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A 12 Months Clinical and Radiographic Study to Assess the Efficacy of Open Flap Debridement and Subepithelial Connective Tissue Graft in Management of Supracrestal Defects.

Chhina S - J Int Oral Health (2015)

Bottom Line: However, BL changes did not follow the pattern of clinical improvement on the radiographic assessment of either treatment group.Improvement in different clinical parameters was statistically significant (P < 0.01).Treatment of supracrestal defects with a combination of OFD and SECTG led to significantly better clinical results compared to OFD alone.

View Article: PubMed Central - PubMed

Affiliation: Professor, Department of Periodontics, I.T.S Dental College, Hospital and Research Centre, Greater Noida, Uttar Pradesh, India.

ABSTRACT

Background: An improvement in clinical parameters along with regeneration is the desired outcome of periodontal therapy. The aim of this study was to analyze and contrast the efficaciousness of combined open flap debridement (OFD) and subepithelial connective tissue graft (SECTG) to OFD in the management of periodontal supracrestal defects.

Materials and methods: Totally, 20 paired sites exhibiting supracrestal defects were subjected to surgical treatment adopting the split mouth design. The defects were divided randomly for treatment with OFD and SECTG (test) or OFD alone (control). The clinical effectiveness of the two arms of treatment was evaluated at 6 months and 12 months post-operatively by assessing clinical and radiographic parameters. The measurements carried out included probing pocket depth (PPD), relative attachment level (RAL), gingival marginal level, radiographic bone level (BL).

Results: The mean reduction in PPD at 0-12 months was 3.20 ± 0.82 mm and RAL gain of 3.10 ± 1.51 mm was observed, the OFD and SECTG (test) group; corresponding observations for OFD (control) were 2.10 ± 0.63 mm and 1.90 ± 0.57 mm. However, BL changes did not follow the pattern of clinical improvement on the radiographic assessment of either treatment group. Post-operative evaluation was made. Improvement in different clinical parameters was statistically significant (P < 0.01).

Conclusion: Treatment of supracrestal defects with a combination of OFD and SECTG led to significantly better clinical results compared to OFD alone.

No MeSH data available.


Customized acrylic occlusal stent with a groove (guide plane) and clinical measurements by using a straight periodontal probe (University of North Carolina, UNC -15).
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Figure 1: Customized acrylic occlusal stent with a groove (guide plane) and clinical measurements by using a straight periodontal probe (University of North Carolina, UNC -15).

Mentions: All the selected patients underwent Phase 1 therapy. At study baseline, 6 months and 12 months after treatment, the following ancillary parameters were evaluated: Plaque index (PI),18 papillary bleeding index (PBI).19 Alginate impressions were recorded and study casts for each patient were prepared. Furthermore, customized acrylic occlusal stent with a groove (guide plane) was fabricated on all these study casts. The groove acted as a guide for the clinical measurements, which were done by using a straight periodontal probe (University of North Carolina, UNC - 15) (Figure 1). The PPD was measured using the gingival margin as a reference to the base of the periodontal pocket. The relative attachment level (RAL) as the distance from the apical end of stent to the base of the periodontal pocket. Gingival marginal level (GML) was measured from the apical most end of the stent to the crest of the gingival margin, with the help of periodontal probe.20 All the acrylic stents were secured on the prepared study casts for the entire duration of the study to minimize distortion.


A 12 Months Clinical and Radiographic Study to Assess the Efficacy of Open Flap Debridement and Subepithelial Connective Tissue Graft in Management of Supracrestal Defects.

Chhina S - J Int Oral Health (2015)

Customized acrylic occlusal stent with a groove (guide plane) and clinical measurements by using a straight periodontal probe (University of North Carolina, UNC -15).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4588774&req=5

Figure 1: Customized acrylic occlusal stent with a groove (guide plane) and clinical measurements by using a straight periodontal probe (University of North Carolina, UNC -15).
Mentions: All the selected patients underwent Phase 1 therapy. At study baseline, 6 months and 12 months after treatment, the following ancillary parameters were evaluated: Plaque index (PI),18 papillary bleeding index (PBI).19 Alginate impressions were recorded and study casts for each patient were prepared. Furthermore, customized acrylic occlusal stent with a groove (guide plane) was fabricated on all these study casts. The groove acted as a guide for the clinical measurements, which were done by using a straight periodontal probe (University of North Carolina, UNC - 15) (Figure 1). The PPD was measured using the gingival margin as a reference to the base of the periodontal pocket. The relative attachment level (RAL) as the distance from the apical end of stent to the base of the periodontal pocket. Gingival marginal level (GML) was measured from the apical most end of the stent to the crest of the gingival margin, with the help of periodontal probe.20 All the acrylic stents were secured on the prepared study casts for the entire duration of the study to minimize distortion.

Bottom Line: However, BL changes did not follow the pattern of clinical improvement on the radiographic assessment of either treatment group.Improvement in different clinical parameters was statistically significant (P < 0.01).Treatment of supracrestal defects with a combination of OFD and SECTG led to significantly better clinical results compared to OFD alone.

View Article: PubMed Central - PubMed

Affiliation: Professor, Department of Periodontics, I.T.S Dental College, Hospital and Research Centre, Greater Noida, Uttar Pradesh, India.

ABSTRACT

Background: An improvement in clinical parameters along with regeneration is the desired outcome of periodontal therapy. The aim of this study was to analyze and contrast the efficaciousness of combined open flap debridement (OFD) and subepithelial connective tissue graft (SECTG) to OFD in the management of periodontal supracrestal defects.

Materials and methods: Totally, 20 paired sites exhibiting supracrestal defects were subjected to surgical treatment adopting the split mouth design. The defects were divided randomly for treatment with OFD and SECTG (test) or OFD alone (control). The clinical effectiveness of the two arms of treatment was evaluated at 6 months and 12 months post-operatively by assessing clinical and radiographic parameters. The measurements carried out included probing pocket depth (PPD), relative attachment level (RAL), gingival marginal level, radiographic bone level (BL).

Results: The mean reduction in PPD at 0-12 months was 3.20 ± 0.82 mm and RAL gain of 3.10 ± 1.51 mm was observed, the OFD and SECTG (test) group; corresponding observations for OFD (control) were 2.10 ± 0.63 mm and 1.90 ± 0.57 mm. However, BL changes did not follow the pattern of clinical improvement on the radiographic assessment of either treatment group. Post-operative evaluation was made. Improvement in different clinical parameters was statistically significant (P < 0.01).

Conclusion: Treatment of supracrestal defects with a combination of OFD and SECTG led to significantly better clinical results compared to OFD alone.

No MeSH data available.