MODERN APPROACHES TO SURGICAL TREATMENT OF FOCAL PERIODONTAL LESIONS WITH TOOTH-PRESERVING OPERATIONS (LITERATURE REVIEW)
Keywords:
literature review, focal periodontitis, tooth-preserving operations, Widman flap surgery, guided tissue regeneration, osteoplastic materials, enamel matrix proteins, PRFAbstract
The review article presents an analysis of contemporary scientific publications devoted to the surgical treatment of focal periodontal lesions using tooth-preserving flap surgeries. Epidemiological aspects of periodontal diseases, classification and pathogenetic features of focal periodontitis, and the evolution of flap surgical techniques from the classical Cieszynski–Widman procedure to modern microsurgical approaches are considered. Particular attention is paid to the role of osteoplastic materials, guided tissue regeneration (GTR) membranes, biologically active growth factors (PRF, enamel matrix proteins), and combined protocols in improving the predictability of treatment outcomes. Criteria for selecting the technique depending on the morphology of the bone defect are analyzed, and directions for further research in tooth-preserving periodontal surgery are identified.
References
GBD 2017 Oral Disorders Collaborators. Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017 // J. Dent. Res. — 2020. — Vol. 99, No. 4. — P. 362–373.
Tonetti M. S., Jepsen S., Jin L., Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action // J. Clin. Periodontol. — 2017. — Vol. 44, No. 5. — P. 456–462.
Eke P. I., Borgnakke W. S., Genco R. J. Recent epidemiologic trends in periodontitis in the USA // Periodontology 2000. — 2020. — Vol. 82, No. 1. — P. 257–267.
Grudyanov A. I., Erokhin A. I.Surgical methods of treatment of periodontal diseases. - M: OOO "Medical Information Agency", 2006.- 128 p.5. (in Russ)
L.M. Tsepov. Diagnosis, treatment and prevention of periodontal diseases. — ISBN: 5-98322-439-5 Publisher: MEDpress-inform 2019. — 272 p. (in Russ)
Papapanou P. N., Sanz M., Buduneli N. et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases // J. Clin. Periodontol. — 2018. — Vol. 45, Suppl. 20. — P. S162–S170.
Cortellini P., Tonetti M. S. Clinical concepts for regenerative therapy in intrabony defects // Periodontology 2000. — 2015. — Vol. 68, No. 1. — P. 282–307.
Sanz M., Herrera D., Kebschull M. et al. Treatment of stage I–III periodontitis — The EFP S3 level clinical practice guideline // J. Clin. Periodontol. — 2020. — Vol. 47, Suppl. 22. — P. 4–60.
Reynolds M. A., Kao R. T., Camargo P. M. et al. Periodontal regeneration — intrabony defects: a consensus report from the AAP Regeneration Workshop // J. Periodontol. — 2015. — Vol. 86, No. 2. — P. S105–S107.
Artyushkevich A. S., Latysheva S. V., Naumovich S. A. Periodontal Diseases. - Minsk: Interpress Service, 2017. - 328 p.(in Russ)
Socransky S. S., Haffajee A. D. Periodontal microbial ecology // Periodontology 2000. — 2005. — Vol. 38. — P. 135–187.
Hajishengallis G. Periodontitis: from microbial immune subversion to systemic inflammation // Nat. Rev. Immunol. — 2015. — Vol. 15. — P. 30–44.
Goldman H. M., Cohen D. W. The infrabony pocket: classification and treatment // J. Periodontol. — 1958. — Vol. 29. — P. 272–291.
Tonetti M. S., Pini-Prato G., Cortellini P. Periodontal regeneration of human intrabony defects. IV. Determinants of healing response // J. Periodontol. — 1993. — Vol. 64, No. 10. — P. 934–940.
Widman L. The operative treatment of pyorrhea alveolaris. A new surgical method // Sven. Tandläk. Tidskr. — 1918. — December.
Ramfjord S. P., Nissle R. R. The modified Widman flap // J. Periodontol. — 1974. — Vol. 45, No. 8. — P. 601–607.
Friedman N. Mucogingival surgery: the apically repositioned flap // J. Periodontol. — 1962. — Vol. 33. — P. 328–340.
Karring T., Nyman S., Gottlow J., Laurell L. Development of the biological concept of guided tissue regeneration — animal and human studies // Periodontology 2000. — 1993. — Vol. 1. — P. 26–35.
Nyman S., Lindhe J., Karring T., Rylander H. New attachment following surgical treatment of human periodontal disease // J. Clin. Periodontol. — 1982. — Vol. 9, No. 4. — P. 290–296.
Sculean A., Nikolidakis D., Schwarz F. Regeneration of periodontal tissues: combinations of barrier membranes and grafting materials — biological foundation and preclinical evidence // J. Clin. Periodontol. — 2008. — Vol. 35, Suppl. 8. — P. 106–116.
Cortellini P., Prato G. P., Tonetti M. S. The simplified papilla preservation flap. A novel surgical approach for the management of soft tissues in regenerative procedures // Int. J. Periodontics Restorative Dent. — 1999. — Vol. 19, No. 6. — P. 589–599.
Cortellini P., Tonetti M. S. A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: a novel approach // J. Clin. Periodontol. — 2007. — Vol. 34, No. 1. — P. 87–93.
Trombelli L., Farina R., Franceschetti G., Calura G. Single-flap approach with buccal access in periodontal reconstructive procedures // J. Periodontol. — 2009. — Vol. 80, No. 2. — P. 353–360.
