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Article: Clinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials

TitleClinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials
Authors
Keywordsaccess flap
meta-analysis
conservative surgery
furcation defects
Issue Date2015
Citation
Journal of Clinical Periodontology, 2015, v. 42, n. 2, p. 169-181 How to Cite?
Abstract© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.Objectives To systematically review the performance of access flap (OFD) in the treatment of class II furcation defects (FD). Methods RCTs evaluating surgical treatment of class II FD with OFD, minimum 6 months follow-up were identified. Screening, data extraction, and quality assessment were conducted independently by three reviewers. The primary outcomes were tooth survival and change in the horizontal clinical attachment level (HCAL). Changes in vertical clinical attachment level (VCAL), reduction of pocket probing depth (PPD), recession increase (REC), horizontal (HBL), and vertical bone level (VBL) were also collected. Results The search identified 1571 studies out of which 11 articles met the inclusion criteria. Data analysis was performed on 199 patients and 251 FD. Tooth survival was seldom reported. Altogether with inflammatory amelioration, the weighted mean differences were for HCAL 0.96 mm [CI: (0.60, 1.32), p < 0.001], 0.55 mm [CI: (0.00, 1.10), p = 0.05] for VCAL gain. PPD reduction over 6 months was 1.38 mm [CI: (0.91, 1.85), p < 0.01]. Potential risk of bias was identified. Conclusions Teeth with mandibular class II furcation involvement treated with OFD show significant clinical improvements 6 months after surgery. Nevertheless, in order to better understand the magnitude of these changes and their clinical relevance, prospective long-term trials are needed.
Persistent Identifierhttp://hdl.handle.net/10722/230976
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848

 

DC FieldValueLanguage
dc.contributor.authorGraziani, Filippo-
dc.contributor.authorGennai, Stefano-
dc.contributor.authorKarapetsa, Dimitra-
dc.contributor.authorRosini, Stefano-
dc.contributor.authorFilice, Natalia-
dc.contributor.authorGabriele, Mario-
dc.contributor.authorTonetti, Maurizio-
dc.date.accessioned2016-09-01T06:07:17Z-
dc.date.available2016-09-01T06:07:17Z-
dc.date.issued2015-
dc.identifier.citationJournal of Clinical Periodontology, 2015, v. 42, n. 2, p. 169-181-
dc.identifier.issn0303-6979-
dc.identifier.urihttp://hdl.handle.net/10722/230976-
dc.description.abstract© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.Objectives To systematically review the performance of access flap (OFD) in the treatment of class II furcation defects (FD). Methods RCTs evaluating surgical treatment of class II FD with OFD, minimum 6 months follow-up were identified. Screening, data extraction, and quality assessment were conducted independently by three reviewers. The primary outcomes were tooth survival and change in the horizontal clinical attachment level (HCAL). Changes in vertical clinical attachment level (VCAL), reduction of pocket probing depth (PPD), recession increase (REC), horizontal (HBL), and vertical bone level (VBL) were also collected. Results The search identified 1571 studies out of which 11 articles met the inclusion criteria. Data analysis was performed on 199 patients and 251 FD. Tooth survival was seldom reported. Altogether with inflammatory amelioration, the weighted mean differences were for HCAL 0.96 mm [CI: (0.60, 1.32), p < 0.001], 0.55 mm [CI: (0.00, 1.10), p = 0.05] for VCAL gain. PPD reduction over 6 months was 1.38 mm [CI: (0.91, 1.85), p < 0.01]. Potential risk of bias was identified. Conclusions Teeth with mandibular class II furcation involvement treated with OFD show significant clinical improvements 6 months after surgery. Nevertheless, in order to better understand the magnitude of these changes and their clinical relevance, prospective long-term trials are needed.-
dc.languageeng-
dc.relation.ispartofJournal of Clinical Periodontology-
dc.subjectaccess flap-
dc.subjectmeta-analysis-
dc.subjectconservative surgery-
dc.subjectfurcation defects-
dc.titleClinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1111/jcpe.12327-
dc.identifier.pmid25360693-
dc.identifier.scopuseid_2-s2.0-84922776639-
dc.identifier.volume42-
dc.identifier.issue2-
dc.identifier.spage169-
dc.identifier.epage181-
dc.identifier.eissn1600-051X-

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