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4 results on '"Gian Marco Piccoli"'

1. Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis

Author

Gian Marco Piccoli, Federica Romano, Marta Giraudi, Nicolò La Bruna, Filippo Citterio, Giulia Maria Mariani, Giacomo Baima, and Mario Aimetti

Subjects
Keratinized tissue, Osseous resective surgery, Periodontitis, Soft tissue rebound, Dentistry, RK1-715
Abstract

Abstract Background The aim of this randomized split-mouth study was to assess the influence of primary flap position on the amount of coronal soft tissue regrowth and keratinized tissue (KT) 6 months after osseous resective surgery with fiber retention technique (FibReORS). Materials and methods Two contralateral posterior sextants in 16 patients were treated with FibReORS and randomly assigned to flap positioning either 2 mm below the bone crest (apical group) or at the level of bone crest (crestal group). Clinical parameters were recorded at 1, 3 and 6 months and patient-related outcomes during the first two post-operative weeks. Results Healing period was uneventful. Patient’s discomfort was similar in both groups. The overall soft tissue rebound was higher in the apical than in the crestal group (2.0 ± 1.3 mm versus 1.3 ± 0.7 mm), but the difference was statistically significant only interproximally (2.2 ± 1.3 mm versus 1.6 ± 0.8 mm). Multilevel analyses showed higher soft tissue rebound in sites with normal compared to thin phenotype (1.5 mm, p

Published
2023
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2. Pocket elimination after osseous resective surgery: A systematic review and meta‐analysis

Author

Filippo Citterio, Giacomo Gualini, Adriano Fratini, Giulia Maria Mariani, Gian Marco Piccoli, Mario Aimetti, Francesco Ferrarotti, Federica Romano, and Marta Giraudi

Subjects
medicine.medical_specialty, Gingival and periodontal pocket, residual probing depth, Medium term, 03 medical and health sciences, 0302 clinical medicine, systematic review, Humans, Medicine, Gingival Recession, In patient, 030212 general & internal medicine, Gingival recession, business.industry, 030206 dentistry, Resective surgery, periodontitis/surgery, medicine.disease, Chronic periodontitis, periodontal pocket, Surgery, Clinical trial, Meta-analysis, Chronic Periodontitis, Periodontics, Periodontal Index, medicine.symptom, business
Abstract

Aim To systemically review the available evidence on the clinical performance of osseous resective surgery (ORS) in the treatment of residual periodontal defects in terms of pocket elimination and biological costs in patients with chronic periodontitis. Materials and methods Three databases (PubMed, EMBASE and Cochrane) were searched up to January 2019. Clinical trials with a follow-up duration of at least 12 months after ORS with or without fibre retention technique were included. Quantitative synthesis was conducted with random-effect meta-analysis. Results Overall, 1,765 studies were retrieved, of which 53 full-text articles were screened by two reviewers. Finally, a total of three RCTs were included in the meta-analysis. Random-effect meta-analysis showed a weighted mean percentage of pocket elimination (final PD ≤ 4 mm) at 12 months of 98.3% (95% CI: 96.8; 99.7) with I2 of 26%. The weighted mean amount of resected bone was 0.87 mm (95% CI: 0.49; 1.25), and the weighted mean increase in gingival recession was 2.13 mm (95% CI: 1.49; 2.78) at 12 months. Conclusions ORS represents an effective surgical approach for the elimination of residual periodontal pockets in the short to medium term. Additional randomized controlled clinical trials with data on pocket elimination are warranted.

Published
2020
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3. Pocket closure and residual pockets after non-surgical periodontal therapy: A systematic review and meta-analysis

Author

Filippo Citterio, Moontaek Chang, Mario Aimetti, Giacomo Gualini, Federica Romano, Giulia Maria Mariani, Marta Giraudi, Giacomo Baima, Gian Marco Piccoli, and Valeria Manavella

Subjects
non-surgical periodontal treatment, pocket closure, scaling and root planing, business.industry, Dentistry, Residual, residual pockets, Weighted mean difference, Root Planing, Scaling and root planing, Meta-analysis, Disease Progression, Periodontics, Medicine, Dental Scaling, Humans, Prospective Studies, Closure (psychology), business, Prospective cohort study, Radiation treatment planning, After treatment
Abstract

AIM To analyse the efficacy of non-surgical therapy (NST) in terms of pocket closure (PC) and changes in percentage and number of pockets. MATERIALS AND METHODS Three databases (PubMed, EMBASE, and Scopus) were searched up to January 2020. Prospective studies with a minimum follow-up of 12 months and presenting data in terms of PC or number or percentage of pocket depths (PDs) before and after NST on systemically healthy patients were included. Random-effect meta-analyses were performed. RESULTS After screening 4610 titles and abstracts, 27 studies were included. Of these, 63.9% of PC was reported by one study. The percentage of PDs ≤3 mm changed from 39.06% to 64.11% with a weighted mean difference (WMD) of 26.14% (p

Published
2021

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