Bauer T. W., Muschler G. F. Bone graft materials: an overview of the basic science // Clin. Orthop. Relat. Res. — 2000. — No. 371. — P. 10–27.
Trombelli L., Heitz-Mayfield L. J., Needleman I. et al. A systematic review of graft materials and biological agents for periodontal intraosseous defects // J. Clin. Periodontol. — 2002. — Vol. 29, Suppl. 3. — P. 117–135.
Reynolds M. A., Aichelmann-Reidy M. E., Branch-Mays G. L., Gunsolley J. C. The efficacy of bone replacement grafts in the treatment of periodontal osseous defects: a systematic review // Ann. Periodontol. — 2003. — Vol. 8, No. 1. — P. 227–265.
Bottino M. C., Thomas V., Schmidt G. et al. Recent advances in the development of GTR/GBR membranes for periodontal regeneration — A materials perspective // Dent. Mater. — 2012. — Vol. 28, No. 7. — P. 703–721.
Needleman I., Worthington H. V., Giedrys-Leeper E., Tucker R. Guided tissue regeneration for periodontal infra-bony defects // Cochrane Database Syst. Rev. — 2019. — No. 5. — CD001724.
Hammarström L. Enamel matrix, cementum development and regeneration // J. Clin. Periodontol. — 1997. — Vol. 24. — P. 658–668.
Sculean A., Schwarz F., Becker J., Brecx M. The application of an enamel matrix protein derivative for treatment of intrabony periodontal defects: a systematic review // Periodontology 2000. — 2008. — Vol. 47. — P. 213–229.
Choukroun J., Adda F., Schoeffler C., Vervelle A. Une opportunité en paro-implantologie: le PRF // Implantodontie. — 2001. — Vol. 42. — P. 55–62.
Miron R. J., Fujioka-Kobayashi M., Bishara M. et al. Platelet-rich fibrin and soft tissue wound healing: a systematic review // Tissue Eng. Part B Rev. — 2017. — Vol. 23, No. 1. — P. 83–99.
Cortellini P., Tonetti M. S. Clinical and radiographic outcomes of the modified minimally invasive surgical technique with and without regenerative materials // J. Clin. Periodontol. — 2011. — Vol. 38, No. 4. — P. 365–373.
Aslan S., Buduneli N., Cortellini P. Entire papilla preservation technique in the regenerative treatment of deep intrabony defects: 1-year results // J. Clin. Periodontol. — 2017. — Vol. 44, No. 9. — P. 926–932.
Heitz-Mayfield L. J., Lang N. P. Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts // Periodontology 2000. — 2013. — Vol. 62, No. 1. — P. 218–231.
Patel R. A., Wilson R. F., Palmer R. M. The effect of smoking on periodontal bone regeneration: a systematic review and meta-analysis // J. Periodontol. — 2012. — Vol. 83, No. 2. — P. 143–155.
Cortellini P., Tonetti M. S. Microsurgical approach to periodontal regeneration. Initial evaluation in a case cohort // J. Periodontol. — 2001. — Vol. 72, No. 4. — P. 559–569.
Lang N. P., Tonetti M. S. Periodontal risk assessment for patients in supportive periodontal therapy // Oral Health Prev. Dent. — 2003. — Vol. 1, No. 1. — P. 7–16.
Bottino M. C., Pankajakshan D., Nör J. E. Advanced scaffolds for dental pulp and periodontal regeneration // Dent. Clin. North Am. — 2017. — Vol. 61, No. 4. — P. 689–711.
J. A. Rizaev ., A. A. Shodmonov . EditorJournals and Conferences . (2022, October 2). DENTAL IMPLANTATION USING COMPUTER SOFTWARE FOR ACCURATE PLACEMENT AND LONG-TERM PROSTHETIC RESULTS. https://doi.org/10.17605/OSF.IO/DKC6W 19 .
J. A. Rizaev , & A. A. Shodmonov . (2022). OPTIMIZATION OF THE SURGICAL STAGE OF DENTAL IMPLANTATION BASED ON COMPUTER MODELING. World Bulletin of Public Health, 15, 11-13
Rizaev JA, Shodmonov AA Optimizing the Surgical Phase of Dental Implants Optimization of the Surgical Phase of Dental Implantation Based on Computer Modeling //Eurasian Medical Research Periodical. – 2022. – T. 12. – S. 84-87.
Gulmukhamedov , P. B., Rizaev , Zh. A., Khabilov , N. L., & KT, B. (2023, November ). POLYMORPHISM OF THE MTHFR GENE (A1298C) AND CONGENITAL DEFECTS OF THE MAXILLOFACIAL AREA. In Conferences ( pp . 62-63).
Rizaev J., Bekmuratov L. SOCKET SHIELD TECHNIQUE FOR PRESERVING ALVEOLAR SOFT TISSUES DURING IMMEDIATE IMPLANT PLACEMENT //Medical science of Uzbekistan. – 2023. – No. 4. – S. 15-20.
Polatova Djamila , Madaminov Ahmad, Raximov Nodir . Significance of expression PD-L1 and p53 proteins in human papillomavirus-associated oropharyngeal squamous cell carcinoma// Journal of Biomedicine and Practice. 2022, vol . 7, issue 4, pp . 144-151
Abdurakhmonov F. R., Rakhimov N. M., Abdurakhmonova F. F. Special choices for the treatment of complications of the soft tissue injuries of the facial region //The American Journal of Medical Sciences and Pharmaceutical Research. – 2023. – Т. 5. – №. 10. – С. 24-26.
