Gingival recessions are commonly encountered in dentistry and pose an esthetic concern. Minimal gingival recessions can be treated by a Semilunar Coronally Advanced Flap (SCAF), but the predictability and stability of the outcomes are quiet questionable. In the present report, a Low Level Laser Technique (LLLT) application adjunct to SCAF depicted a significant improvement in the predictability and stability of root coverage outcomes (for a period of 6 months) compared with as achieved by SCAF alone. From this report, it can be stated that LLLT may be effectively used in a day to day practice for enhancing the root coverage outcomes of SCAF.
Most surgical procedure articles throughout the last three decades, especially those dealing with newer techniques, have included explanations of indications and contraindications, as well as the benefits and drawbacks of individual treatments. However, only a few authors have recently focused on periodontal surgical indications. In light of our current understanding of periodontal disease and therapy, this review will examine the indications for certain periodontal surgical procedures.
Background:-The aim of this prospective cross sectional study was to determine the accuracy of CBCT in quantifying intra-osseous periodontal bone defects.Methods:-5 patients with intra-bony defects were selected and 10 defects were assessed. A total of 60 measurements were performed.Periapical radiographs and Cone beam CT scan images were obtained. Height and depth of each defects was measured using appropriate software. Direct measurements were done during surgical interventions using a periodontal probe and were considered the standard reference. Measurements made by all three modalities were compared to each other.
Periodontal intrabony defects (IBDs) are commonly encountered in dental practice and are usually treated by open flap debridement (OFD) with or without bone grafts and/or guided tissue regeneration (GTR), platelet-rich fibrin (PRF), or other additives. A difficulty with these approaches is maintaining the space for bone growth at the determined location. In this report, autologous sticky bone (ASB) was used and compared to a simple mixture of PRF and bone graft (PRF-BG) using the identical graft material—bioactive glass morsels—to assess its regenerative potential in IBDs, as sticky bone is known to maintain the space, according to previous research. A total of 21 IBDs were treated by OFD, PRF-BG mixture, or ASB. Regenerative assessment was clinically and radiographically performed by CBCT at 1 year. All the treatment modalities (OFD, PRF-BG, and ASB) showed statistically significant improvements clinically and radiographically at 1 year in terms of probing pocket depth reduction (PPDR), clinical attachment level gain (CALG), CBCT defect fill (CBCT-DF), and CBCT defect resolution (CBCT-DR); P < .05. The ASB group depicted the most favorable results (P < .05) in terms of the parameters at 1 year followed by the PRF-BG group and then the OFD group. Treatment of periodontal IBDs with ASB resulted in significant improvements in clinical and CBCT parameters compared to baseline at 1 year, and intrasurgical graft handling was much better in the ASB group.
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