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Traditional or regenerative periodontal surgery?—a comparison of the publications between two periodontal journals over time

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Abstract

Objectives

The objective is to compare the amount and content of publications regarding traditional or regenerative periodontal surgery in the years 1982/1983 and 2012/2013 in two leading periodontal journals of North America and Europe.

Material and methods

The search was carried out in the Journal of Periodontology and Journal of Clinical Periodontology. Four reviewers screened the articles and allocated the topics with respect to periodontal surgery. The distribution of articles with respect to traditional or regenerative periodontal surgery was then compared between the journals and the respective time periods.

Results

Out of 1084 screened articles, 145 articles were included. Articles with periodontal surgery content amounted to 18% for the first time period and to 11% for the second time period. In the years 1982/1983, 7% of articles in the Journal of Periodontology and 8% in the Journal of Clinical Periodontology referred to traditional periodontal surgery, while 8% (Journal of Periodontology) and 5% (Journal of Clinical Periodontology) examined regenerative periodontal surgery. The distribution changed 30 years later, with 1% (Journal of Periodontology) and 3% (Journal of Clinical Periodontology) traditional periodontal surgery and 7% and 6% regenerative periodontal surgery content.

Conclusion

While the clinical need for traditional periodontal surgery remained, research in this important field decreased. Publications rather tended to focus on adjunctive regenerative measures.

Clinical relevance

Periodontal surgery with adjunctive regenerative measures is an established and well-documented clinical procedure. However, with respect to the dominance of horizontal bone loss in periodontally diseased patients, there is a need for ongoing research with focus on traditional periodontal surgery.

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Author information

Authors and Affiliations

  1. Department of Periodontology, Endodontology and Cariology, University Centre for Dental Medicine, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland

    Noémie Staubli, Julia C. Schmidt, Claudia J. Gutekunst & Clemens Walter

  2. Department for Reconstructive Dentistry and Temporomandibular Disorders, University Centre for Dental Medicine, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland

    Sabrina L. Buset

  3. Private dental office Dentilus AG, Forchstrasse 99, 8032, Zurich, Switzerland

    Fabiola R. Rodriguez

  4. Clinic of Preventive Dentistry, Periodontology and Cariology, Centre of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland

    Patrick R. Schmidlin

Authors
  1. Noémie Staubli
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  2. Julia C. Schmidt
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  3. Sabrina L. Buset
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  4. Claudia J. Gutekunst
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  5. Fabiola R. Rodriguez
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  6. Patrick R. Schmidlin
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  7. Clemens Walter
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Corresponding author

Correspondence to Clemens Walter.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The work was supported by the Department of Periodontology, Endodontology and Cariology, University Centre for Dental Medicine, University of Basel, Switzerland.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.

Appendices

Appendix 1

Tree diagram A (TD-A) for study design allocation for the screened publications.

Treediagram A)

Study design

  1. A1

    original study

    1. A11

      clinical study

      1. A111

        intervention study (e.g. randomized controlled trial)

      2. A112

        epidemiological study

    2. A12

      in vitro study

    3. A13

      animal study

  2. A2

    review

  3. A3

    case report, case series

  4. A4

    comment, letter, editorial, erratum

  5. A5

    others

Appendix 2

Tree diagram B (TD-B) for theme allocation for publications with periodontal conditions and therapy content.

Treediagram B)

periodontal conditions and therapy

  1. B1

    anatomy

    1. B11

      hard tissue

    2. B12

      soft tissue

  2. B2

    etiology and pathogenesis

    1. B21

      microbiology

    2. B22

      host response (inflammatory and immunology factors, cell biology)

    3. B23

      modifying factors

      1. B231

        systemic conditions (e.g. diabetes mellitus, hematologic disorders)

      2. B232

        smoking

      3. B233

        oral hygiene

      4. B234

        socioeconomic status

      5. B235

        genetics

      6. B236

        others (e.g. age, pregnancy, obesity, gender)

  3. B3

    diagnostics

    1. B31

      classification

    2. B32

      clinical

    3. B33

      radiological

    4. B34

      microbiological

    5. B35

      immunological

    6. B36

      others

  4. B4

    periodontal therapy

    1. B41

      accompanying therapy (motivation, motivational interviewing, tobacco use cessation, oral hygiene instruction)

    2. B42

      non-surgical therapy

      1. B421

        mechanical treatment protocol

      2. B422

        pharmacological protocol

        1. B4221

          local

          1. B42211

            antiobiotics

          2. B42212

            disinfectants and others

        2. B4222

          systemic

          1. B42221

            antiobiotics

          2. B42222

            drugs (e.g. analgetics) and others

      3. B423

        Others (e.g. photodynamic therapy, laser)

    3. B43

      periodontal surgery

      1. B431

        traditional therapy

        1. B4311

          surgical approach

        2. B4312

          adjunctive materials

        3. B4313

          pharmacological protocol

          1. B43131

            local

            1. B431311

              antibiotics

            2. B431312

              disinfectants and others

          2. B43132

            systemic

            1. B431321

              antiobiotics

            2. B431322

              drugs (e.g. analgetics) and others

        4. B4314

          Others (e.g. photodynamic therapy, laser)

      2. B432

        regenerative therapy

        1. B4321

          surgical approach

        2. B4322

          adjunctive materials (EMD, bone graft, growth factors, membranes, ...)

