Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial
Identifieur interne : 000663 ( Istex/Corpus ); précédent : 000662; suivant : 000664Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial
Auteurs : Pierpaolo Cortellini ; Gabrielle Stalpers ; Aniello Mollo ; Maurizio S. TonettiSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2011-10.
English descriptors
- KwdEn :
- Abutment, Abutment teeth, Apex, Attachment, Attachment loss, Barrier membranes, Baseline, Biological complications, Bone destruction, Caton, Cervical margin, Clinical attachment level, Clinical decision, Clinical outcomes, Clinical parameters, Clinical periodontology, Clinical trial, Control group, Control treatment, Cortellini, Cortellini tonetti, Deep intrabony defects, Deep pockets, Deepest site, Defect, Enamel matrix proteins, Endodontic treatment, European research group, Experimental teeth, Experimental tooth, Experimental units, Hopeless prognosis, Hopeless teeth, Hopeless tooth, Human infrabony defects, Hypermobility, Implant, Infrabony, International journal, Intrabony, Intrabony defects, John wiley sons regeneration, Kwok, Lang, Lingual, Maryland bridges, Mcguire, Mcguire nunn, Mesial, Negative events, Nunn, Papilla preservation, Periodontal, Periodontal reasons, Periodontal regeneration, Periodontal surgery, Periodontal therapy, Periodontology, Pocket depth, Present study, Pretzl, Prognosis, Prosthetic replacement, Radiographic, Radiographic bone gain, Radiographic bone level, Radiographic projection, Randomized, Reference point, Regenerated, Regenerated teeth, Regeneration, Regenerative, Regenerative therapy, Regenerative treatment, Residual, Resin splint, Restorative dentistry, Root apex, Splint, Splinted, Suitable alternative, Systematic review, Test group, Test treatment, Tissue regeneration, Tonetti, Tooth, Tooth loss, Tooth mobility, Tooth prognosis, Year analysis.
- Teeft :
- Abutment, Abutment teeth, Apex, Attachment, Attachment loss, Barrier membranes, Baseline, Biological complications, Bone destruction, Caton, Cervical margin, Clinical attachment level, Clinical decision, Clinical outcomes, Clinical parameters, Clinical periodontology, Clinical trial, Control group, Control treatment, Cortellini, Cortellini tonetti, Deep intrabony defects, Deep pockets, Deepest site, Defect, Enamel matrix proteins, Endodontic treatment, European research group, Experimental teeth, Experimental tooth, Experimental units, Hopeless prognosis, Hopeless teeth, Hopeless tooth, Human infrabony defects, Hypermobility, Implant, Infrabony, International journal, Intrabony, Intrabony defects, John wiley sons regeneration, Kwok, Lang, Lingual, Maryland bridges, Mcguire, Mcguire nunn, Mesial, Negative events, Nunn, Papilla preservation, Periodontal, Periodontal reasons, Periodontal regeneration, Periodontal surgery, Periodontal therapy, Periodontology, Pocket depth, Present study, Pretzl, Prognosis, Prosthetic replacement, Radiographic, Radiographic bone gain, Radiographic bone level, Radiographic projection, Randomized, Reference point, Regenerated, Regenerated teeth, Regeneration, Regenerative, Regenerative therapy, Regenerative treatment, Residual, Resin splint, Restorative dentistry, Root apex, Splint, Splinted, Suitable alternative, Systematic review, Test group, Test treatment, Tissue regeneration, Tonetti, Tooth, Tooth loss, Tooth mobility, Tooth prognosis, Year analysis.
