REGENERATIVE PERIODONTAL THERAPY

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ACTA
STOMATOLOGICA
NAISSI

Table of Contents for
June 2024 • Volume 40 • Number 89

REGENERATIVE PERIODONTAL THERAPY: PART II

Milica S. Petrović,
Ljiljana G. Kesić,
Radmila R. Obradović,
Ana N. Pejčić,
Marija D. Bojović,
Simona M. Stojanović,
Branislava B. Stojković,
Ivana V. Stanković,
Nenad M. Stošić,
Milan S. Spasić

¹UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, DEPARTMENT OF ORAL MEDICINE AND PERIODONTOLOGY, NIŠ, SERBIA
²CLINIC OF DENTAL MEDICINE, NIŠ, SERBIA
³UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, DEPARTMENT OF ORAL SURGERY, NIŠ, SERBIA
⁴UNIVERSITY OF NIŠ, FACULTY OF MEDICINE, DEPARTMENT OF PREVENTIVE AND PAEDIATRIC DENTISTRY, NIŠ, SERBIA
⁵ UNIVERSITY OF NIŠ, DEPARTMENT OF RESTORATIVE DENTISTRY AND ENDODONTICS, NIŠ, SERBIA

...Abstract

Introduction: The periodontal diseases lead to the morphological and functional disintegration of the tooth-supporting apparatus, and a basic concept of surgical periodontal therapy is the elimination of periodontal pockets with the bone remodelling and creating the physiological architecture at a more apical level, thereby achieving better conditions for dental plaque control. The progenitor cell population in the periodontal ligament is served for the reconstruction of lost epithelial attachment. Guided Tissue Regeneration (GTR) is a procedure that allows for the repair of a periodontal defect by cells capable of creating new connective tissue attachment and alveolar bone, and the aim is a minimization of postoperative gingival recession. The objectives of GTR are the creation of a new epithelial attachment, an increase in the bone level, and the minimization of postoperative gingival recession.
Aim: Presentation of modern approaches, materials, prognostic factors as well as complications of periodontal therapy that are focused on attachment regeneration and complete reconstruction of periodontal tissue.
Conclusion: The difference in terms of outcomes of regenerative periodontal therapy relates to the degree of patient’s cooperation with the therapist, the level of oral hygiene, the selection of an appropriate bone defect, as well as the methods of surgery. The high level of dental plaque control, elimination of pathogenic microflora and intensive antimicrobial periodontal therapy improve the outcome of periodontal regenerative therapy.

Key words: periodontal surgery, guided tissue regeneration

...Authors and Reprint Information

Address of correspondence:
Assistant Professor Milica S. Petrović, DMD, PhD,
Faculty of Medicine, University of Niš 52 Dr. Zorana Djindjića Blvd.,
18000 Niš Serbia,
E-mail: petrovicsmilica@gmail.com