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Meta-Analysis
. 2020 Jun;47(6):756-767.
doi: 10.1111/jcpe.13281. Epub 2020 Mar 20.

Pocket elimination after osseous resective surgery: A systematic review and meta-analysis

Francesco Ferrarotti  1 , Marta Giraudi  1 , Filippo Citterio  1 , Adriano Fratini  1 , Giacomo Gualini  1 , Gian Marco Piccoli  1 , Giulia Maria Mariani  1 , Federica Romano  1 , Mario Aimetti  1
Affiliations
Free article
Meta-Analysis

Pocket elimination after osseous resective surgery: A systematic review and meta-analysis

Francesco Ferrarotti et al. J Clin Periodontol. 2020 Jun.
Free article

Abstract

Aim: To systemically review the available evidence on the clinical performance of osseous resective surgery (ORS) in the treatment of residual periodontal defects in terms of pocket elimination and biological costs in patients with chronic periodontitis.

Materials and methods: Three databases (PubMed, EMBASE and Cochrane) were searched up to January 2019. Clinical trials with a follow-up duration of at least 12 months after ORS with or without fibre retention technique were included. Quantitative synthesis was conducted with random-effect meta-analysis.

Results: Overall, 1,765 studies were retrieved, of which 53 full-text articles were screened by two reviewers. Finally, a total of three RCTs were included in the meta-analysis. Random-effect meta-analysis showed a weighted mean percentage of pocket elimination (final PD ≤ 4 mm) at 12 months of 98.3% (95% CI: 96.8; 99.7) with I2 of 26%. The weighted mean amount of resected bone was 0.87 mm (95% CI: 0.49; 1.25), and the weighted mean increase in gingival recession was 2.13 mm (95% CI: 1.49; 2.78) at 12 months.

Conclusions: ORS represents an effective surgical approach for the elimination of residual periodontal pockets in the short to medium term. Additional randomized controlled clinical trials with data on pocket elimination are warranted.

Keywords: periodontal pocket; periodontitis/surgery; residual probing depth; systematic review.

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References

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