https://www.ncbi.nlm.nih.gov/pubmed/33594801
http://dx.doi.org/10.1002/cre2.410
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