Entire Papilla Preservation Technique in the Treatment of Periodontal IntraBony Defects: a 1-year Follow-up Study

N/AActive Not RecruitingNCT06744348

Necmettin Erbakan University17 enrolled

Overview

The aim of this study was to investigate the radiographic and clinical outcomes associated with the whole papilla preservation technique in the treatment of isolated intraosseous defects in patients with stage III periodontitis. The records of 17 systemically healthy patients (12 women and 5 men) diagnosed with stage III periodontitis who underwent the whole papilla preservation technique three months after nonsurgical periodontal treatment were evaluated. The following clinical parameters were recorded at baseline and after treatment: full mouth plaque score (FMPS), full mouth bleeding score (FMBS), probing depths (PD), clinical attachment level (CAL) and gingival recession (GR). The early healing index (EHI) score was assessed 1 week after surgery in both groups. CAL gain was determined as the primary outcome. Baseline data as well as follow-up assessments at 1 month, 3 months, 6 months and 1 year were analyzed to determine the efficacy and long-term outcomes of the treatment.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Periodontal Diseases Periodontal Bone Loss

Interventions

The "EPP" technique is a tunnel-like approach of the defect-associated inter-dental papilla. Surgical loupes (3.3× magnification) with LED light illumination were used to increase visibility of the surgical site. Following a buccal intra-crevicular incision, a bevelled vertical releasing incision was performed in the buccal gingiva of the neighbouring inter-dental space and extended just beyond the mucogingival line to provide appropriate mechanical access to the intrabony defect.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * • Systemically healthy individuals. * Patients who underwent reconstructive periodontal surgery following the completion of non-surgical treatment. * Presence of at least one isolated two- or three-wall intrabony defect with probing depth (PD) ≥7 mm, clinical attachment level (CAL) ≥7 mm and at least 4 mm intrabony component involving predominantly the interproximal area of the affected tooth * Full-mouth plaque score (FMPS) and full-mouth bleeding score ≤20% Exclusion Criteria: * Individuals who smoke * Individuals with uncontrolled systemic disease * Individuals using drugs that affect periodontal tissues * Individuals during pregnancy and breastfeeding * Presence of single-walled intraosseous defects * Flood restoration * Inadequate endodontic treatment

Locations (2)

Konya Necmettin Erbakan Üniversitesi

Konya, Meram, Turkey (Türkiye)

Konya Necmettin Erbakan Üniversitesi

Konya, Turkey (Türkiye)

Outcomes

Primary Outcomes

PROBİNG DEPTH

Probing Depth (PD) refers to the distance from the gingival margin to the base of the periodontal pocket. It is expressed in mm and a high measurement is a clinically unfavorable value

Time frame: 1 YEARS

Clinical Attachment Level

Clinical Attachment Level (CAL) is defined as the distance from the cementoenamel junction (CEJ) to the base of the periodontal pocket. It is expressed in mm and a high measurement is a clinically unfavorable value.

Time frame: 1 YEARS