Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis
Introduction Evidence based research suggests apically positioned flap with osseous resective surgery tends to be superior in terms of clinical outcomes to any other flap design to treat periodontal pockets along with underlying osseous defects where regenerative osseous surgery is not indicated. Sl...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Journal of the California Dental Association |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/19424396.2025.2511190 |
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| _version_ | 1849430466628681728 |
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| author | Karishma Nitin Lodaya Vineet Kini |
| author_facet | Karishma Nitin Lodaya Vineet Kini |
| author_sort | Karishma Nitin Lodaya |
| collection | DOAJ |
| description | Introduction Evidence based research suggests apically positioned flap with osseous resective surgery tends to be superior in terms of clinical outcomes to any other flap design to treat periodontal pockets along with underlying osseous defects where regenerative osseous surgery is not indicated. Slowly fiber retention osseous resective surgery (FRORS) has gained popularity as it is minimally invasive and retains the supracrestal component along with better clinical outcomes. Hence, this SRMA aimed to compare clinical results of ORS with apically positioned flap and FRORS with apically positioned flap.Objective The objective of this systematic review and meta-analysis is to measure the change in Probing pocket depth, change in Clinical attachment levels and change in Gingival recession post- surgery.Methodology The protocol of this review was registered in PROSPERO (CRD42023473337). The review was conducted according to PRISMA 2020 guidelines, using ROB tool.Results and Conclusion This systematic review and meta-analysis suggest that supra-crestal fiber retention osseous resective surgery with apically positioned flap is equally effective as osseous resective surgery with apically positioned flap in elimination of pocket depths, maintaining clinical attachment levels, less resection of the bone and restoring positive osseous architecture for maintenance. |
| format | Article |
| id | doaj-art-1b6317bd2ad44e229de1a5efa68b94a0 |
| institution | Kabale University |
| issn | 1942-4396 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of the California Dental Association |
| spelling | doaj-art-1b6317bd2ad44e229de1a5efa68b94a02025-08-20T03:28:00ZengTaylor & Francis GroupJournal of the California Dental Association1942-43962025-12-0153110.1080/19424396.2025.2511190Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-AnalysisKarishma Nitin Lodaya0Vineet Kini1Department of Periodontology, MGM Dental College and Hospital, Navi Mumbai, IndiaDepartment of Periodontology, MGM Dental College and Hospital, Navi Mumbai, IndiaIntroduction Evidence based research suggests apically positioned flap with osseous resective surgery tends to be superior in terms of clinical outcomes to any other flap design to treat periodontal pockets along with underlying osseous defects where regenerative osseous surgery is not indicated. Slowly fiber retention osseous resective surgery (FRORS) has gained popularity as it is minimally invasive and retains the supracrestal component along with better clinical outcomes. Hence, this SRMA aimed to compare clinical results of ORS with apically positioned flap and FRORS with apically positioned flap.Objective The objective of this systematic review and meta-analysis is to measure the change in Probing pocket depth, change in Clinical attachment levels and change in Gingival recession post- surgery.Methodology The protocol of this review was registered in PROSPERO (CRD42023473337). The review was conducted according to PRISMA 2020 guidelines, using ROB tool.Results and Conclusion This systematic review and meta-analysis suggest that supra-crestal fiber retention osseous resective surgery with apically positioned flap is equally effective as osseous resective surgery with apically positioned flap in elimination of pocket depths, maintaining clinical attachment levels, less resection of the bone and restoring positive osseous architecture for maintenance.https://www.tandfonline.com/doi/10.1080/19424396.2025.2511190Chronic periodontitisfibre retention osseous resective surgeryosseous resective surgeryclinical attachment lossprobing pocket depthgingival recession |
| spellingShingle | Karishma Nitin Lodaya Vineet Kini Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis Journal of the California Dental Association Chronic periodontitis fibre retention osseous resective surgery osseous resective surgery clinical attachment loss probing pocket depth gingival recession |
| title | Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis |
| title_full | Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis |
| title_fullStr | Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis |
| title_short | Comparative Effectiveness of Osseous Resective Surgery with Apically Repositioned Flap: Supracrestal Fiber Retention vs. Conventional Technique—A Systematic Review and Meta-Analysis |
| title_sort | comparative effectiveness of osseous resective surgery with apically repositioned flap supracrestal fiber retention vs conventional technique a systematic review and meta analysis |
| topic | Chronic periodontitis fibre retention osseous resective surgery osseous resective surgery clinical attachment loss probing pocket depth gingival recession |
| url | https://www.tandfonline.com/doi/10.1080/19424396.2025.2511190 |
| work_keys_str_mv | AT karishmanitinlodaya comparativeeffectivenessofosseousresectivesurgerywithapicallyrepositionedflapsupracrestalfiberretentionvsconventionaltechniqueasystematicreviewandmetaanalysis AT vineetkini comparativeeffectivenessofosseousresectivesurgerywithapicallyrepositionedflapsupracrestalfiberretentionvsconventionaltechniqueasystematicreviewandmetaanalysis |