Penelitian ini mendeskripsikan keuntungan jangka panjang dari regenerasi jaringan terpandu dengan membran penghalang dalam populasi 175 orang pasien dengan cacat intra tulang yang parah dan dirawat di praktek dokter spesialis periodontal swasta. Data ini mendeskripsikan hasil-hasil jangka panjang dari kohort pasien yang mengikuti program pemeliharaan periodontal dengan aneka level kepatuhan. Dalam...
This investigation describes the long-term benefits of guided tissue regeneration with barrier membranes in a population of 175 patients with severe intrabony defects and treated in a periodontal private practice. These data describe the long-term outcomes of a patient cohort who had been attending a periodontal maintenance program with various levels of compliance. In the analyses...
Karakteristik pasien
Populasi percobaan terdiri dari 175 pasien dengan menyertakan 1 cacat per pasien yang dirawat dengan GTR. Rata-rata umur pasien meliputi 44.5 ± 10.2 tahun (kisaran 18 sampai 76 tahun), 43% di antaranya laki-laki, dan 32% di antaranya merokok ketika penelitian dilakukan. Sebelum bedah GTR, FMPS titik mula adalah 13.9% ± 6.5% dan FMBS titik mula adalah 10.5% ± 3.7%. Genap 1 ...
Patient Characteristics
The experimental population consisted of 175 patients with one GTR treated defect included. Average age was 44.5 ± 10.2 (range 18 to 76 years), 43% were males, and 32% were current smokers. Before GTR surgery, the baseline full-mouth plaque and bleeding scores (FMPS, FMBS) were 13.9% ± 6.5% and 10.5% ± 3.7%, respectively; 1 year later they were 9.6% ± 3.7% (FMPS range ...
Populasi dan rancangan penelitian
Sebanyak 175 pasien yang disertakan dalam basis data milik peneliti yang berisi tempat-tempat yang dirawat dengan GTR dari penelitian-penelitian yang telah dipublikasikan sebelumnya dipilih untuk berpartisipasi dalam penelitian ini dengan mengidentifikasi kasus-kasus yang muncul selama pemeliharaan periodontal dalam periode 4 bulan antara Februari hingga Mei 2002...
Study Population and Design
One-hundred seventy-five patients included in the authors’ database of GTR treated sites from previously published investigations were selected to participate in this study by identifying cases presenting for periodontal maintenance over a 4-month period between February and May 2002. All subjects had previously received comprehensive periodontal treatment including ...
Regenerasi periodontal sudah jadi realitas klinis selama sekurang-kurangnya 2 dasawarsa. Meta-analisis yang dilakukan belum lama ini pada percobaan-percobaan klinis acak terkontrol mengindikasikan bahwa sekurang-kurangnya 2 pendekatan regeneratif periodontal, yaitu penerapan membran penghalang dan penerapan protein matriks enamel, menyediakan tambahan keuntungan yang signifikan untuk perawatan cac...
Periodontal regeneration has been a clinical reality for at least 2 decades. Recent meta-analyses of randomized controlled clinical trials indicated that at least two periodontal regenerative approaches, the application of barrier membranes and the application of enamel matrix proteins, provide significant additional benefits for the treatment of intrabony defects as compared to access flap alone....
Latar belakang:
Kegunaan klinis jangka panjang dari GTR belum sepenuhnya dieksplorasi. Tujuan penyelidikan ini adalah untuk menilai kelangsungan hidup jangka panjang tempat-tempat yang dirawat dengan GTR sehubungan dengan stabilitas CAL dan gigi tanggal.
Metode:
Total sebanyak 175 orang pasien penderita cacat intra-tulang yang mendalam dipilih untuk penelitian retrospektif retensi gigi dan stab...
Background: The longevity of the clinical benefits of guided tissue regeneration (GTR) has not been fully explored. The aim of this investigation was to assess the long-term survival of GTR treated sites in terms of clinical attachment level (CAL) stability and tooth loss.
