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Titolo:
Subperiosteal and intraosseous connective tissue grafts for pocket reduction: A 9-to 13-year retrospective case series report
Autore:
Nelson, SW;
Titolo Testata:
JOURNAL OF PERIODONTOLOGY
fascicolo: 10, volume: 72, anno: 2001,
pagine: 1424 - 1435
SICI:
0022-3492(200110)72:10<1424:SAICTG>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERIODONTAL OSSEOUS DEFECTS; AUTOGENOUS PERIOSTEAL GRAFTS; HUMAN HISTOLOGIC EVALUATION; CONTROLLED CLINICAL-TRIAL; HUMAN GINGIVAL RECESSION; HUMAN INTRABONY DEFECTS; NON-SURGICAL TREATMENT; DOUBLE PEDICLE GRAFT; ROOT COVERAGE; BIOABSORBABLE MEMBRANE;
Keywords:
follow-up studies; grafts, connective tissue; periodontal pockets/therapy; periodontal attachment loss/therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
67
Recensione:
Indirizzi per estratti:
Citazione:
S.W. Nelson, "Subperiosteal and intraosseous connective tissue grafts for pocket reduction: A 9-to 13-year retrospective case series report", J PERIODONT, 72(10), 2001, pp. 1424-1435

Abstract

Background: Recent histological evidence has documented that grafted palatal connective tissue is capable of forming a new attachment to previously exposed roots in the treatment of gingival recession. No clinical studies have tested the ability of connective tissue that has been implanted beneath the periosteum into periodontal osseous defects to reduce probing depth andincrease clinical attachment levels. This study reports the long-term clinical effect of subperiosteal and intraosseous connective tissue grafts on deep periodontal pockets. Methods: Connective tissue (CT) grafts were placed in 32 periodontal pockets on 27 patients. Grafts were classified into 3 groups. Type I grafts had 50% or more vascular surface contact and were less than or equal to2.5 mm thick. Type II grafts had 50% or more contact but were >2.5 mm thick, and Type III grafts had less than 50% vascular contact regardless of thickness. Twelve of 14 Type I sites, 9 of 15 Type II sites, and 3 of 3 Type III sites were analyzed 9 to 13 years following treatment. Results: Clinical attachment level change differed significantly between the graft types on survivor teeth (P <0.05): Type III had 2 mm loss (95% confidence interval [CI]: 0.4 to 3.6), while Type Il and Type I grafts had a 2.7 mm gain (95% CI: 2.0 to 3.4) and 4.3 mm gain (95% CI: 3.3 to 5.2), respectively. Similar substantial differences were presented for changes in probing depth and recession. Conclusions: This long-term (9 to 13 years) retrospective case-series analysis suggests substantial improvements in periodontal clinical measures forType I CT grafts in deep periodontal pockets. Randomized trials are required to evaluate this promising procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 11:12:31