Efficacy of treatment of Class II furcation lesions using membrane associated with bone grafting in mandibular molars compared to membrane only: a systematic review and meta-analysis

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dc.creatorGiovanna Lima Costa Barcelos
dc.creatorAlice Cecília Carvalho Santos
dc.creatorLucas Guimarães Abreu
dc.creatorErnesto Javier Andrade
dc.creatorRafael Paschoal Esteves Lima
dc.date.accessioned2024-09-23T22:17:46Z
dc.date.accessioned2025-09-08T23:38:56Z
dc.date.available2024-09-23T22:17:46Z
dc.date.issued2023-10-14
dc.description.abstractObjetivo: El objetivo de la presente revisión sistemática y metanálisis fue comparar el tratamiento con membrana asociado a injerto óseo y el tratamiento exclusivamente con membrana en el abordaje de lesiones de furca grado II en molares mandibulares. Materiales y Métodos: Se siguió la declaración de elementos de informe preferidos para revisiones siste-máticas y metanálisis (PRISMA). Las búsquedas se rea-lizaron en cinco bases de datos (PubMed, Web of Science, Scopus, Ovid y Lilacs), en septiembre de 2021, sin restricción de año de publicación o idioma. Se incluyeron estudios que compararon membranas asociadas con injertos óseos y membranas exclusivamente en el tratamiento de lesiones de furca de grado II. Se excluyeron los estudios transversales, de casos y controles y las revisiones. Dos revisores realizaron la selección de estudios, la extracción de datos y la evaluación del riesgo de sesgo (MINORS). Se evaluó la certeza de la evidencia (GRADE) y se realizó un metanálisis. Se proporcionaron la diferencia de medias (DM) y el intervalo de confianza (IC) del 95%. Resultados: Se identificaron 486 referencias y se inclu-yeron cuatro estudios. Se observó una mayor reducción en la profundidad de sondaje [DM = 0,32 (IC = 0,09, 0,56)] y una mayor ganancia en el nivel de inserción clínica [DM = 0,41 (IC = 0,24, 0,57)] cuando se utilizaron injertos de membrana y hueso. El riesgo de sesgo de los estudios incluidos fue bajo. Conclusión: La presente revisión sistemática y meta-nálisis demostró que el tratamiento de los defectos de furca de grado II en molares mandibulares utilizando membrana e injertos de hueso es significativamente más eficaz que el tratamiento con el uso exclusivo de membrana.
dc.identifier.doihttps://doi.org/10.17126/joralres.2023.014
dc.identifier.issn0719-2479
dc.identifier.urihttps://hdl.handle.net/1843/76837
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Oral Research Research in Oral Sciences
dc.rightsAcesso Aberto
dc.subjectPeriodontitis
dc.subjectBone transplantation
dc.subjectMembranes
dc.subjectGuided tissue regeneration
dc.subjectFurcation defects
dc.subjectSystematic review
dc.subjectNetwork meta-analysis
dc.subject.otherPeriodontitis
dc.subject.otherBone grafting
dc.subject.otherMembranes
dc.subject.otherGuided tissue regeneration
dc.subject.otherFurcation defects
dc.subject.otherSystematic review
dc.titleEfficacy of treatment of Class II furcation lesions using membrane associated with bone grafting in mandibular molars compared to membrane only: a systematic review and meta-analysis
dc.title.alternativeEficacia del tratamiento de lesiones de furca Grado II utilizando membrana asociada con injerto óseo en molares mandibulares en comparación con solamente membrana: revisión sistemática y metanálisis
dc.typeArtigo de periódico
local.citation.epage168
local.citation.issue1
local.citation.spage152
local.citation.volume12
local.description.resumoObjective: The objective of the present systematic review and meta-analysis was to compare treatment with membrane associated with bone grafting and treatment exclusively with membrane in the approach of Class II furcation defects in mandibular molars. Materials and Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement was followed. Searches were conducted in five databases (PubMed, Web of Science, Scopus, Ovid, and Lilacs), in Septem-ber 2021, without restriction regarding publication year or language. Studies comparing membranes associated with bone grafting and membranes exclusively in the treatment of Class II furcation lesions were included. Cross-sectional, case-control studies, and reviews were excluded. Study selection, data extraction, and risk of bias assessment (MINORS) were performed by two review authors. The certainty of the evidence (GRADE) was evaluated and meta-analysis was performed. Mean difference (MD) and 95% confidence interval (CI) were provided.Results: Four hundred eighty-six references were iden-tified and four studies were included. Greater reduction in probing depth [MD = 0.32 (CI = 0.09, 0.56)] and greater clinical attachment level gain [MD = 0.41 (CI = 0.24, 0.57)] were observed when membrane and bone grafting were used. The risk of bias of included studies was low. Conclusions:This present systematic review and meta-analysis demonstrated that treatment of Class II furcation defects in mandibular molars using membrane and bone grafing is significantly more efficacious than treatment with the exclusive use of membrane.
local.identifier.orcidhttp://orcid.org/0000-0003-1152-4961
local.identifier.orcidhttp://orcid.org/0000-0002-2224-4255
local.identifier.orcidhttp://orcid.org/0000-0003-2258-8071
local.identifier.orcidhttp://orcid.org/0000-0002-9511-3678
local.identifier.orcidhttp://orcid.org/0000-0003-4343-3845
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.joralres.com/index.php/JOralRes/article/view/joralres.2023.014

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