Management Of Grade Iii Furcation Defects With Bio-Inert Material With A Review Of 9 Months.
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Author:
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SIDDHARTH NARAYAN, SANKARI MALAIAPPAN
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Abstract:
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The aim of the present study was conducted to evaluate the potential of bioinert material, MTA to be used as a regenerative material or restorative barrier in mandibular first molars with grade III furcation defects clinically and radiographically over a 9 month period. The present study was conducted as a prospective single centre split mouth case-control clinical trial in a Dental college and hospital-based setup with a sample of five patients and ten mandibular first molar teeth. Treatment done for all patients was phase 1 periodontal therapy followed by flap surgery where one side open flap debridement was done followed by placement of Mineral trioxide aggregate while open flap debridement alone on the contralateral side. All clinical and radiographic parameters (RVG) were recorded at baseline and repeated after a period of 9 months by a single operator. . It was observed that, clinical attachment loss was reduced to a greater extent in MTA ± OFD (2.2 vs 2?mm, p=0.00) while bleeding on probing scale (1.2 vs 1.4, p=0.004) and probing pocket depth (2.2 vs 2.4 mm, p=0.004) were reduced more in OFD alone group, respectively. Within the limits of this study, the additional benefit of using MTA as a barrier in the mandibular first molar after open flap debridement as compared to open flap debridement was found to be 0.2mm in reduction of CAL and 0.2mm increase of bleeding on probing
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Keyword:
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Attachment loss, barrier, defect, furcation, periodontal, MTA
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.391
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