Regenerative treatment of intrabony defects using minimally invasive flaps: Scoping Review

Odontoestomatología vol.24 no.40 Montevideo Dec. 2022 Epub Dec 01, 2022 https://doi.org/10.22592/ode2022n40e318 ABSTRACT Objective: To analyze the clinical results of the regenerative treatment of intrabony defects using minimally invasive flaps in patients with periodontitis. Methods : A scoping review was conducted. Pubmed, Scopus, Ebsco Complete, and OpenGrey were searched for relevant articles and several clinical (probing depth, clinical insertion level, gingival margin recession) and radiographic indicators were evaluated. We also evaluated the flap design used, with a follow-up of at least six months. Results: Thirteen articles were included. We observed an average probing depth reduction of 4.69 mm, clinical attachment gain of 4.23 mm, and a recession of −0.44 mm. The groups treated with modified papilla preservation technique and entire papilla preservation technique presented better clinical results. The single-flap approach presented the largest recession. Conclusion: Minimally invasive flaps have excellent clinical results, without additional benefits with the adjunctive application of biomaterials.