Tratamiento regenerativo de defectos intraóseos mediante colgajos mínimamente invasivos: Revisión sistemática exploratoria

Abstract

Aim: To analyze the clinical results of the regenerative treatment of intrabony defects using minimally invasive flaps in patients with periodontitis. Methods: A scoping review was conducted. Pubmed, Scopus, Ebsco Complete, and OpenGrey were searched for relevant articles and several clinical (probing depth, clinical insertion level, gingival margin recession) and radiographic indicators were evaluated. We also evaluated the flap design used, with a follow-up of at least six months. Results: 13 articles were included. We observed an average probing depth reduction of 4.69 mm, clinical attachment gain of 4.23 mm, and a recession of −0.44 mm. The groups treated with Modified Papilla Preservation Technique and Entire Papilla Preservation Technique present better clinical results. The Single Flap Approach presents the largest recession. Conclusion: Minimally invasive flaps have excellent clinical results, without additional benefits with the adjunctive application of biomaterials.