Aim: The aim of this randomized clinical trial (RCT) is to evaluate the clinical and radiographic effectiveness of Entire papilla preservation surgical technique (EPP) to Modified minimally invasive surgical technique (M-MIST) in the treatment of periodontal intraosseous defects in stage III periodontitis patients. Methodology: A total of twenty patients (20-60) years old suffering from Stage III periodontitis were recruited, assigned and allocated randomly to one of two groups, group A (intervention group) to receive Entire Papilla Preservation technique (EPP) and group B (control group) to receive Modified Minimally Invasive Surgical technique (M-MIST). Each patient presented intra-bony defects; the selected sites were divided randomly into two treatment groups. Clinical attachment level gain (CAL gain) was recorded as primary outcome and recall appointments were carried out at 3-, 6- and 12-months post operatively. Radiographical parameters were evaluated pre-surgically and after 6 and 12 months. Patient satisfaction was evaluated at 12 months. A dropout of four patients were excluded during the study period. Results: Both groups demonstrated statistically significant improvement where group A exhibited 4.13 mm CAL gain at twelve months, while group B exhibited 3.81 mm CAL gain twelve months after treatment.
Background: Minimally invasive surgical (MIS) procedure" in multiple and isolated intra-osseous defects maintained the entire interdental papilla with significant improvement in clinical and radiographic outcomes compared to traditional periodontal surgeries. Methods: Thirty-two intra-osseous defects in 15 patients were enrolled for this study and were randomly allocated to both groups i.e. (16 defects) per group. Patients in group I (test group) went for Non-Incised Papilla Surgical Approach (NIPSA), while, in group II (control group), patients received Modified Minimally Invasive Surgical Technique (M-MIST). All clinical and radiographic periodontal parameters were measured at baseline, six months and twelve months. Results: Patients in both groups showed significant improvements in clinical and radiographic outcomes after twelve months of follow-up including reductions in CAL, potential effect in post-surgical patients’ satisfaction and intra-osseous defect fill. Absence of significant difference regarding intergroup comparisons. The minimal surgical flap design plays a very important role in the success of the therapy, creating and maintaining a stable space for the clot. Conclusions: NIPSA is viewed as a promising minimally invasive technique even in hopeless teeth with severe periodontal bone loss, clinical attachment loss to the apex and minimal keratinized tissue.
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