Ten-year stability of clinical attachment after regenerative treatment of infrabony defects and controls
- Background: A similar long-term stable clinical attachment level (CAL) of infrabony defects (IBDs) after regenerative treatment compared to control teeth would indicate a high level of stability resulting from the regenerative approach. Methods: Patients with a regeneratively treated IBD were screened 120 ± 12 months postoperatively for eligibility for study participation, and were included if complete baseline and 12-month examinations (plaque (PlI), periodontal probing depth (PPD), CAL) were available and a respective control tooth could be identified. Re-examination included clinical examination (PPD, CAL, PlI/GI, bleeding on probing, plaque control record, gingival bleeding index). Results: A total of 27 patients (16 females; age (median; lower/upper quartile): 57.0; 44.0/60.0 years; 6 smokers) contributed 27 IBDs (test), for each of which a control tooth was identified. Five test teeth (18.5%) were lost between 12 and 120 months. The remaining 22 test teeth revealed a significant CAL gain after 1 (2.5 mm; 1.0/4.0 mm, p < 0.0001) and 10 (2.5 mm; 0.5/3.5 mm, p < 0.0001) years, whereas control teeth were stable (1 year: 0.0 mm; 0.0/1.0 mm, p = 0.396; 10 years: 0.0 mm; −1.0/1.5 mm, p = 0.215). The study did not detect any significant CAL change between 1 and 10 years for test (−0.5 mm; −1.0/0.5 mm, p = 0.414) and control teeth (0.0 mm; −1.0/1.0 mm, p = 0.739). In 15 patients, test and control teeth revealed stable CAL values between 12 and 120 months. Conclusion: Regenerative treatment of IBDs exhibited stability comparable to non-surgically treated, periodontally reduced sites over a 10-year period.
Author: | Hari PetsosORCiDGND, Ilona KoronnaGND, Tatjana RamichGND, Katrin NicklesORCiDGND, Bettina DannewitzGND, Beate Schacher, Peter EickholzORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-800358 |
DOI: | https://doi.org/10.3390/jcm11030543 |
ISSN: | 2077-0383 |
Parent Title (English): | Journal of Clinical Medicine |
Publisher: | MDPI |
Place of publication: | Basel |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2022/01/21 |
Date of first Publication: | 2022/01/21 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2023/12/06 |
Tag: | attachment loss; enamel matrix derivatives; guided tissue regeneration; periodontitis; surgical procedures; tooth loss |
Volume: | 11 |
Issue: | 3, art. 543 |
Article Number: | 543 |
Page Number: | 13 |
First Page: | 1 |
Last Page: | 13 |
Note: | This research was partially self-funded by the authors and their institutions, as well as by a research grant provided by the Moessner Stiftung (Frankfurt/Main, Germany) to the Department of Periodontology of the Center for Dentistry and Oral Medicine of Goethe University Frankfurt am Main, Germany. |
HeBIS-PPN: | 516556479 |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | Creative Commons - CC BY - Namensnennung 4.0 International |