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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.


Related in: MedlinePlus

Measuring radiographic bone level, alveolar crest level and cementoenamel junction using millimeter grid.
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Figure 2: Measuring radiographic bone level, alveolar crest level and cementoenamel junction using millimeter grid.

Mentions: Routine diagnostic periapical radiographs were taken with the long cone paralleling technique. Baseline and 12 months follow-up radiographs were recorded. When measuring radiographic bone level (BL), the location of both ACL, and CEJ was determined.21 The CEJ position was identified according to Schei et al.22 The positions of ACL and CEJ were marked by a pencil on the radiographs and the distance ACL - CEJ (BL) was measured by a millimeter grid (Figure 2). Linear distances between the most coronal interproximal BL and the CEJ were obtained by counting the grids.23


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)

Measuring radiographic bone level, alveolar crest level and cementoenamel junction using millimeter grid.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Measuring radiographic bone level, alveolar crest level and cementoenamel junction using millimeter grid.
Mentions: Routine diagnostic periapical radiographs were taken with the long cone paralleling technique. Baseline and 12 months follow-up radiographs were recorded. When measuring radiographic bone level (BL), the location of both ACL, and CEJ was determined.21 The CEJ position was identified according to Schei et al.22 The positions of ACL and CEJ were marked by a pencil on the radiographs and the distance ACL - CEJ (BL) was measured by a millimeter grid (Figure 2). Linear distances between the most coronal interproximal BL and the CEJ were obtained by counting the grids.23

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.


Related in: MedlinePlus