Methods: A total of 175 patients with one deep intrabony defect were selected for a retrospective investigation of tooth rete...
Kohort kasus ini menilai kinerja klinis strategi regeneratif yang dikembang untuk meningkatkan kemampuan klinis guna mengoptimalkan hasil-hasil bedah periodontal regeneratif. Dasar penalaran yang menyeluruh untuk pendekatan klinis yang diajukan datang dari pengakuan bahwa pendekatan regeneratif yang berbeda yang dilaporkan dalam pustaka sering memberi hasil yang kurang memuaskan dan agak kurang bi...
The present case cohort assessed the clinical performance of a regenerative strategy developed to increase clinicians’ ability to optimize the outcomes of regenerative periodontal surgery. The overall rationale for the proposed clinical approach comes from the recognition that the different regenerative approaches reported in the literature frequently lead to unsatisfactory and rather unpredicta...
HASIL
Pasien dan ciri cacat di titik mula (Tabel 1)
FMPS bernilai 10.2% ± 2.7% dan FMBS bernilai 7.9% ± 2.8%. Rata-rata, CAL bernilai 10.2 ± 2.4 mm dan PD 8.9 ± 1.8 mm. Sudut cacat radiografi adalah 29° ± 5.9°. Jarak CEJ-BD adalah 11.2 ± 2.7 mm dan komponen cacat intra-tulang (INFRA) adalah 6.6 ± 1.7 mm.
Pemilihan flap bedah
Flap preservasi papilla sederhana dipakai pada 15 tempat, te...
RESULTS
Patient and Defect Characteristics at Baseline (Table 1)
FMPS and FMBS were 10.2% ± 2.7% and 7.9% ± 2.8%, respectively. On average, CAL was 10.2 ± 2.4 mm and PD 8.9 ± 1.8 mm. The radiographic defect angle was 29° ± 5.9°. The CEJ-BD distance was 11.2 ± 2.7 mm and the intrabony component of the defects (INFRA) was 6.6 ± 1.7 mm.
Selection of Surgical Flap
The simp...
Populasi penelitian dan desain eksperimen
Pasien penderita penyakit periodontal tahap lanjut, punya kondisi kesarasan umum yang baik, dan punya cacat intra-tulang yang mendalam dianggap memenuhi kriteria untuk penelitian ini. Protokol penelitian telah disetujui oleh komite etika lokal dan semua subyek penelitian telah memberi persetujuan terinformasi. Para pasien terdaftar pada praktek pribadi pa...
Study Population and Experimental Design
Patients with advanced periodontal disease, in general good health, and presenting with deep intrabony defects were considered eligible for this study. The study protocol was approved by the local ethics committee and all subjects gave informed consent. Patients were enrolled in the authors’ private practices from January to July 2002 and were included a...
Regenerasi periodontal pada cacat intra-tulang sudah berhasil dicoba dengan berbagai pendekatan yang berbeda. Temuan histologis manusia dan binatang mendukung potensi membran penghalang, demineralisasi tulang allograft beku-kering (DFDBA), kombinasi membran penghalang dan graft, dan turunan matriks enamel (EMD) untuk menginduksi regenerasi periodontal. Selain itu, uji klinis terkontrol melaporkan ...
Periodontal regeneration in intra-bony defects has been successfully attempted with a variety of different approaches. Human and animal histological findings support the potential of barrier membranes, demineralized freeze-dried bone allograft (DFDBA), combination of barrier membranes and grafts, and enamel matrix derivative (EMD) to induce periodontal regeneration. In addition, controlled clinica...
Abstract
BACKGROUND:
The aim of the present study was to evaluate the clinical performance of a regenerative strategy for the treatment of deep intrabony defects.
METHODS:
This patient cohort study involved 40 patients with one deep interdental intrabony defect each. They were treated with periodontal regeneration using four different regenerative methods (expanded polytetrafluoroethylene [e...