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Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial
BACKGROUND: Residual calculus exists not only on teeth treated by scaling alone but also on teeth treated by flap surgery. Periodontal microsurgery enables more definite removal of calculus, atraumatic handling of tissues through optical magnification. The purpose of this study was to compare the cl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555798/ https://www.ncbi.nlm.nih.gov/pubmed/26392689 http://dx.doi.org/10.4103/0972-124X.156884 |
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author | Perumal, Meena Priya Bagavathy Ramegowda, Aruna Dunthur Lingaraju, Avinash Janaki Raja, James Johnson |
author_facet | Perumal, Meena Priya Bagavathy Ramegowda, Aruna Dunthur Lingaraju, Avinash Janaki Raja, James Johnson |
author_sort | Perumal, Meena Priya Bagavathy |
collection | PubMed |
description | BACKGROUND: Residual calculus exists not only on teeth treated by scaling alone but also on teeth treated by flap surgery. Periodontal microsurgery enables more definite removal of calculus, atraumatic handling of tissues through optical magnification. The purpose of this study was to compare the clinical outcomes of microsurgery with conventional open flap debridement in patients with chronic periodontitis. MATERIALS AND METHODS: Thirteen chronic periodontitis patients were randomly assigned for test (microsurgical) and control (conventional) open flap debridement in a split mouth design. At baseline, 3, 6 and 9 months the following clinical parameters were recorded: Probing pocket depth, relative attachment level, gingival recession, gingival bleeding index. Postoperative healing at 1-week by early healing index and pain scale for 7 days were assessed. RESULTS: Paired t-test was used to compare means within the groups, and unpaired t-test was applied to compare the means of the two groups. At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups. Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant. Early healing Index score of 1 was found in 85% of test sites and 28% of control sites. The mean pain scale was 0 in test site and 1.07 ± 0.75 in control site. CONCLUSIONS: In open flap debridement procedure, a microsurgical approach can substantially improve the early healing index and induce less postoperative pain compared with applying a conventional macroscopic approach. |
format | Online Article Text |
id | pubmed-4555798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-45557982015-09-21 Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial Perumal, Meena Priya Bagavathy Ramegowda, Aruna Dunthur Lingaraju, Avinash Janaki Raja, James Johnson J Indian Soc Periodontol Original Article BACKGROUND: Residual calculus exists not only on teeth treated by scaling alone but also on teeth treated by flap surgery. Periodontal microsurgery enables more definite removal of calculus, atraumatic handling of tissues through optical magnification. The purpose of this study was to compare the clinical outcomes of microsurgery with conventional open flap debridement in patients with chronic periodontitis. MATERIALS AND METHODS: Thirteen chronic periodontitis patients were randomly assigned for test (microsurgical) and control (conventional) open flap debridement in a split mouth design. At baseline, 3, 6 and 9 months the following clinical parameters were recorded: Probing pocket depth, relative attachment level, gingival recession, gingival bleeding index. Postoperative healing at 1-week by early healing index and pain scale for 7 days were assessed. RESULTS: Paired t-test was used to compare means within the groups, and unpaired t-test was applied to compare the means of the two groups. At 3, 6 and 9 months postoperatively there was a significant reduction in gingival bleeding index, probing pocket depth, relative attachment level within both the groups and there was no significant difference between both the groups. Gingival margin level and gingival recession increased in both the groups, but it was not statistically significant. Early healing Index score of 1 was found in 85% of test sites and 28% of control sites. The mean pain scale was 0 in test site and 1.07 ± 0.75 in control site. CONCLUSIONS: In open flap debridement procedure, a microsurgical approach can substantially improve the early healing index and induce less postoperative pain compared with applying a conventional macroscopic approach. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4555798/ /pubmed/26392689 http://dx.doi.org/10.4103/0972-124X.156884 Text en Copyright: © Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Perumal, Meena Priya Bagavathy Ramegowda, Aruna Dunthur Lingaraju, Avinash Janaki Raja, James Johnson Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title | Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title_full | Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title_fullStr | Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title_full_unstemmed | Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title_short | Comparison of microsurgical and conventional open flap debridement: A randomized controlled trial |
title_sort | comparison of microsurgical and conventional open flap debridement: a randomized controlled trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555798/ https://www.ncbi.nlm.nih.gov/pubmed/26392689 http://dx.doi.org/10.4103/0972-124X.156884 |
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