Abstract
Cortellini P, Stalpers G, Mollo A, Tonetti MS: Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915–924. doi: 10.1111/j.1600‐051X.2011.01768.x
Url:
DOI: 10.1111/j.1600-051X.2011.01768.x
Links to Exploration step
ISTEX:0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4Le document en format XML
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Tonetti</name><affiliation><mods:affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="ISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="915">915</biblScope><biblScope unit="page" to="924">924</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-10">2011-10</date></imprint><idno type="ISSN">0303-6979</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0303-6979</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Apex</term><term>Attachment</term><term>Attachment loss</term><term>Barrier membranes</term><term>Baseline</term><term>Biological complications</term><term>Bone destruction</term><term>Caton</term><term>Cervical margin</term><term>Clinical attachment level</term><term>Clinical decision</term><term>Clinical outcomes</term><term>Clinical parameters</term><term>Clinical periodontology</term><term>Clinical trial</term><term>Control group</term><term>Control treatment</term><term>Cortellini</term><term>Cortellini tonetti</term><term>Deep intrabony defects</term><term>Deep pockets</term><term>Deepest site</term><term>Defect</term><term>Enamel matrix proteins</term><term>Endodontic treatment</term><term>European research group</term><term>Experimental teeth</term><term>Experimental tooth</term><term>Experimental units</term><term>Hopeless prognosis</term><term>Hopeless teeth</term><term>Hopeless tooth</term><term>Human infrabony defects</term><term>Hypermobility</term><term>Implant</term><term>Infrabony</term><term>International journal</term><term>Intrabony</term><term>Intrabony defects</term><term>John wiley sons regeneration</term><term>Kwok</term><term>Lang</term><term>Lingual</term><term>Maryland bridges</term><term>Mcguire</term><term>Mcguire nunn</term><term>Mesial</term><term>Negative events</term><term>Nunn</term><term>Papilla preservation</term><term>Periodontal</term><term>Periodontal reasons</term><term>Periodontal regeneration</term><term>Periodontal surgery</term><term>Periodontal therapy</term><term>Periodontology</term><term>Pocket depth</term><term>Present study</term><term>Pretzl</term><term>Prognosis</term><term>Prosthetic replacement</term><term>Radiographic</term><term>Radiographic bone gain</term><term>Radiographic bone level</term><term>Radiographic projection</term><term>Randomized</term><term>Reference point</term><term>Regenerated</term><term>Regenerated teeth</term><term>Regeneration</term><term>Regenerative</term><term>Regenerative therapy</term><term>Regenerative treatment</term><term>Residual</term><term>Resin splint</term><term>Restorative dentistry</term><term>Root apex</term><term>Splint</term><term>Splinted</term><term>Suitable alternative</term><term>Systematic review</term><term>Test group</term><term>Test treatment</term><term>Tissue regeneration</term><term>Tonetti</term><term>Tooth</term><term>Tooth loss</term><term>Tooth mobility</term><term>Tooth prognosis</term><term>Year analysis</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment teeth</term><term>Apex</term><term>Attachment</term><term>Attachment loss</term><term>Barrier membranes</term><term>Baseline</term><term>Biological complications</term><term>Bone destruction</term><term>Caton</term><term>Cervical margin</term><term>Clinical attachment level</term><term>Clinical decision</term><term>Clinical outcomes</term><term>Clinical parameters</term><term>Clinical periodontology</term><term>Clinical trial</term><term>Control group</term><term>Control treatment</term><term>Cortellini</term><term>Cortellini tonetti</term><term>Deep intrabony defects</term><term>Deep pockets</term><term>Deepest site</term><term>Defect</term><term>Enamel matrix proteins</term><term>Endodontic treatment</term><term>European research group</term><term>Experimental teeth</term><term>Experimental tooth</term><term>Experimental units</term><term>Hopeless prognosis</term><term>Hopeless teeth</term><term>Hopeless tooth</term><term>Human infrabony defects</term><term>Hypermobility</term><term>Implant</term><term>Infrabony</term><term>International journal</term><term>Intrabony</term><term>Intrabony defects</term><term>John wiley sons regeneration</term><term>Kwok</term><term>Lang</term><term>Lingual</term><term>Maryland bridges</term><term>Mcguire</term><term>Mcguire nunn</term><term>Mesial</term><term>Negative 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Tonetti</name><affiliations><json:string>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>clinical trial</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hopeless tooth</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>long‐term</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periodontal regeneration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periodontal surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tooth