Authors: Eduardo Aleixo Figueira Angélica Oliveira de Assis Sheyla Christinne Lira Montenegro Diego Moura Soares Anna Angélica Araújo Barros Euler Maciel Dantas Bruno César de Vasconcelos Gurgel
Publish Date: 2014/10/09
Volume: 18, Issue: 8, Pages: 1881-1892
Abstract
A search of the Medline database was performed 1960 to 2012 complimented by an additional hand search For inclusion in the review clinical trials had to include the longterm evaluation of infrabony and furcation defects submitted to periodontal regeneration for up to 3 years of followup Changes in clinical attachment level CAL from presurgery at the first postsurgical and final evaluations were used to analyze the effects of regenerative treatments over timeA total of 866 articles were found using the descriptors employed Of these 216 papers were selected for abstract reading by two evaluators One hundred and eightynine were excluded for not fulfilling the eligibility criteria Twentyseven papers were selected for the analysis of the full texts and 13 were excluded Two studies were included after a manual search Finally 16 papers were selected for the present reviewRegenerative techniques for the treatment of infrabony and furcation defects resulted in improved CAL during longterm followup periods even when attachment losses occurred during this period This improvement should be carefully evaluated with regard to its clinical relevance for dental longevityThe improvement in clinical attachment level achieved by regenerative techniques with biomaterials demonstrated satisfactory results over the longterm However regenerative techniques still present different success rates with regard to gain in clinical attachment level
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