Isidoro Cortell-Ballester1, Rui Figueiredo2, Eduard Valmaseda-Castellón3, Cosme Gay-Escoda4. 1. Director of the Department of Oral Surgery, Hospital Casa Salud, Valencia, Spain. Electronic address: dr.cortell@cimiv.es. 2. Professor, Master Degree Program in Oral Surgery and Implantology; Associate Professor, Department of Oral Surgery; Faculty of Dentistry, University of Barcelona, Barcelona; Researcher, Institut d'Investigació Biomèdica de Bellvitge, Barcelona, Spain. 3. Director, Master Degree Program in Oral Surgery and Implantology; Professor, Department of Oral Surgery; Faculty of Dentistry, University of Barcelona; Researcher, Institut d'Investigació Biomèdica de Bellvitge, Barcelona, Spain. 4. Chairman and Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Barcelona; Coordinating Investigator, Institut d'Investigació Biomèdica de Bellvitge; Head, Department of Oral and Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
Abstract
PURPOSE: The use of resorbable collagen membranes (RMs) in the treatment of intraosseous defects and deep periodontal pockets on the distal side of a lower second molar (L2M) after surgical extraction of an impacted lower third molar (L3M) has shown contradictory results. This study evaluated the effects of RM placement on the healing of a bone defect distal to an L2M after surgical extraction of a horizontal or mesioangular impacted L3M. PATIENTS AND METHODS: A parallel-group randomized controlled trial with 2 independent groups of 30 patients requiring surgical extraction of an L3M was carried out. After extraction, patients received an RM (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) or only suture. At the initial checkup and during postoperative monitoring at 1, 3, and 6 months, the distal vestibular, distal, and distolingual probing depths and distal vestibular attachment level of the L2M were measured. RESULTS: Age (control group, 33.8 ± 6.9 yr; guided tissue regeneration group, 35.6 ± 6.3 yr; P = .322) and the number of women (control group, 15 of 29; guided tissue regeneration group, 14 of 27; P = .992) were similar in the 2 groups. The distal vestibular, distal, and distolingual probing depths of the L2M, distal vestibular attachment level, distance from the cementoenamel junction, and distance from the alveolar crest to the base of the defect showed greater improvement 6 months after surgical extraction in the RM group (P < .05). CONCLUSIONS: The use of RMs after surgical extraction of mesioangular or horizontally impacted L3Ms stimulates bone regeneration, improving the attachment level and bone fill distal to the L2M. Likewise, it decreases the distal probing depth and results in faster recovery. RM placement after surgical extraction of an impacted L3M is recommended because it prevents periodontal defects after L3M surgery.
RCT Entities:
PURPOSE: The use of resorbable collagen membranes (RMs) in the treatment of intraosseous defects and deep periodontal pockets on the distal side of a lower second molar (L2M) after surgical extraction of an impacted lower third molar (L3M) has shown contradictory results. This study evaluated the effects of RM placement on the healing of a bone defect distal to an L2M after surgical extraction of a horizontal or mesioangular impacted L3M. PATIENTS AND METHODS: A parallel-group randomized controlled trial with 2 independent groups of 30 patients requiring surgical extraction of an L3M was carried out. After extraction, patients received an RM (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) or only suture. At the initial checkup and during postoperative monitoring at 1, 3, and 6 months, the distal vestibular, distal, and distolingual probing depths and distal vestibular attachment level of the L2M were measured. RESULTS: Age (control group, 33.8 ± 6.9 yr; guided tissue regeneration group, 35.6 ± 6.3 yr; P = .322) and the number of women (control group, 15 of 29; guided tissue regeneration group, 14 of 27; P = .992) were similar in the 2 groups. The distal vestibular, distal, and distolingual probing depths of the L2M, distal vestibular attachment level, distance from the cementoenamel junction, and distance from the alveolar crest to the base of the defect showed greater improvement 6 months after surgical extraction in the RM group (P < .05). CONCLUSIONS: The use of RMs after surgical extraction of mesioangular or horizontally impacted L3Ms stimulates bone regeneration, improving the attachment level and bone fill distal to the L2M. Likewise, it decreases the distal probing depth and results in faster recovery. RM placement after surgical extraction of an impacted L3M is recommended because it prevents periodontal defects after L3M surgery.
Authors: Daniel S Thoma; AbdulMonem Alshihri; Alain Fontolliet; Christoph H F Hämmerle; Ronald E Jung; Goran I Benic Journal: Clin Oral Investig Date: 2017-12-22 Impact factor: 3.573
Authors: Edmund Bailey; Wafa Kashbour; Neha Shah; Helen V Worthington; Tara F Renton; Paul Coulthard Journal: Cochrane Database Syst Rev Date: 2020-07-26