extraction</value></json:item></subject><articleId><json:string>JCPE1768</json:string></articleId><arkIstex>ark:/67375/WNG-MW8BM6KH-P</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Cortellini P, Stalpers G, Mollo A, Tonetti MS: Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915–924. doi: 10.1111/j.1600‐051X.2011.01768.x</abstract><qualityIndicators><score>7.492</score><pdfWordCount>7557</pdfWordCount><pdfCharCount>49777</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>10</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>41</abstractWordCount><abstractCharCount>310</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title><pmid><json:string>21777268</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Clinical Periodontology</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-051X</json:string></doi><issn><json:string>0303-6979</json:string></issn><eissn><json:string>1600-051X</json:string></eissn><publisherId><json:string>JCPE</json:string></publisherId><volume>38</volume><issue>10</issue><pages><first>915</first><last>924</last><total>10</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2011</json:string><json:string>1600</json:string><json:string>5</json:string><json:string>3</json:string><json:string>4</json:string><json:string>0 and 6-0</json:string><json:string>between June 1998 and June 2003</json:string></date><geogName></geogName><orgName><json:string>Italy Cortellini P, Stalpers G, Mollo A, Tonetti MS</json:string><json:string>Ricerca Odontostomatologica</json:string><json:string>ERGOPERIO</json:string><json:string>European Research Group on Periodontology</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Mc Guire</json:string><json:string>John Wiley</json:string><json:string>Baseline</json:string><json:string>Maurizio S. Tonetti</json:string></persName><placeName><json:string>IL</json:string><json:string>Rochester</json:string><json:string>Switzerland</json:string><json:string>Germany</json:string><json:string>NY</json:string><json:string>UK</json:string><json:string>Helsinki</json:string><json:string>Palo Alto</json:string><json:string>USA</json:string><json:string>Basel</json:string><json:string>Chicago</json:string><json:string>CA</json:string><json:string>Italy</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Bahrami et al. 2008</json:string><json:string>Ng et al. 2011</json:string><json:string>Cortellini & Tonetti 2000, 2005</json:string><json:string>Machtei et al. 1989</json:string><json:string>Matuliene et al. 2008</json:string><json:string>Pretzl et al. 2009b</json:string><json:string>Sanz et al. 2004</json:string><json:string>Pretzl et al. 2008</json:string><json:string>Wojcik et al. 1992</json:string><json:string>DeVore et al. 1988</json:string><json:string>Esposito et al. 2009</json:string><json:string>Leary et al. 1972</json:string><json:string>Tonetti et al. 1996b</json:string><json:string>Pretzl et al. 2009a</json:string><json:string>Baumer et al. 2011</json:string><json:string>Cortellini et al.</json:string><json:string>Eickholz et al. 2008</json:string><json:string>Checchi et al. 2002</json:string><json:string>Chambrone et al. 2010</json:string><json:string>Leininger et al. 2010</json:string><json:string>Sculean et al. 2008</json:string><json:string>Lang and Tonetti (1996)</json:string><json:string>Needleman et al. 2006</json:string><json:string>Kwok and Caton (2007)</json:string><json:string>Becker et al. 1984</json:string><json:string>Miller 1943</json:string><json:string>Cortellini et al. 2001</json:string><json:string>Slotte et al. 2007</json:string><json:string>Tonetti et al. 1993, 1995, 1996a, 1998, 2002, 2004</json:string><json:string>Cortellini et al. 1993</json:string><json:string>Tonetti et al. 1993</json:string><json:string>Cortellini et al. 1995a, b</json:string><json:string>Huynh-Ba et al. 2009</json:string><json:string>Cortellini & Tonetti 2001</json:string><json:string>Tonetti et al. 1998</json:string><json:string>Kao 2008</json:string><json:string>Nygaard-Østby et al. 2010</json:string><json:string>Cortellini et al. 1995a, 1999a, 2001</json:string><json:string>Cortellini et al. 1995a, 1999a</json:string><json:string>Cortellini & Tonetti 2005</json:string><json:string>Cortellini et al. 1994, 1996, 1999b</json:string><json:string>McGuire and Nunn (1996a, b)</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-MW8BM6KH-P</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Periodontics</json:string></scopus></categories><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1111/j.1600-051X.2011.01768.x</json:string></doi><id>0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Periodontal regeneration <hi rend="italic">versus</hi> extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2011 John Wiley & Sons A/S</licence></availability><date type="published" when="2011-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Periodontal regeneration <hi rend="italic">versus</hi> extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title><title level="a" type="short">Regeneration and hopeless teeth</title><author xml:id="author-0000"><persName><forename type="first">Pierpaolo</forename><surname>Cortellini</surname></persName><affiliation>Accademia Toscana di Ricerca Odontostomatologia (ATRO), Florence, Italy<address><country key="IT"></country></address></affiliation><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Gabrielle</forename><surname>Stalpers</surname></persName><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Aniello</forename><surname>Mollo</surname></persName><affiliation>Private Practice, Florence, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Maurizio S.