Online ISSN: 2515-8260

Keywords : resective

Study protocol for comparative evaluation between open flap debridement, osseous resective surgery and autogenous bone graft in treatment of hemiseptal periodontal defect - A clinical and radiographic study

Dr. Vaibhav Tiwari; Dr. Prasad V Dhadse

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2017-2026

Abstract: Background: Osseous resection is established treatment protocol for periodontal
hemiseptal defects, however this forces clinician to settle for less than optimal results and
leads to undesirable outcomes like unpleasant esthetics, denitinal hypersensitivity, root caries
etc. the present treatment protocol is designed to asses defect resolution by autogenous bone
pieces in treatment of periodontal hemiseptal defects. Objectives: To evaluate the soft and
hard tissue response using clinical parameters like probing pocket depth(PPD), clinical
attachment level(CAL) and radiographic bone fill in treatment of hemiseptal periodontal
defects to Open flap debridement, Osseous resective surgery autogenous bone graft. Methods:
the study sample will be randomly divided in to 3 groups of 12 hemiseptal defects each. Group
1 to be treated by resective osseous surgery, Group II treated by open flap debridement and
Group III treated by Autogenous bone graft. Clinical parameters include gingival index,
probing pocket depth and clinical attachment level along with radiographic assessment with
radivisograph (RVG) and cone beam computed tomography (CBCT). All parameters will be
evaluated at baseline, 3, 6 and 9 months interval. The Independent-Samples t Test will be done
to compare means for two groups.” The Paired-Samples t test to compare means of two
variables for a single group. Difference will be considered significant when p value <0.05.
Expected results: Proposed approach is expected to show improvement in probing pocket
depth, clinical attachment level, and gingival index. It is also expected to gain defect fill
reduction or resolution of hemiseptal defect. Conclusion : By attempting to treat periodontal
hemiseptal defects with regenerative method this study is attempting to avoid all undesired
effect associated with osseous resection and provide evidence of regeneration in such defects,
this can lead to paradigm shift in treatment approach of periodontal hemiseptal defects.Q