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The comparison of three different techniques for the treatment of gum and bone diseases of behind teeth in the mouth

Completed
Conditions
Mandibular molars with Class II buccal furcation defects (Hamp et.al. 1975)
Registration Number
CTRI/2018/03/012621
Lead Sponsor
Manipal college of dental sciences Manipal Academy of Higher Education MAHE Mangalore
Brief Summary

The study evaluated the treatment outcomes clinically and radiographically of bidirectionally positioned flap (BPF) technique in combination with bioactive glass to open flap debridement with bioresorbable collagen membrane in combination with bioactive glass and open flap debridement alone for the treatment of mandibular molar class II furcation defects. A total of 24 class II furcation defects in 24 patients with mean age of 50.75 were enrolled after satisfying the inclusion and exclusion criteria. Every patient signed the informed consent form. The baseline and six months  postoperative treatment parameters were compared. Within the limiations , it was concluded that, appropriate case selection and treatment planning is the key to achieving the best results in the treatment of class II mandibular molar furcation defects. The BPF technique in combination with a bone graft substitute and bioresorbable membrane in combination with bone graft substitue showed better results in comparision to open flap debridement. The BPF technique in combination with a bone graft substitue may show comparable treatment outcomes with the bioresorbable membrane in combination with bone graft substitute. Future studies are required with longer followups and sample size to make further definitive conclusions in using BPF surgery in combination therapy for molar class II furcation defects.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
24
Inclusion Criteria
  • 1.Patients age 20 and more irrespective of gender.
  • 2.Mandibular molars with Class II buccal furcation defects (Hamp et.al.
  • 1975)34 3.Vertical Clinical attachment loss of ≥4mm after initial therapy.
  • 4.Adequate gingival biotype of ≥1mm.
Exclusion Criteria
  • 1.Tobacco consumption of any type.
  • 2.Immunocompromised individuals.
  • 3.Patients with compromised systemic health and contraindicated for periodontal surgery.
  • 4.History of previous periodontal surgery performed at the site of interest in the past 24 months.
  • 5.Patients undergoing orthodontic treatment.
  • 6.Pregnant or lactating females.
  • 7.Third molars with furcation involvement.
  • 8.Untreated non-vital teeth.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ii.Horizontal probing depth (HPD)Baseline and six months
i.Vertical probing pocket depth (VPPD)Baseline and six months
iii.Probing Clinical attachment level (PCAL)Baseline and six months
Secondary Outcome Measures
NameTimeMethod
i. Gingival Recession (GR)ii. Radiographic furcation depth (RFD)

Trial Locations

Locations (1)

Manipal College of dental sciences, Mangalore

🇮🇳

Kannada, KARNATAKA, India

Manipal College of dental sciences, Mangalore
🇮🇳Kannada, KARNATAKA, India
Shikha
Principal investigator
9591328506
dr.shikha19@gmail.com

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