The present study was designed to evaluate the combined efficacy of PRF and 1% ALN in the treatment of mandibular degree II furcation defects when compared with PRF and open flap debridement (OFD) alone.
Background: Various regenerative materials have been introduced and tested in the treatment of furcation defects. Platelet-rich fibrin (PRF) is a reservoir of growth factors and cytokines which are the key factors for regeneration of bone and maturation of the soft tissue. Alendronate (ALN), a potent member of bisphosphonate group is known to promote tissue regeneration by inhibiting osteoclastic bone resorption and promoting osteoblastogenesis. The present study was designed to evaluate the combined efficacy of PRF and 1% ALN in the treatment of mandibular degree II furcation defects when compared with PRF and open flap debridement (OFD) alone. Methods: Seventy two mandibular furcation defects were treated with either OFD alone (Group 1), OFD with PRF (Group 2), and OFD with PRF+1% ALN (Group 3). Clinical parameters; site specific plaque index (PI), modified sulcus bleeding index (mSBI), probing depth (PD), relative vertical attachment level (RVAL) and relative horizontal attachment level (RHAL), intrabony defect depth (IBD) were recorded at baseline before surgery and 9 months post-operatively. Percentage radiographic defect fill was evaluated at baseline and 9 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
72
Open flap debridement (OFD) alone
Open flap debridement (OFD) with Platelet rich fibrin (PRF) placement
Open flap debridement (OFD) with Platelet rich fibrin (PRF)+1% Alendronate gel placement
Government Dental College and Research Institute
Bangalore, Karnataka, India
Radiographic bone fill
assessed in percentage
Time frame: baseline to 9 months
probing depth
measured in mm
Time frame: baseline to 9 months
Relative vertical attachment level
measured in mm
Time frame: baseline to 9 months
Relative horizontal attachment level
measured in mm
Time frame: baseline to 9 months
modified sulcus bleeding index
0-3 scale
Time frame: baseline to 9 months
plaque index
0-3 scale
Time frame: baseline to 9 months
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