Limits...
Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial.

Perumal MP, Ramegowda AD, Lingaraju AJ, Raja JJ - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups.Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant.Early healing Index score of 1 was found in 85% of test sites and 28% of control sites.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India.

ABSTRACT

Background: Residual calculus exists not only on teeth treated by scaling alone but also on teeth treated by flap surgery. Periodontal microsurgery enables more definite removal of calculus, atraumatic handling of tissues through optical magnification. The purpose of this study was to compare the clinical outcomes of microsurgery with conventional open flap debridement in patients with chronic periodontitis.

Materials and methods: Thirteen chronic periodontitis patients were randomly assigned for test (microsurgical) and control (conventional) open flap debridement in a split mouth design. At baseline, 3, 6 and 9 months the following clinical parameters were recorded: Probing pocket depth, relative attachment level, gingival recession, gingival bleeding index. Postoperative healing at 1-week by early healing index and pain scale for 7 days were assessed.

Results: Paired t-test was used to compare means within the groups, and unpaired t-test was applied to compare the means of the two groups. At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups. Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant. Early healing Index score of 1 was found in 85% of test sites and 28% of control sites. The mean pain scale was 0 in test site and 1.07 ± 0.75 in control site.

Conclusions: In open flap debridement procedure, a microsurgical approach can substantially improve the early healing index and induce less postoperative pain compared with applying a conventional macroscopic approach.

No MeSH data available.


Related in: MedlinePlus

Changes in the gingival bleeding index between the groups at different visits
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4555798&req=5

Figure 6: Changes in the gingival bleeding index between the groups at different visits

Mentions: There was no significant difference between the groups for probing pocket depth, relative attachment level, gingival recession, gingival bleeding index, gingival margin level, as shown in Table 1. The changes in probing pocket depth, relative attachment level, gingival recession, gingival bleeding index, between the groups in different visits are depicted in Figures 3–6 respectively. Figure 7 signifies the frequency distribution of Early Healing Index, with a lesser score of 1 was more with the test site (85%), and more percentage of the control site showed a higher score of 2 (71.70%). No sites showed scores 3–5.


Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial.

Perumal MP, Ramegowda AD, Lingaraju AJ, Raja JJ - J Indian Soc Periodontol (2015 Jul-Aug)

Changes in the gingival bleeding index between the groups at different visits
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555798&req=5

Figure 6: Changes in the gingival bleeding index between the groups at different visits
Mentions: There was no significant difference between the groups for probing pocket depth, relative attachment level, gingival recession, gingival bleeding index, gingival margin level, as shown in Table 1. The changes in probing pocket depth, relative attachment level, gingival recession, gingival bleeding index, between the groups in different visits are depicted in Figures 3–6 respectively. Figure 7 signifies the frequency distribution of Early Healing Index, with a lesser score of 1 was more with the test site (85%), and more percentage of the control site showed a higher score of 2 (71.70%). No sites showed scores 3–5.

Bottom Line: At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups.Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant.Early healing Index score of 1 was found in 85% of test sites and 28% of control sites.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, Chennai, India.

ABSTRACT

Background: Residual calculus exists not only on teeth treated by scaling alone but also on teeth treated by flap surgery. Periodontal microsurgery enables more definite removal of calculus, atraumatic handling of tissues through optical magnification. The purpose of this study was to compare the clinical outcomes of microsurgery with conventional open flap debridement in patients with chronic periodontitis.

Materials and methods: Thirteen chronic periodontitis patients were randomly assigned for test (microsurgical) and control (conventional) open flap debridement in a split mouth design. At baseline, 3, 6 and 9 months the following clinical parameters were recorded: Probing pocket depth, relative attachment level, gingival recession, gingival bleeding index. Postoperative healing at 1-week by early healing index and pain scale for 7 days were assessed.

Results: Paired t-test was used to compare means within the groups, and unpaired t-test was applied to compare the means of the two groups. At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups. Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant. Early healing Index score of 1 was found in 85% of test sites and 28% of control sites. The mean pain scale was 0 in test site and 1.07 ± 0.75 in control site.

Conclusions: In open flap debridement procedure, a microsurgical approach can substantially improve the early healing index and induce less postoperative pain compared with applying a conventional macroscopic approach.

No MeSH data available.


Related in: MedlinePlus