The aim of this study was to evaluate the efficacy of combination therapy of diode laser and photodynamic therapy (PDT) as an adjunct to scaling and root planing (SRP) on interleukin-17 (IL-17) levels in gingival crevicular fluid (GCF) in patients with chronic periodontitis. Thirty subjects with chronic periodontitis were included. All teeth received periodontal treatment comprising of SRP. Using a split mouth study design, the test group was additionally treated with a combination therapy of diode laser and PDT. GCF was collected to evaluate IL-17 levels at baseline and 3 months. There was no difference in baseline values for levels of IL-17 in GCF in the test group and the control group. A significant decrease in GCF levels of IL-17 was observed in both treatment groups 3 months after treatment ( < 0.001). However, the treatment groups showed no significant difference ( > 0.05). Based on the results of the present study it was concluded that, GCF levels of IL-17 changed significantly after treatment regardless of treatment modality.
It was concluded that the combination technique of BCP alloplast with a flowable bioabsorbable GTR barrier led to better results in regard to defect bone fill as compared with when the BCP alloplast alone was used.
Excessive gingival display while smiling is one of the significant esthetic concern for many patients. One of the etiology for this is altered passive eruption (APE). A clinician must have a thorough knowledge of the clinical presentation of this condition and methods to eliminate it in order to provide the desired esthetical and functional outcome. Periodontic plastic procedures provide the best solution to this condition not only by eliminating the excess of gingiva but also by enhancing the gingival esthetics and biological harmony.
This case report highlights the clinical presentation of alter passive eruption in two patients along with sequential approach for management of such condition.
How to cite this article
Yadav SR, Madaan V, Kini VV, Padhye AM. Altered Passive Eruption: Report on Management of Two Cases. J Contemp Dent 2015;5(3):173-177.
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