Wednesday, August 26, 2015

Minimally-invasive non-surgical approach for the treatment of periodontal intrabony defects: a retrospective analysis.

J Clin Periodontol. 2015 Aug 10. doi: 10.1111/jcpe.12443. [Epub ahead of print]

Abstract

AIM:

The aim of this retrospective analysis was to assess healing of intrabony defects treated with minimally-invasive non-surgical therapy (MINST).

METHODS:

A retrospective analysis was carried out in 35 consecutive intrabony defects treated by MINST (without any adjuncts) in 23 non-smoking patients. All defects had a radiographic intrabony component > 3 mm and had clinical and radiographic data available at baseline and 12 after treatment. Pre- and post-treatment radiographs were analyzed and bone levels were compared by multilevel linear regression adjusted by latent variable method.

RESULTS:

Following MINST, the average PPD and CAL reduction in the intrabony defects were 3.12 mm and 2.78 mm respectively (p<0 .001="" 2.93="" 28.5="" 3.81="" 44.35="" 6.74="" and="" angle="" angles="" associated="" at="" average="" baseline="" by="" change.="" changed="" deeper="" defect="" depth="" depths="" from="" greater="" initial="" intrabony="" less="" mm="" p="" radiographic="" re-evaluation="" reduced="" reduction.="" smaller="" the="" to="" vertical="" was="" were="" while="" with="">

CONCLUSIONS:

This paper shows considerable clinical and radiographic improvements after MINST, therefore bringing evidence to support its efficacy for the treatment of intrabony defects in non- smokers.

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