</forename><surname>Tonetti</surname></persName><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy<address><country key="IT"></country></address></affiliation></author><idno type="istex">0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4</idno><idno type="ark">ark:/67375/WNG-MW8BM6KH-P</idno><idno type="DOI">10.1111/j.1600-051X.2011.01768.x</idno><idno type="unit">JCPE1768</idno><idno type="supplier">1768</idno><idno type="toTypesetVersion">file:JCPE.JCPE1768.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="pISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><idno type="book-DOI">10.1111/(ISSN)1600-051X</idno><idno type="book-part-DOI">10.1111/jcpe.2011.38.issue-10</idno><idno type="product">JCPE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="915">915</biblScope><biblScope unit="page" to="924">924</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>Cortellini P, Stalpers G, Mollo A, Tonetti MS: Periodontal regeneration <hi rend="italic">versus</hi> extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915–924. doi: 10.1111/j.1600‐051X.2011.01768.x</p>
Abstract
<p><hi rend="bold">Aims: </hi> Aim of this randomized, long‐term clinical trial was to compare clinical‐ and patient‐based outcomes following periodontal regeneration or extraction and replacement of hopeless teeth with chronic perio‐endo lesions and/or attachment loss to or beyond the apex.</p><p><hi rend="bold">Methods: </hi> Fifty patients presenting with generalized severe periodontitis and at least one hopeless tooth to be extracted for periodontal reasons were entered in this study. The <hi rend="italic">test treatment</hi> consisted in the application of a regenerative strategy to 25 hopeless teeth. The <hi rend="italic">control treatment</hi> consisted in the extraction of the 25 hopeless teeth and their replacement with conventional or implant‐supported fixed partial dentures.</p><p><hi rend="bold">Results: </hi> In the <hi rend="italic">control group</hi>, 14 teeth were replaced with implant‐supported restorations, eight with tooth‐supported bridges, two with Maryland bridges, while one was not replaced. All fixed partial dentures survived the 5‐year follow‐up period and 83% were free from biological complications. In the <hi rend="italic">test group</hi>, 23 of the 25 regenerated teeth showed important clinical improvements: the two teeth with unsatisfactory outcomes were extracted at 1 year. The 23 successfully regenerated teeth (92%) were in good health and function at 5‐year examination visit and 84% did not develop biological complications during the recall period. All patients consistently reported comfort in function at the experimental test and control units. In the test group, average clinical attachment level gains were 7.7±2.8 mm, radiographic bone gain 8.5±3.1 mm, probing pocket depth (PPD) reduction 8.8±3 mm. Residual PPDs were 4±1.7 mm. Most of the regenerated teeth showed a decrease in tooth mobility.</p><p><hi rend="bold">Conclusions: </hi> Regenerative therapy can be applied at hopeless teeth and has the potential to change their prognosis; it is a suitable alternative to extraction of severely compromised teeth with intra‐bony defects to or beyond the root apex.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">clinical trial</term><term xml:id="k2">hopeless tooth</term><term xml:id="k3">long‐term</term><term xml:id="k4">periodontal regeneration</term><term xml:id="k5">periodontal surgery</term><term xml:id="k6">tooth extraction</term></keywords><keywords rend="tocHeading1"><term>Periodontal Therapy</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CLINICAL PERIODONTOLOGY">Journal of Clinical Periodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10110"><doi origin="wiley">10.1111/jcpe.2011.38.issue-10</doi><numberingGroup><numbering type="journalVolume" number="38">38</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="2011-10">October 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="5" status="forIssue"><doi origin="wiley">10.1111/j.1600-051X.2011.01768.x</doi><idGroup><id type="unit" value="JCPE1768"></id><id type="supplier" value="1768"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">Periodontal Therapy</title></titleGroup><copyright>© 2011 John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.10 mode:FullText" date="2011-09-12"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-07-21"></event><event type="firstOnline" date="2011-07-21"></event><event type="publishedOnlineFinalForm" date="2011-09-12"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="915">915</numbering><numbering type="pageLast" number="924">924</numbering></numberingGroup><correspondenceTo>Address:
