Minimally invasive periodontal regeneration with the buccal approach: a systematic review and meta-analysis of clinical studies

Authors

Elisa Pasqualini, Universidade Fernando Pessoa, 4249-004 Porto, Portugal.
Filipe Castro, Universidade Fernando Pessoa, 4249-004 Porto, Portugal.
Denise Cuarado, Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Ana Martelete, Private practice, Rio de Janeiro, Brazil.
Artak Heboyan, 5 Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, Yerevan 0025, Armenia.
Muhammad H. Saleh, Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Juliana Campos Hasse Fernandes, Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Gustavo Vicentis Oliveira Fernandes, Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI, USA.

Document Type

Article

Publication Title

Evidence Based Dentistry

Abstract

Abstract

Objective

The aim of this study was to investigate clinical periodontal parameters after treatment using the Minimally Invasive Surgical Technique (MIST), Modified Minimally Invasive Surgical Technique (M-MIST), and/or any technique for papilla preservation, such as Entire Papilla Preservation (EPP), modified-papilla preservation technique (M-PPT), or simplified-papilla preservation technique (SPPT).

Methods

The focus question was “For patients with periodontal intrabony defects (P), what is the best minimally invasive regenerative approach (I), comparing MIST, M-MIST, and papilla preservation techniques’ outcomes (C) to improve PD, CAL, GR, and periodontal stability (O)?” An online search was conducted on PubMed, Cochrane Library, and Embase. Only randomized clinical trials and case series with a minimum of 10 enrolled patients were included. The risk of bias was evaluated using the Critical Appraisal tools in JBI Systematic Reviews. The meta-analysis compared the data obtained for the periodontal parameters analyzed, and the heterogeneity was verified.

Results

After the screening, nine articles were included. Seven studies applied MIST and its modifications; two used M-PPT, one SPPT, and one approached EPP. A general statistically significant PD reduction and CAL gain were noted between the groups, comparing baseline and follow-up for all articles, independently of the technique or materials used. Also, all studies showed a non-significant increase in the gingival recession. Four studies had a low risk of bias, four had a moderate risk, and only 1 had a high risk. Moderate heterogeneity was found in one analysis for CAL (65.73%); moderate and substantial heterogeneity was found in the PD results (71.91% and 89.19%); and no heterogeneity was found within all analyses for gingival recession (0%).

Conclusion

MIST, M-MIST, and papilla preservation techniques demonstrated their potential and efficacy to improve periodontal conditions of sites with intrabony defects with minimal morbidity.

DOI

10.1038/s41432-023-00964-7

Publication Date

1-2024

Comments

Pasqualini, E., Castro, F., Curado, D. et al. Minimally invasive periodontal regeneration with the buccal approach: a systematic review and meta-analysis of clinical studies. Evid Based Dent 25, 54 (2024).

https://doi.org/10.1038/s41432-023-00964-7

Accepted Version

6 Months embargo, Published source must be acknowledged, Must link to publisher version with DOI, Author post-prints of subscription articles are subject to Springer Nature re-use terms

Recommended Citation

Pasqualini, E., Castro, F., Curado, D. et al. Minimally invasive periodontal regeneration with the buccal approach: a systematic review and meta-analysis of clinical studies. Evid Based Dent 25, 54 (2024).