The purpose of the present study was to clinically and radiographically evaluate and compare the efficacy of demineralized freeze dried bone allograft (DFDBA) and bovine derived xenogenic bone graft (BDX) [Bio-Oss] with amniotic membrane (AM) as guided tissue regeneration (GTR) in the treatment of human periodontal Grade II buccal furcation defects. Ten patients suffering from chronic periodontitis, displaying bilateral Grade II buccal furcation defect, were randomly treated using DFDBA with AM (Experimental site A) or using bovine derived xenograft (BDX) with AM (Experimental site B). The clinical and radiographic parameters were recorded at baseline, 6 and 9 months. Healing was uneventful in all patients except one site which was treated with BDX + AM. At 9 months after therapy, soft tissue measurements for the DFDBA + AM group showed pocket depth (PD) reduction of 4.7 mm +/- 0.58, and relative attachment level gain of 4.8 mm + 0.32, while the BDX + AM group showed a PD reduction of 4.4 mm +/- 0.27, and AL gain of 5.1 mm +/- 0.09. Osseous measurements showed bone fill of 2.1 mm +/- 0.36 for the DFDBA + AM group and 2.43 mm +/- 0.38 for the BDX + AM group. Percentage gain in bone was 76.3% for the DFDBA + AM group and 79.6% for the BDX + AM group. Statistical analysis revealed there was no statistical difference between the two materials in all measurements. Within the limits of the present study, it can be concluded that: (1) at 9 months after surgery both therapies resulted in significant PD reductions and CAL gains and (2) significant improvement was seen in bone fill and percentage gain with both the material, however, there was no significant difference between both.
Background: The concept of minimal invasive technique has gained importance in the recent years and is replacing the open surgical procedures in the field of periodontology too. The treatment of gingival recession has always been technique sensitive with it's associated morbidity and discomfort because of the invasive nature. This article presents a report of two cases treated with a minimally invasive Pinhole Surgical Technique, which is a modern marvel, gradually taking over the open surgical procedures, resulting in a near overall root coverage, especially in multiple recession defects. Keywords: Pinhole technique; PRF; Recession; Root coverage;
Traumatic or irritational fibroma is a common benign reactive oral lesion and the treatment of choice is surgical excision. The use of lasers in dental practice has become a very common treatment modality. Here we present a case of a large fibroma on the buccal mucosa which was excised using diode lasers. This procedure proved to be an efficient treatment modality without any unfavourable postoperative consequences
The efficacy of periodontal surgery in the treatment of periodontal diseases not yet been systematically evaluated. The objective of this review was to systematically evaluate the efficacy of periodontal surgical procedures in the various treatment modalities. Periodontal disease is multifaceted in nature and scope. The problems created due to this inflammatory condition are different eg. gingival enlargement, osseous deformities, mucogingival problem which ultimately may lead to tooth loss. There are different surgical treatment modalities to treat periodontitis and its clinical manifestation. There is no one way or single method to approach this inflammatory condition. The ultimate treatment selection is determined by training, ability, and philosophy to attain complete regeneration of the lost periodontal tissue.
vaporization, hemostasis, and sterilization effect, may serve as an adjunct or alternative to conventional, mechanical periodontal therapy [9,10]. They are also accompanied by many advantages like strong hemostatic and bactericidal effects [11-13]. Preprocedural decontamination is a laser application which is done before any instrumentation, even probing. The objectives associated with this procedure is to affect the bacteria within the sulcus, reducing the risk of bacteremia caused from instrumentation, and to lower the microcount in aerosols created during ultrasonic instrumentation [14]. Regarding clinical use of the diode laser for pocket treatment, Coluzzi recommended laser soft tissue curettage at 0.4 W in continuous wave mode after mechanical debridement of root surface, followed by irradiation at 0.6 W for hemostasis and bacterial reduction, while Gutknecht et al. [15,16], suggested the use of a diode laser at 2W in
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