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Modified Widman flap and non-surgical therapy using chlorhexidine chip in the treatment of moderate to deep periodontal pockets: A comparative study.

Paul GT, Hemalata M, Faizuddin M - J Indian Soc Periodontol (2010)

Bottom Line: Surgical procedures, however, have a number of disadvantages and hence efforts have been on at improving various non-surgical approaches, which are directed more specifically at the microbial nature of periodontal disease.Use of local drug-delivery devices is one such approach.The combined therapy of SRP and local drug delivery has been showing promising results in improving all the parameters in periodontal disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Mahatma Gandhi Post Graduate Institute of Dental Sciences, Gorimedu, Puducherry - 605 006, India.

ABSTRACT

Introduction: It is a well established fact that periodontitis is caused by a group of highly specific microorganisms, organized as a bio-film on the tooth surface. Hence, therapeutic modalities are directed against elimination or adequate suppression of these organisms. Thorough debridement of these sites is possible mainly by scaling and root planing (SRP) and open- flap debridement in deeper sites. Open- flap debridement includes conventional surgical procedures such as the modified Widman flap procedure. Surgical procedures, however, have a number of disadvantages and hence efforts have been on at improving various non-surgical approaches, which are directed more specifically at the microbial nature of periodontal disease. Use of local drug-delivery devices is one such approach. The combined therapy of SRP and local drug delivery has been showing promising results in improving all the parameters in periodontal disease.

Materials and methods: This study compares the clinical, as well as, microbiological results of a split-mouth trial using modified Widman flap and non-surgical therapy of SRP and the use of a controlled release drug-delivery device (Chlorhexidine chip), in the management of moderate to deep pockets.

Results and conclusion: The results showed that the non-surgical most sites subjected to the non-surgical treatment were found to be maintainable without further deterioration, during the study period.

No MeSH data available.


Related in: MedlinePlus

Microbiological profile assessed under dark-field microscopy (×400) at the experimental and control sites; at baseline
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Figure 4: Microbiological profile assessed under dark-field microscopy (×400) at the experimental and control sites; at baseline

Mentions: The slide was examined using dark-field microscopy of ×400 and this examination was completed within 1 hour of the sample collection. For each sample, 200 bacteria from fields selected at random were counted and classified into spirochetes, motile and non-motile bacilli, cocci, fusiforms and filaments, as described by Listgarten and Hellden (1978)[10] [Figures 4,5 and 6].


Modified Widman flap and non-surgical therapy using chlorhexidine chip in the treatment of moderate to deep periodontal pockets: A comparative study.

Paul GT, Hemalata M, Faizuddin M - J Indian Soc Periodontol (2010)

Microbiological profile assessed under dark-field microscopy (×400) at the experimental and control sites; at baseline
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3118077&req=5

Figure 4: Microbiological profile assessed under dark-field microscopy (×400) at the experimental and control sites; at baseline
Mentions: The slide was examined using dark-field microscopy of ×400 and this examination was completed within 1 hour of the sample collection. For each sample, 200 bacteria from fields selected at random were counted and classified into spirochetes, motile and non-motile bacilli, cocci, fusiforms and filaments, as described by Listgarten and Hellden (1978)[10] [Figures 4,5 and 6].

Bottom Line: Surgical procedures, however, have a number of disadvantages and hence efforts have been on at improving various non-surgical approaches, which are directed more specifically at the microbial nature of periodontal disease.Use of local drug-delivery devices is one such approach.The combined therapy of SRP and local drug delivery has been showing promising results in improving all the parameters in periodontal disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Mahatma Gandhi Post Graduate Institute of Dental Sciences, Gorimedu, Puducherry - 605 006, India.

ABSTRACT

Introduction: It is a well established fact that periodontitis is caused by a group of highly specific microorganisms, organized as a bio-film on the tooth surface. Hence, therapeutic modalities are directed against elimination or adequate suppression of these organisms. Thorough debridement of these sites is possible mainly by scaling and root planing (SRP) and open- flap debridement in deeper sites. Open- flap debridement includes conventional surgical procedures such as the modified Widman flap procedure. Surgical procedures, however, have a number of disadvantages and hence efforts have been on at improving various non-surgical approaches, which are directed more specifically at the microbial nature of periodontal disease. Use of local drug-delivery devices is one such approach. The combined therapy of SRP and local drug delivery has been showing promising results in improving all the parameters in periodontal disease.

Materials and methods: This study compares the clinical, as well as, microbiological results of a split-mouth trial using modified Widman flap and non-surgical therapy of SRP and the use of a controlled release drug-delivery device (Chlorhexidine chip), in the management of moderate to deep pockets.

Results and conclusion: The results showed that the non-surgical most sites subjected to the non-surgical treatment were found to be maintainable without further deterioration, during the study period.

No MeSH data available.


Related in: MedlinePlus