Root surface biomodification in periodontal therapy: Biological rationale and clinical applications.

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Periodontology 2000 Pub Date : 2024-07-08 DOI:10.1111/prd.12576
Muhammad H A Saleh, Debora R Dias, Andrea Ravida, Hom-Lay Wang
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引用次数: 0

Abstract

Regenerative periodontal therapy aims to form new cementum, periodontal ligament, and alveolar bone, all sealed by gingival tissue. The root surface acts as the wound margin during this regeneration process. Root surface biomodification (root conditioning/root decontamination), therefore, seems instrumental in promoting surface decontamination and enhancing tissue attachment by removing the smear layer, exposing collagen fibrils, and facilitating blood clot formation and stabilization. This review attempted to provide an all-encompassing, evidence-based assessment of the role of root surface biomodification in regenerative periodontal therapy, particularly in intrabony defects, furcation defects, and root coverage procedures. The reviewed evidence suggested that root conditioning agents, whether used independently or in conjunction with bone graft materials, biological agents, membranes, or connective tissue grafts, do not offer any clinical advantage regarding clinical attachment gain. Thus, integrating chemical methods with the mechanical root instrumentation process does not necessarily contribute to superior clinical outcomes.

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牙周治疗中的根面生物改性:生物学原理与临床应用
牙周再生疗法旨在形成新的牙结石、牙周韧带和牙槽骨,所有这些都由牙龈组织密封。在这一再生过程中,牙根表面起着伤口边缘的作用。因此,牙根表面生物改良(牙根调理/牙根净化)通过去除涂抹层、暴露胶原纤维、促进血凝块的形成和稳定,似乎有助于促进表面净化和增强组织附着。本综述试图以证据为基础,对牙根表面生物改良在牙周再生治疗中的作用进行全面评估,尤其是在骨内缺损、沟缺损和牙根覆盖程序中的作用。所审查的证据表明,无论是单独使用还是与植骨材料、生物制剂、膜或结缔组织移植物一起使用,牙根调节剂在临床附着力增加方面都没有任何临床优势。因此,将化学方法与机械牙根器械治疗过程相结合并不一定会带来更好的临床效果。
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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
期刊最新文献
Periodontal disease: A systemic condition. Periodontal diseases in Africa. Autogenous platelet concentrates for treatment of intrabony defects—A systematic review with meta‐analysis Orthodontic management of uneven gingival margins in patients with healthy or reduced periodontium to improve smile aesthetics. Autologous platelet concentrates in root coverage procedures.
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