Non-Incised Papilla Flap With and Without Connective Tissue Graft for Management of Deep Supraossous Defects
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Periodontitis
- Sponsor
- Ain Shams University
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- interproximal clinical attachment level gain
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
The objective of this study was to assess the effectiveness of NIPSA in periodontal lesions with deep supra-alveolar defects, measuring the clinical efficacy of this flap. The non-incised papilla surgical approach (NIPSA) is a novel technique that accesses the periodontal defect from apical direction and was established with the aim of creating clinical advances compared with marginal access techniques.
The defects with a supra-alveolar components are more frequent than intrabony defects, there is very little evidence about their treatment .
Investigators
mahetab mohamed abdel el wahab
lecturer
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •diagnosis of periodontal disease (periodontitis stage III and IV, grade A \[12\];
- •non-smokers and former smokers who quit smoking at least 1 year previously
- •previous treatment for periodontal disease using non-surgical periodontal treatment completion of step I and II of periodontal therapy
- •compliance with periodontal maintenance and oral hygiene (FMPS at baseline ≤ 30%)
- •active residual pockets (positive bleeding on probing; BoP) associated with intrabony defects that were not resolved with non-surgical treatment after 4-6 months of maintenance.
- •periodontal lesions with probing depth (PD) \> 6 mm and supraalveolar defect (pre-diagnosis clinically (periodontal probe)
Exclusion Criteria
- •systemic disease contraindicating periodontal surgery,
- •smokers, and
- •third molars or teeth with incorrect
- •endodontic or restorative treatment.
Outcomes
Primary Outcomes
interproximal clinical attachment level gain
Time Frame: 6 MONTHS
measured from CEJ to base of pocket depth by using periodontal prob
Secondary Outcomes
- residual pocket depth(6 MONTHS)