<i>Pierpaolo Cortellini</i>
<i>Via Carlo Botta 16</i>
<i>50136 Firenze</i>
<i>Italy</i>
E‐mail <email normalForm="studiocortellini@cortellini.191.it">studiocortellini@cortellini.191.it</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE1768.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 20 June 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="52"></count><count type="wordTotal" number="9517"></count><count type="linksCrossRef" number="56"></count></countGroup><titleGroup><title type="main">Periodontal regeneration <i>versus</i> extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title><title type="shortAuthors">Cortellini et al.</title><title type="short">Regeneration and hopeless teeth</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2"><personName><givenNames>Pierpaolo</givenNames><familyName>Cortellini</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Gabrielle</givenNames><familyName>Stalpers</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Aniello</givenNames><familyName>Mollo</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Maurizio S.</givenNames><familyName>Tonetti</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IT"><unparsedAffiliation>Accademia Toscana di Ricerca Odontostomatologia (ATRO), Florence, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IT"><unparsedAffiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="IT"><unparsedAffiliation>Private Practice, Florence, Italy</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">clinical trial</keyword><keyword xml:id="k2">hopeless tooth</keyword><keyword xml:id="k3">long‐term</keyword><keyword xml:id="k4">periodontal regeneration</keyword><keyword xml:id="k5">periodontal surgery</keyword><keyword xml:id="k6">tooth extraction</keyword></keywordGroup><supportingInformation><p><b>Appendix S1.</b> Individual patient data of the 25 test experimental units. The table reports baseline patient, treatment and defect characteristics (at 4 sites/tooth) and the differences between baseline and 1 year and between 1 year and 5 years in terms of CAL and radiographic bone level for the mesial and distal sides and CAL only for the buccal and lingual ones. Teeth # 21 and 22 have been extracted after the 1‐year examination visit.</p><p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p><supportingInfoItem><mediaResource alt="supporting info item" href="urn-x:wiley:03036979:media:jcpe1768:JCPE_1768_sm_appendix1"></mediaResource><caption>Supporting info item</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p>Cortellini P, Stalpers G, Mollo A, Tonetti MS: Periodontal regeneration <i>versus</i> extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915–924. doi: 10.1111/j.1600‐051X.2011.01768.x</p></section><section xml:id="abs1-1"><title type="main">Abstract</title><p><b>Aims: </b> Aim of this randomized, long‐term clinical trial was to compare clinical‐ and patient‐based outcomes following periodontal regeneration or extraction and replacement of hopeless teeth with chronic perio‐endo lesions and/or attachment loss to or beyond the apex.</p><p><b>Methods: </b> Fifty patients presenting with generalized severe periodontitis and at least one hopeless tooth to be extracted for periodontal reasons were entered in this study. The <i>test treatment</i> consisted in the application of a regenerative strategy to 25 hopeless teeth. The <i>control treatment</i> consisted in the extraction of the 25 hopeless teeth and their replacement with conventional or implant‐supported fixed partial dentures.</p><p><b>Results: </b> In the <i>control group</i>, 14 teeth were replaced with implant‐supported restorations, eight with tooth‐supported bridges, two with Maryland bridges, while one was not replaced. All fixed partial dentures survived the 5‐year follow‐up period and 83% were free from biological complications. In the <i>test group</i>, 23 of the 25 regenerated teeth showed important clinical improvements: the two teeth with unsatisfactory outcomes were extracted at 1 year. The 23 successfully regenerated teeth (92%) were in good health and function at 5‐year examination visit and 84% did not develop biological complications during the recall period. All patients consistently reported comfort in function at the experimental test and control units. In the test group, average clinical attachment level gains were 7.7±2.8 mm, radiographic bone gain 8.5±3.1 mm, probing pocket depth (PPD) reduction 8.8±3 mm. Residual PPDs were 4±1.7 mm. Most of the regenerated teeth showed a decrease in tooth mobility.</p><p><b>Conclusions: </b> Regenerative therapy can be applied at hopeless teeth and has the potential to change their prognosis; it is a suitable alternative to extraction of severely compromised teeth with intra‐bony defects to or beyond the root apex.</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p><b>Conflict of interest and source of funding statement</b>
The authors declare that they have no conflict of interests.
