Comparative evaluation of clinical and radiographic changes in periodontal tissues of patients with subgingival carious lesions restored with resin modified glass ionomer cement versus resin composite with simultaneous open flap debridement : A randomized clinical trial

Patient referred to the department of periodontia, will be screened for subgingival carious lesions. After fulfilling the inclusion and exclusion criteria patient will be informed. After informing the patient about the study and completing the formalities in the consent form, the patients will be enrolled and data collection in the proforma will be done. After endodontic treatment if needed and phase 1 therapy patients will be recalled and evaluated. Baseline data of clinical parameters which are Plaque index (PI) Gingival index (GI) Probing pocket depth (PD) Clinical attachment level (CAL) and radiographic parameters which is bone height will be recorded. Patient preparation will be done and local anesthesia will be given. Flap surgery will be performed for assisting the restorative procedure since it could aid in establishing a proper access to the operative site, debriding the area and rendered attachment at a desirable area favoring less recession post-operatively. Group A will be restored with resin modified glass ionomer cement group. Group B will be restored with resin composite. 4-0 suture will be passed through buccal and lingual papilla and suture will be placed. Post-operative instructions will be given. Patient will be prescribed with antibiotics and analgesics for 5 days. Sutures will be removed one week post operatively. Follow up after 3 months and 6 months will be taken and clinical and radiographic changes will be recorded.