Periodontal reconstructive surgery of deep intraosseous defects using an apical approach. Non‐incised papillae surgical approach (NIPSA): A retrospective cohort study
Background The objective of this study was to compare a minimally‐invasive surgical technique (MIST) and a non‐incised papilla surgical approach (NIPSA) in periodontal reconstructive surgery of deep intraosseous defects. Methods Data on 30 patients with a deep intraosseous defect treated with MIST (...
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| Veröffentlicht in: | Journal of periodontology (1970) 2019-05, Vol.90 (5), p.454-464 |
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| container_title | Journal of periodontology (1970) |
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| creator | Moreno Rodríguez, Jose A. Ortiz Ruiz, Antonio J. Caffesse, Raúl G. |
| description | Background
The objective of this study was to compare a minimally‐invasive surgical technique (MIST) and a non‐incised papilla surgical approach (NIPSA) in periodontal reconstructive surgery of deep intraosseous defects.
Methods
Data on 30 patients with a deep intraosseous defect treated with MIST (n = 15) or NIPSA (n = 15) were analyzed retrospectively. All patients met the same inclusion criteria and were treated following the same protocol, except for the surgical management of soft tissue (MIST versus NIPSA). Clinical parameters at baseline and at 1‐year post‐surgery, early healing at 1 week, and postoperative pain were assessed.
Results
NIPSA and MIST resulted in significant clinical attachment gain (CAG) (P |
| doi_str_mv | 10.1002/JPER.18-0405 |
| format | Article |
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The objective of this study was to compare a minimally‐invasive surgical technique (MIST) and a non‐incised papilla surgical approach (NIPSA) in periodontal reconstructive surgery of deep intraosseous defects.
Methods
Data on 30 patients with a deep intraosseous defect treated with MIST (n = 15) or NIPSA (n = 15) were analyzed retrospectively. All patients met the same inclusion criteria and were treated following the same protocol, except for the surgical management of soft tissue (MIST versus NIPSA). Clinical parameters at baseline and at 1‐year post‐surgery, early healing at 1 week, and postoperative pain were assessed.
Results
NIPSA and MIST resulted in significant clinical attachment gain (CAG) (P < 0.001) and probing depth reduction (PDr) (P < 0.001) at 1‐year post‐surgery. However, NIPSA resulted in significantly lower recession of the tip of the interdental papilla compared with MIST (P < 0.001). Smoking negatively influenced early healing in both techniques (P < 0.05).
Conclusions
NIPSA and MIST both resulted in significant improvements in clinical parameters. NIPSA showed significant soft tissue preservation. NIPSA may represent a promising papillae preservation technique in the treatment of intraosseous periodontal defects.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1002/JPER.18-0405</identifier><identifier>PMID: 30421495</identifier><language>eng</language><publisher>United States</publisher><subject>Alveolar Bone Loss ; Dental Enamel Proteins ; Dentistry ; enamel matrix proteins ; Follow-Up Studies ; Guided Tissue Regeneration, Periodontal ; Humans ; Minimally Invasive Surgical Procedures ; Periodontal Attachment Loss ; periodontitis ; reconstructive surgical procedure ; Reconstructive Surgical Procedures ; Retrospective Studies ; surgical flaps ; Treatment Outcome</subject><ispartof>Journal of periodontology (1970), 2019-05, Vol.90 (5), p.454-464</ispartof><rights>2018 American Academy of Periodontology</rights><rights>2018 American Academy of Periodontology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4012-19872b8e0683c64071ad9527d8b42bc3790629de393ad994110f795ceb92653c3</citedby><cites>FETCH-LOGICAL-c4012-19872b8e0683c64071ad9527d8b42bc3790629de393ad994110f795ceb92653c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2FJPER.18-0405$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2FJPER.18-0405$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30421495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreno Rodríguez, Jose A.</creatorcontrib><creatorcontrib>Ortiz Ruiz, Antonio J.</creatorcontrib><creatorcontrib>Caffesse, Raúl G.</creatorcontrib><title>Periodontal reconstructive surgery of deep intraosseous defects using an apical approach. Non‐incised papillae surgical approach (NIPSA): A retrospective cohort study</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background
The objective of this study was to compare a minimally‐invasive surgical technique (MIST) and a non‐incised papilla surgical approach (NIPSA) in periodontal reconstructive surgery of deep intraosseous defects.
Methods
Data on 30 patients with a deep intraosseous defect treated with MIST (n = 15) or NIPSA (n = 15) were analyzed retrospectively. All patients met the same inclusion criteria and were treated following the same protocol, except for the surgical management of soft tissue (MIST versus NIPSA). Clinical parameters at baseline and at 1‐year post‐surgery, early healing at 1 week, and postoperative pain were assessed.
Results
NIPSA and MIST resulted in significant clinical attachment gain (CAG) (P < 0.001) and probing depth reduction (PDr) (P < 0.001) at 1‐year post‐surgery. However, NIPSA resulted in significantly lower recession of the tip of the interdental papilla compared with MIST (P < 0.001). Smoking negatively influenced early healing in both techniques (P < 0.05).
