Comparing the efficacy of scaling with root planing and modified widman flap in patients with chronic periodontitis
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 4
Abstract
The present study was aimed to compare non-surgical treatment (scaling and root planing) with surgical (Modified Widman Flap procedure) treatment for chronic periodontitis. Modified Widman Flap procedure was chosen in our study because it results in removal of pocket epithelium to allow direct approximation of connective tissue with the tooth surface, less mechanical trauma than closed curettage, minimal bone removal, maximal conservation of periodontal tissue, facilitation of oral hygiene, and less root exposure with less sensitivity. The study was performed for a six month period .At initial examination, oral prophylaxis was performed and meticulous oral hygiene instructions were given. The patients were recalled after 21 days. At baseline, 15 subjects were selected with 5-7 mm periodontal pocket in at least 2 quadrants of the mouth. It was a split mouth design, with one quadrant of mouth as Control Group and another quadrant as Test Group. In the Control group, Scaling and root planning was carried out and in test group modified widman flap procedure was carried out. Sutures were removed after 1 week. Oral hygiene instructions and professional tooth cleaning were repeated once every 2 weeks during study period for both selected quadrants. The clinical assessment was carried out from baseline to 3 months and 6 months to evaluate the respective treatments and to compare between Non surgical mechanical treatment (control group) and surgical treatment (test group).This study demonstrated that both surgical and nonsurgical methods of treatment are effective in eliminating gingivitis and reducing probing depths provided the subgingival plaque is eliminated and reinfection prevented following active therapy. The investigation demonstrated that active therapy including meticulous subgingival debridement resulted in low frequency of gingival sites which showed bleeding on probing, a high frequency of sites with shallow pockets 4 mm and disappearance of pockets with probing depth of > 6 mm.
Authors and Affiliations
Mehraj Kirmani, Syed Saima, Roobal Behal, Suhail Majid Jan, Asif Yousuf, Aasim Farooq Shah
Keywords
Related Articles
- EP ID EP425405
- DOI -
- Views 120
- Downloads 0
Correlation of iron deficiency anemia and events of febrile seizures among children aged 6 months to 5 years
Introduction: Simple febrile convulsion is the most common central nervous system disease seen in children. There are hypotheses that thresh hold of neuron excitation may be affected by iron deficiency anemia. Febrile se...
Imaging in neurofibromatosis type 1: An original research article with focus on spinal lesions
Background: Neurocutaneous syndromes encompass a group of disorders that affect the embryonic ectodermal plate, which includes the central and peripheral nervous systems, as well as the overlying skin. Materials and met...
A study of morbidity and mortality profile of 500 road traffic accident cases in Malwa region of Punjab
Background: Road Traffic Accidents (RTA) are increasing in an alarming ways. Globally, nearly 1.2 million people killed in RTA during the year 2002. Developing and underdeveloped countries accounted for 80% of these deat...
Our experience of penopubic epispadias repair by modified Cantwell-Ransley technique
We have operated on penopubic epispadias about 8 cases using modified Cantwell-Ransley technique. Penile reconstruction included wide mobilization of the urethral plate from the underlying corpora based on a mesentery fr...
Autopsy - Perception and Attitudes of Undergraduate Medical Students in South India: A Questionnaire Survey
Background: Autopsy is a investigative procedure that has been in use since several years. Even though It helps in arriving at a decision regarding the cause of death, its use is declining recently, which should be a cau...