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Access flap surgery treatment for intrabony defects may result in improved clinical outcomes

Linda Cheng DDS, FAGD, ABGD .


Systematic Review Conclusion

Treating intrabony defects with conservative surgery may result in high tooth survival and improved clinical outcomes.

Critical Summary Assessment

The results of this high-quality systematic review of 30 articles representing 27 randomized clinical trials with no significant heterogeneity suggest that conservative surgery may be an option for treating intrabony defects when regenerative treatment is not feasible.

Evidence Quality Rating

Good Evidence

This summary is published in the Journal of the American Dental Association and can be accessed at:

Critical Summary Publication Date:


These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying evidence from the referenced systematic review in making clinically sound decisions as guided by their clinical judgment and by patient needs. American Dental Association © 2019