Simplified procedures to treat periodontal intraosseous defects in esthetic areas

Periodontology 2000
Leonardo TrombelliRoberto Farina

Abstract

Successful treatment of deep intraosseous defects in esthetic areas implies clinical improvement of the lesion consistent with long-term tooth survival as well as the preservation (or improvement) of esthetics. It is hoped that such treatment end points may be reached through procedures (which we have termed as 'simplified') that, on the one hand can be easily and successfully applied by the majority of clinicians, and, on the other hand, are well tolerated by patients in terms of postsurgical pain and discomfort, adverse events and cost. In this review, we describe the technical aspects of the simplified procedures currently available (i.e. nonsurgical therapy and the single flap approach and its variants). Also, we analyze the effect of such procedures on clinical parameters and patient-centered outcomes. While nonsurgical therapy seems to be appropriate per se in lesions with a probing depth of < 7 mm and a limited intraosseous component, severe intraosseous defects can be successfully treated using simplified surgical procedures. Overall, data support the effectiveness of simplified surgical procedures and indicate that they result in minimal esthetic impairment (i.e. post-treatment recession) and a more tolerable postopera...Continue Reading

References

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Feb 4, 2009·Journal of Periodontology·Leonardo TrombelliGiorgio Calura
May 26, 2011·Journal of Periodontology·Leonardo TrombelliRoberto Farina
Sep 11, 2012·Clinical Oral Investigations·Roberto FarinaLeonardo Trombelli
Jul 10, 2014·The International Journal of Periodontics & Restorative Dentistry·Roberto FarinaLeonardo Trombelli
Aug 30, 2014·The International Journal of Periodontics & Restorative Dentistry·Giovanni ZucchelliIlham Mounssif
May 1, 2015·Journal of Clinical Periodontology·Gian Pietro SchincagliaLeonardo Trombelli
May 1, 2015·Journal of Periodontology·Roberto FarinaLeonardo Trombelli

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Citations

Mar 7, 2018·Periodontology 2000·Giovanni ZucchelliIlham Mounssif
Oct 12, 2018·Journal of Clinical Periodontology·Luigi NibaliYu-Kang Tu
Dec 14, 2018·Minerva stomatologica·Alessandro Quaranta
Jun 20, 2020·JDR Clinical and Translational Research·L TrombelliR Farina
Aug 14, 2021·Journal of Periodontal & Implant Science·Venkata Lakshmi MathalaRadharani Korukonda

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