Clinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials
Clinical performance of access flap in the treatment of class II furcation defects. A systematic review and meta-analysis of randomized clinical trials
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DOI：
10.1111/jcpe.12327
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发表时间：
2015-02-01
影响因子：
6.7
通讯作者：
Tonetti, Maurizio
中科院分区：
文献类型：
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作者：
Graziani, Filippo;Gennai, Stefano;Tonetti, Maurizio
目的系统评价入路皮瓣（access flap，OFD）治疗II类根分叉缺损（class II functionation defects，FD）的疗效。筛选、数据提取和质量评估由三名评价者独立进行。主要结果是牙齿存活和水平临床附着水平（HCAL）的变化。垂直临床附着水平（VCAL），减少口袋探测深度（PPD），衰退增加（REC），水平（HBL），垂直骨水平（VBL）的变化也covered.ResultsThe搜索确定了1571研究，其中11篇文章符合纳入标准。对199例患者和251例FD进行了数据分析。很少有牙齿存活的报道。连同炎症改善，HCAL的加权平均差异为0.96 mm [CI：（0.60，1.32），p
ObjectivesTo systematically review the performance of access flap (OFD) in the treatment of class II furcation defects (FD).MethodsRCTs evaluating surgical treatment of class II FD with OFD, minimum 6months follow-up were identified. Screening, data extraction, and quality assessment were conducted independently by three reviewers. The primary outcomes were tooth survival and change in the horizontal clinical attachment level (HCAL). Changes in vertical clinical attachment level (VCAL), reduction of pocket probing depth (PPD), recession increase (REC), horizontal (HBL), and vertical bone level (VBL) were also collected.ResultsThe search identified 1571 studies out of which 11 articles met the inclusion criteria. Data analysis was performed on 199 patients and 251 FD. Tooth survival was seldom reported. Altogether with inflammatory amelioration, the weighted mean differences were for HCAL 0.96mm [CI: (0.60, 1.32), p