“Comparación entre el Tratamiento Quirúrgico y no Quirúrgico de la Periodontitis. Revisión Sistemática”

Abstract

Objective: To compare the effectiveness of surgical vs. non-surgical periodontitis treatment, establishing the patients with stage III periodontitis as the primary variable. Materials and Methods: From prospective studies and randomized clinical trials, ten articles were selected; five specified the progress of surgical treatment, and five showed the benefits of non-surgical treatment. According to PRISMA statement guidelines, the following Population, Intervention, Control and Outcomes (PICO) questions was elaborated: What is the effectiveness of surgical vs no-surgical treatment of stage III periodontitis? Results: Surgical treatment was more effective than non-surgical treatment with the Complete Papila Preservation Technique + enamel-derived matrix + bovine none substitute, which presents a gain in attachment level of 6.3 mm while probing depth was reduced by 6.5 mm; however, gingival recession increased by 0.2 mm. Conclusions: The most effective therapy foy periodontitis is surgical treatment because there will be more clinical attachment gain and less probing depth.