Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2018  |  Volume : 22  |  Issue : 5  |  Page : 406-413

Treatment of horizontal defect with and without platelet-rich fibrin matrix: A randomized comparative clinical study

Department of Periodontology, The Oxford Dental College, Bengaluru, Karnataka, India

Correspondence Address:
Koel Debnath
#106, Block-B, GK Jewel City Apartment, Kudlu Harlur Main Road, Kudlu, Bengaluru... - 560. 068, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_129_18

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Aim: The aim of the present study was to assess the clinical and radiographical parameters in horizontal bone defects in patients with chronic periodontitis. Materials and Methods: In this randomized, controlled clinical trial study, nine individuals with 94 sites having moderate to deep periodontitis were selected and distributed to Group A – open flap debridement (OFD), Group B – open flap debridement and intra marrow penetration (OFD + IMP) and Group C – Open flap debridement + Intramarrow penetration + platelet rich fibrin matrix (OFD + IMP + PRFM). Plaque index (PI) and gingival index (GI) were evaluated at baseline, 6 months, and 9 months after surgery. Probing pocket depth (PPD) and clinical attachment level (CAL) were recorded at baseline and 9 months after surgery. Radiographic assessment was carried out to measure the periodontal defect depth and defect fill percentage (DF%) at baseline and 9 months after the surgery using radiovisiography. Results: The statistical evaluation obtained after 9 months showed no significant difference between PI and GI at 9 months interval. Intergroup comparison of PPD and CAL has shown significant difference in Group C as compared to Group A and B with P < 0.05. The defect depth was statistically significant at 9 months in all the groups, and DF percentage (DF%) has shown statistically significant results in Group C as compared to A and B with P = of 0.001. Conclusion: The addition of PRFM to horizontal type of periodontal defects has shown promising results over a 9-month follow-up period.

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