Article: The effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: A systematic review

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TitleThe effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: A systematic review
AuthorsHuynhBa, G2
Kuonen, P2
Hofer, D
Schmid, J
Lang, NP1
Salvi, GE2
Issue Date2009
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
CitationJournal Of Clinical Periodontology, 2009, v. 36 n. 2, p. 164-176 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-051X.2008.01358.x
AbstractObjective: To systematically review the survival rate and incidence of complications of furcation-involved multirooted teeth following periodontal therapy after at least 5 years. Material and methods: Electronic and manual searches were performed up to and including January 2008. Publication selection, data extraction and validity assessment were performed independently by three reviewers. Results: Twenty-two publications met the inclusion criteria. Because of the heterogeneity of the data, a meta-analysis could not be performed. The survival rate of molars treated non-surgically was >90% after 5-9 years. The corresponding values for the different surgical procedures were: Surgical therapy: 43.1% to 96%, observation period: 5-53 years. Tunnelling procedures: 42.9% to 92.9%, observation period: 5-8 years. Surgical resective procedures including amputation(s) and hemisections: 62% to 100%, observation period: 5-13 years. Guided tissue regeneration (GTR): 83.3% to 100%, observation period: 5-12 years. The most frequent complications included caries in the furcation area after tunnelling procedures and root fractures after root-resective procedures. Conclusions: Good long-term survival rates (up to 100%) of multirooted teeth with furcation involvement were obtained following various therapeutic approaches. Initial furcation involvement (Degree I) could be successfully managed by non-surgical mechanical debridement. Vertical root fractures and endodontic failures were the most frequent complications observed following resective procedures. © 2009 John Wiley & Sons A/S.
ISSN0303-6979
2011 Impact Factor: 2.996
2011 SCImago Journal Rankings: 0.160
DOIhttp://dx.doi.org/10.1111/j.1600-051X.2008.01358.x
ISI Accession Number IDWOS:000262666200011
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorHuynhBa, G
dc.contributor.authorKuonen, P
dc.contributor.authorHofer, D
dc.contributor.authorSchmid, J
dc.contributor.authorLang, NP
dc.contributor.authorSalvi, GE
dc.date.accessioned2010-05-31T03:23:16Z
dc.date.available2010-05-31T03:23:16Z
dc.date.issued2009
dc.description.abstractObjective: To systematically review the survival rate and incidence of complications of furcation-involved multirooted teeth following periodontal therapy after at least 5 years. Material and methods: Electronic and manual searches were performed up to and including January 2008. Publication selection, data extraction and validity assessment were performed independently by three reviewers. Results: Twenty-two publications met the inclusion criteria. Because of the heterogeneity of the data, a meta-analysis could not be performed. The survival rate of molars treated non-surgically was >90% after 5-9 years. The corresponding values for the different surgical procedures were: Surgical therapy: 43.1% to 96%, observation period: 5-53 years. Tunnelling procedures: 42.9% to 92.9%, observation period: 5-8 years. Surgical resective procedures including amputation(s) and hemisections: 62% to 100%, observation period: 5-13 years. Guided tissue regeneration (GTR): 83.3% to 100%, observation period: 5-12 years. The most frequent complications included caries in the furcation area after tunnelling procedures and root fractures after root-resective procedures. Conclusions: Good long-term survival rates (up to 100%) of multirooted teeth with furcation involvement were obtained following various therapeutic approaches. Initial furcation involvement (Degree I) could be successfully managed by non-surgical mechanical debridement. Vertical root fractures and endodontic failures were the most frequent complications observed following resective procedures. © 2009 John Wiley & Sons A/S.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Clinical Periodontology, 2009, v. 36 n. 2, p. 164-176 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-051X.2008.01358.x
dc.identifier.citeulike3955373
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-051X.2008.01358.x
dc.identifier.epage176
dc.identifier.hkuros165341
dc.identifier.isiWOS:000262666200011
dc.identifier.issn0303-6979
2011 Impact Factor: 2.996
2011 SCImago Journal Rankings: 0.160
dc.identifier.issue2
dc.identifier.openurl
dc.identifier.pmid19207893
dc.identifier.scopuseid_2-s2.0-58949098806
dc.identifier.spage164
dc.identifier.urihttp://hdl.handle.net/10722/58068
dc.identifier.volume36
dc.languageeng
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
dc.publisher.placeDenmark
dc.relation.ispartofJournal of Clinical Periodontology
dc.relation.referencesReferences in Scopus
dc.subject.meshDental Restoration Failure
dc.subject.meshDental Scaling
dc.subject.meshFollow-Up Studies
dc.subject.meshFurcation Defects - surgery - therapy
dc.subject.meshGuided Tissue Regeneration, Periodontal - adverse effects
dc.subject.meshHumans
dc.subject.meshOral Surgical Procedures - adverse effects
dc.subject.meshRoot Caries - etiology
dc.subject.meshTooth Fractures - etiology
dc.subject.meshTooth Loss
dc.subject.meshTooth Root - surgery
dc.titleThe effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: A systematic review
dc.typeArticle
Author Affiliations
  1. Prince Philip Dental Hospital
  2. Universität Bern