This study has been self‐supported by the authors, and the European Research Group on Periodontology, ERGOPerio.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Regeneration and hopeless teeth</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial</title></titleInfo><name type="personal"><namePart type="given">Pierpaolo</namePart><namePart type="family">Cortellini</namePart><affiliation>Accademia Toscana di Ricerca Odontostomatologia (ATRO), Florence, Italy</affiliation><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gabrielle</namePart><namePart type="family">Stalpers</namePart><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Aniello</namePart><namePart type="family">Mollo</namePart><affiliation>Private Practice, Florence, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Maurizio S.</namePart><namePart type="family">Tonetti</namePart><affiliation>European Research Group on Periodontology (ERGOPERIO), Genova, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-10</dateIssued><edition>Accepted for publication 20 June 2011</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">4</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">52</extent><extent unit="linksCrossRef">56</extent><extent unit="words">9517</extent></physicalDescription><abstract>Cortellini P, Stalpers G, Mollo A, Tonetti MS: Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5‐year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915–924. doi: 10.1111/j.1600‐051X.2011.01768.x</abstract><abstract>Aims: Aim of this randomized, long‐term clinical trial was to compare clinical‐ and patient‐based outcomes following periodontal regeneration or extraction and replacement of hopeless teeth with chronic perio‐endo lesions and/or attachment loss to or beyond the apex. Methods: Fifty patients presenting with generalized severe periodontitis and at least one hopeless tooth to be extracted for periodontal reasons were entered in this study. The test treatment consisted in the application of a regenerative strategy to 25 hopeless teeth. The control treatment consisted in the extraction of the 25 hopeless teeth and their replacement with conventional or implant‐supported fixed partial dentures. Results: In the control group, 14 teeth were replaced with implant‐supported restorations, eight with tooth‐supported bridges, two with Maryland bridges, while one was not replaced. All fixed partial dentures survived the 5‐year follow‐up period and 83% were free from biological complications. In the test group, 23 of the 25 regenerated teeth showed important clinical improvements: the two teeth with unsatisfactory outcomes were extracted at 1 year. The 23 successfully regenerated teeth (92%) were in good health and function at 5‐year examination visit and 84% did not develop biological complications during the recall period. All patients consistently reported comfort in function at the experimental test and control units. In the test group, average clinical attachment level gains were 7.7±2.8 mm, radiographic bone gain 8.5±3.1 mm, probing pocket depth (PPD) reduction 8.8±3 mm. Residual PPDs were 4±1.7 mm. Most of the regenerated teeth showed a decrease in tooth mobility. Conclusions: Regenerative therapy can be applied at hopeless teeth and has the potential to change their prognosis; it is a suitable alternative to extraction of severely compromised teeth with intra‐bony defects to or beyond the root apex.</abstract><subject lang="en"><genre>keywords</genre><topic>clinical trial</topic><topic>hopeless tooth</topic><topic>long‐term</topic><topic>periodontal regeneration</topic><topic>periodontal surgery</topic><topic>tooth extraction</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><note type="content"> Appendix S1. Individual patient data of the 25 test experimental units. The table reports baseline patient, treatment and defect characteristics (at 4 sites/tooth) and the differences between baseline and 1 year and between 1 year and 5 years in terms of CAL and radiographic bone level for the mesial and distal sides and CAL only for the buccal and lingual ones. Teeth # 21 and 22 have been extracted after the 1‐year examination visit. Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Appendix S1. Individual patient data of the 25 test experimental units. The table reports baseline patient, treatment and defect characteristics (at 4 sites/tooth) and the differences between baseline and 1 year and between 1 year and 5 years in terms of CAL and radiographic bone level for the mesial and distal sides and CAL only for the buccal and lingual ones. Teeth # 21 and 22 have been extracted after the 1‐year examination visit. Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.Supporting Info Item: Supporting info item - </note><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>38</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>915</start><end>924</end><total>10</total></extent></part></relatedItem><identifier type="istex">0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4</identifier><identifier type="ark">ark:/67375/WNG-MW8BM6KH-P</identifier><identifier type="DOI">10.1111/j.1600-051X.2011.01768.x</identifier><identifier type="ArticleID">JCPE1768</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/0DC6E3BC44E4FD11C4B201467BA815876F8CA3C4/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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