Conclusions
NIPSA and MIST both resulted in significant improvements in clinical parameters. NIPSA showed significant soft tissue preservation. NIPSA may represent a promising papillae preservation technique in the treatment of intraosseous periodontal defects.</description><subject>Alveolar Bone Loss</subject><subject>Dental Enamel Proteins</subject><subject>Dentistry</subject><subject>enamel matrix proteins</subject><subject>Follow-Up Studies</subject><subject>Guided Tissue Regeneration, Periodontal</subject><subject>Humans</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Periodontal Attachment Loss</subject><subject>periodontitis</subject><subject>reconstructive surgical procedure</subject><subject>Reconstructive Surgical Procedures</subject><subject>Retrospective Studies</subject><subject>surgical flaps</subject><subject>Treatment Outcome</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctO3DAUhi1UVIZpd6yRlyCRqW-5uLvRiKtGdNTLOnKcE3CViYPttJodj8Bj8Fw8CR4CSN10dc7x_-nXb_0IHVAyo4SwL1er0-8zWiREkHQHTagUPOFZTj6gSZRZwoVke2jf-9_xpIKTj2iPExFXmU7Q4wqcsbXtgmqxA207H9ygg_kD2A_uBtwG2wbXAD02XXDKeg928PGlAR08HrzpbrDqsOqNjh6q751V-naGr233dP9gOm081LiPetuq0fUfEh9dX65-zI-_4nlMEJz1PYwBtL21LmAfhnrzCe02qvXw-XVO0a-z05-Li2T57fxyMV8mWhDKEiqLnFUFkKzgOhMkp6qWKcvrohKs0jyXJGOyBi55FKSglDS5TDVUkmUp13yKjkbfGO5uAB_KtfEaYvRu---SUc5yXuSpjOjJiOqY2Ttoyt6ZtXKbkpJy20257aakRbntJuKHr85DtYb6HX4rIwJ8BP6aFjb_NXs5KGEZ48_jBpyL</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Moreno Rodríguez, Jose A.</creator><creator>Ortiz Ruiz, Antonio J.</creator><creator>Caffesse, Raúl G.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201905</creationdate><title>Periodontal reconstructive surgery of deep intraosseous defects using an apical approach. Non‐incised papillae surgical approach (NIPSA): A retrospective cohort study</title><author>Moreno Rodríguez, Jose A. ; Ortiz Ruiz, Antonio J. ; Caffesse, Raúl G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4012-19872b8e0683c64071ad9527d8b42bc3790629de393ad994110f795ceb92653c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Alveolar Bone Loss</topic><topic>Dental Enamel Proteins</topic><topic>Dentistry</topic><topic>enamel matrix proteins</topic><topic>Follow-Up Studies</topic><topic>Guided Tissue Regeneration, Periodontal</topic><topic>Humans</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Periodontal Attachment Loss</topic><topic>periodontitis</topic><topic>reconstructive surgical procedure</topic><topic>Reconstructive Surgical Procedures</topic><topic>Retrospective Studies</topic><topic>surgical flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreno Rodríguez, Jose A.</creatorcontrib><creatorcontrib>Ortiz Ruiz, Antonio J.</creatorcontrib><creatorcontrib>Caffesse, Raúl G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreno Rodríguez, Jose A.</au><au>Ortiz Ruiz, Antonio J.</au><au>Caffesse, Raúl G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Periodontal reconstructive surgery of deep intraosseous defects using an apical approach. Non‐incised papillae surgical approach (NIPSA): A retrospective cohort study</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2019-05</date><risdate>2019</risdate><volume>90</volume><issue>5</issue><spage>454</spage><epage>464</epage><pages>454-464</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background
The objective of this study was to compare a minimally‐invasive surgical technique (MIST) and a non‐incised papilla surgical approach (NIPSA) in periodontal reconstructive surgery of deep intraosseous defects.
Methods
Data on 30 patients with a deep intraosseous defect treated with MIST (n = 15) or NIPSA (n = 15) were analyzed retrospectively. All patients met the same inclusion criteria and were treated following the same protocol, except for the surgical management of soft tissue (MIST versus NIPSA). Clinical parameters at baseline and at 1‐year post‐surgery, early healing at 1 week, and postoperative pain were assessed.
Results
NIPSA and MIST resulted in significant clinical attachment gain (CAG) (P < 0.001) and probing depth reduction (PDr) (P < 0.001) at 1‐year post‐surgery. However, NIPSA resulted in significantly lower recession of the tip of the interdental papilla compared with MIST (P < 0.001). Smoking negatively influenced early healing in both techniques (P < 0.05).
Conclusions
NIPSA and MIST both resulted in significant improvements in clinical parameters. NIPSA showed significant soft tissue preservation. NIPSA may represent a promising papillae preservation technique in the treatment of intraosseous periodontal defects.</abstract><cop>United States</cop><pmid>30421495</pmid><doi>10.1002/JPER.18-0405</doi><tpages>11</tpages></addata></record> |
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| ispartof | Journal of periodontology (1970), 2019-05, Vol.90 (5), p.454-464 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Alveolar Bone Loss Dental Enamel Proteins Dentistry enamel matrix proteins Follow-Up Studies Guided Tissue Regeneration, Periodontal Humans Minimally Invasive Surgical Procedures Periodontal Attachment Loss periodontitis reconstructive surgical procedure Reconstructive Surgical Procedures Retrospective Studies surgical flaps Treatment Outcome |
| title | Periodontal reconstructive surgery of deep intraosseous defects using an apical approach. Non‐incised papillae surgical approach (NIPSA): A retrospective cohort study |
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