Avaliação de tratamentos de defeitos intra-osseos

AUTOR(ES)
DATA DE PUBLICAÇÃO

2001

RESUMO

The aim of this study was to evaluate the effect of periodontal instrumentation alone and in conjunction with surgical mucoperiosteal flaps in the treatment of intrabony defects. This investigation was performed in accordance with the guideline of the UNIVALI Committee for Research Ethics. Intrabony defects (2 or 3 walls) around mandibular incisors, canines, premolars or molars were treated in 10 systemically healthy patients with ages ranging form 33-72 years. Patients were non-smokers and ali teeth were free of endodontic pathology. Prior to the experimental phase of the study patients were enrolled in a strict initial therapy program that included oral hygiene instructions and scaling and root planing. Clinical measurements were performed at baseline and six months following therapy. Measurements included clinical attachment levels (CAL), probing depths (PO) and gingival margin levels (GML). A split mouth design was used. Quadrants were randomly assigned to be surgically treated with mucoperiosteal flaps (experimental) or debridement alone (control). Standardized radiographs were taken at baseline and at six months after surgery. Digital images were analyzed to assess the bone defect levels (SOL), alveolar crest levei (ACL) , bone density (SO) and bone till area (SFA). Results were evaluated using paired t-tests. There was no statistically significant difference for CAL (P = 0,135842), PO (P = 0,17043), GML (P = 0,451841), SOL (P = 0,49533), ACL (P = 0,120506), SO (P = 0,120632) and SFA (P = 0,387496) between experimental and control groups. These results of this study indicate that intrabony defects can be treated utilizing periodontal instrumentation alone or in combination with a mucoperiosteal flaps

ASSUNTO(S)

materiais dentarios

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