Objectives: This systematic literature review aims to explore differences in the main periodontal parameters, periodontal probing depth (PPD), attachment gain (AG) and recession development (REC), after two different minimal invasive surgical flaps used in the periodontal regeneration with enamel matrix derivatives, the modified or simplified papilla preservation flap (MPPF vs SPPF).
Methods: RCTs and case series with a minimum of 12 months observation time and at least 10 patients as intervention or observation arm, that used only enamel matrix proteins as biological/augmentation material and that had a pretreatment non-surgical phase were identified. The primary outcomes were PPD, AG, REC.
Results: The electronic and manual search resulted in 888 articles out of which 38 met the inclusion criteria. The included studies were found to be equally divided between the two types of surgical flaps, MPPF and SPPF. The average values for the three categories were as follows: PPD reduction: 4,16±1,54mm and 4,07±1,19mm; AG: 3.44±1,5mm and 3.17±1,36mm; REC: 0,56±0,96mm and 0,86±0.99mm respectively. An intended comparison of five years observation time was not possible due to the limited data present in the included studies. This review confirmed through indirect data comparison a relation between the post-surgery use of antibiotics and attachment gain, both surgical intervention groups displaying higher values by approximately one millimetre.
Conclusion: The study could not demonstrate the superiority of one surgical intervention (MPPF) over the other (SPPF) at 12 months’ time when the three main clinical parameters of periodontal regeneration (PPD, AG, REC) were analysed.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:90727 |
| Date | 03 April 2024 |
| Creators | Grou, Tudor |
| Contributors | Dresden International University |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | German |
| Detected Language | English |
| Type | info:eu-repo/semantics/acceptedVersion, doc-type:masterThesis, info:eu-repo/semantics/masterThesis, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
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