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Surgical Treatment of Periodontal Diseases—a Review of Current Clinical Research

  • A. Archontia PalaiologouEmail author
  • Julie H. Schiavo
  • Pooja Maney
Clinical Periodontics (Y Stathopoulou, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Clinical Periodontics

Abstract

Purpose of Review

This manuscript reviews the literature concerning the surgical treatment of periodontal diseases focusing on studies published within the last three years (2016–2019). A thorough review of four databases was completed including clinical human research studies and systematic reviews.

Recent Findings

Several recent studies have focused on evaluating the effects of combining alloplastic materials with autologous platelet-rich products and growth factors. The results of most of these studies are similar to those with traditionally used allografts. New membranes of human, animal, stem cell, or alloplastic origin, used for guided tissue regeneration procedures, perform similarly to the traditionally used resorbable collagen membranes. Addition of pharmacologic agents to regenerative procedures presents moderately favorable results. Tissue engineering and stem cell research are also expanding, although most of these studies are in vitro or in animal models. Newer minimally invasive surgical techniques and equipment that allow for better visibility and less invasive surgical approach have shown favorable results. Finally, systematic reviews conclude that there is lack of evidence to support LASERs as an alternative to more traditional surgical periodontal treatment.

Summary

The focus of many recent human clinical studies has been to evaluate the combination of alloplastic and xenogeneic materials with autologous platelet-rich products, growth factors, and pharmacologic agents. The results of these combinations are similar to traditionally used allografts. The great variability between study design, materials, and techniques highlights the need for well-designed randomized controlled trials and longitudinal studies.

Keywords

Guided tissue regeneration Intrabony defects Osseous resective surgery Periodontal regeneration Bone replacement graft 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • A. Archontia Palaiologou
    • 1
    Email author
  • Julie H. Schiavo
    • 2
  • Pooja Maney
    • 3
  1. 1.University of Texas Health San Antonio School of Dentistry Department of PeriodonticsSan AntonioUSA
  2. 2.Dental Library Services at Louisiana State University Health Sciences CenterNew OrleansUSA
  3. 3.Louisiana State University Health Sciences Center – School of Dentistry Dpt. Of PeriodonticsNew OrleansUSA

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