        3. B4323

          pharmacological protocol

          1. B43231

            local

            1. B432311

              antibiotics

            2. B432312

              disinfectants and others

          2. B43232

            systemic

            1. B432321

              antibiotics

            2. B432322

              drugs (e.g. analgetics) and others

        4. B4324

          Others (e.g. photodynamic therapy, laser)

      3. B433

        mucogingival therapy

        1. B4331

          surgical approach

        2. B4332

          adjunctive materials

        3. B4333

          pharmacolgical protocol

          1. B43331

            local

            1. B433311

              antibiotics

            2. B433312

              disinfectants and others

          2. B43332

            systemic

            1. B433321

              antibiotics

            2. B433322

              drugs (e.g. analgetics) and others

        4. B4334

          Others (e.g. photodynamic therapy, laser)

    4. B44

      supportive periodontal therapy, prognosis and risk assessment

      1. B441

        mechanical treatment protocol

      2. B442

        pharmacological protocol

        1. B4421

          local

          1. B44211

            antibiotics

          2. B44212

            disinfectants and others

        2. B4422

          systemic

          1. B44221

            antibiotics

          2. B44222

            drugs (e.g. analgetics) and others

      3. B443

        Others (e.g. photodynamic therapy, laser)

    5. B45

      interdisciplinary therapy (e.g. prosthetics, orthodontics)

    6. B46

      others

  5. B5

    quality of life

  6. B6

    periodontal medicine

    1. B61

      CHD

    2. B62

      diabetes mellitus

    3. B63

      pregnancy

    4. B64

      arthritis

    5. B65

      kidney diseases

    6. B66

      others

  7. B7

    others

Appendix 3

Tree diagram C (TD-C) for theme allocation for publications with peri-implant conditions and therapy content.

Treediagram C)

periimplant conditions and therapy

  1. C1

    anatomy

    1. C11

      soft tissue

    2. C12

      hard tissu

  2. C2

    etiology and pathogenesis

    1. C21

      microbiology

    2. C22

      host response (inflammatory and immunology factors, cell biology)

    3. C23

      modifying factors

      1. C231

        systemic conditions (e.g. diabetes mellitus, hematologic disorders)

      2. C232

        smoking

      3. C233

        oral hygiene

      4. C234

        socioeconomic status

      5. C235

        genetics

      6. C236

        others (e.g. age, pregnancy, obesity, gender)

  3. C3

    diagnostics

    1. C31

      classification

    2. C32

      clinical

    3. C33

      radiological

    4. C34

      microbiological

    5. C35

      immunological

    6. C36

      others

  4. C4

    periimplantitis therapy

    1. C41

      accompanying therapy (motivation, motivational interviewing, tobacco use cessation)

    2. C42

      non-surgical therapy

      1. C421

        mechanical treatment protocol

      2. C422

        pharmacological protocol

        1. C4221

          local

          1. C42211

            antiobiotics

          2. C42212

            disinfectants and others

        2. C4222

          systemic

          1. C42221

            antiobiotics

          2. C42222

            drugs (e.g. analgetics) and others

      3. C423

        Others (e.g. photodynamic therapy, laser)

    3. C43

      periimplant surgery

      1. C431

        traditional therapy

        1. C4311

          surgical approach

        2. C4312

          adjunctive materials

        3. C4313

          pharmacological protocol

          1. C43131

            local

            1. C431311

              antibiotics

            2. C431312

              disinfectants and others

          2. C43132

            systemic

            1. C431321

              antiobiotics

            2. C431322

              drugs (e.g. analgetics) and others

        4. C4314

          Others (e.g. photodynamic therapy, laser)

      2. C432

        regenerative therapy

        1. C4321

          surgical approach

        2. C4322

          adjunctive materials

        3. C4323

          pharmacological protocol

          1. C43231

            local

            1. C432311

              antibiotics

            2. C432312

              disinfectants and others

          2. C43232

            systemic

            1. C432321

              antibiotics

            2. C432322

              drugs (e.g. analgetics) and others

        4. C4324

          Others (e.g. photodynamic therapy, laser)

      3. C433

        mucogingival therapy

        1. C4331

          surgical approach

        2. C4332

          adjunctive materials

        3. C4333

          pharmacological protocol

          1. C43331

            local

            1. C433311

              antibiotics

            2. C433312

              disinfectants and others

          2. C43332

            systemic

            1. C433321

              antibiotics

            2. C433322

              drugs (e.g. analgetics) and others

        4. C4334

          Others (e.g. photodynamic therapy, laser)

    4. C44

      supportive periimplant therapy, prognosis and risk assessment

      1. C441

        mechanical treatment protocol

      2. C442

        pharmacological protocol

        1. C4421

          local

          1. C44211

            antibiotics

          2. C44212

            disinfectants and others

        2. C4422

          systemic

          1. C44221

            antibiotics

          2. C44222

            drugs (e.g. analgetics) and others

      3. C443

        Others (e.g. photodynamic therapy, laser)

    5. C45

      interdisciplinary therapy (e.g. prosthetics, orthodontics)

    6. C46

      others

  5. C5

    quality of life

  6. C6

    periimplantitis medicine

    1. C61

      CHD

    2. C62

      diabetes mellitus

    3. C63

      pregnancy

    4. C64

      arthritis

    5. C65

      kidney diseases

    6. C66

      others

  7. C7

    Others

  8. C8

    implant characteristics (e.g. surfaces, types)

  9. C9

    implant installation (e.g. loading) and socket and ridge preservation

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Staubli, N., Schmidt, J.C., Buset, S.L. et al. Traditional or regenerative periodontal surgery?—a comparison of the publications between two periodontal journals over time. Clin Oral Invest 22, 29–46 (2018). https://doi.org/10.1007/s00784-017-2159-2

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