Function of Air-Abrasion Device During Open Flap Surgery in Resective and Regenerative Periodontal Therapy: Case Reports
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 13, Issue 2
Abstract
Background: One of the basic pillars of periodontal surgery is open flap surgery, which preserves the regeneration skill of the periodontium. The aim of this case report is to present a novel approach to the effects of airflow device (Varios Combi Pro – NSK) usage during periodontal open flap surgery with a primary focus on periodontal attachment and regeneration. The main goal is to obtain a treated root surface with smooth and hard surface characteristics without endotoxins. Air-abrasive device is an opportunity for root debridement which helps the aim to probing depth reductions and removal of subgingival biofilm. Description of the Clinical Procedure: The observed group of cases contained of patients with chronic periodontitis, deeper than 4mm sockets. Periodontal parameters of each patient had been registered (PPD, GR, CAL, BoP, PI) two days pre-surgery and at the 3-, and 7-months post-surgery appointments. After conservative therapy and motivating our subjects to perform ideal oral hygiene, they were prepared for open flap surgeries. Every case was operated by the same surgical method by contouring flaps, removing the granulation tissues, scaling and root surfaces were conditioned by the air-abrasive device. Besides the same steps, in two cases, Emdogain® (Straumann) was applicated into defects. Description of the Outcomes: After 3 months eventless healing period, the involved teeth showed absence of bleeding on probing. Measurements were always made at six sites per tooth. In two cases the mean pocket depth reduction measured 1.7 mm, in two Emdogain applicated cases reduction were 1.8 and 2.3 mm. The average clinical attachment gain in two cases measured 1.9 and 0.4 mm, while in two cases with Emdogain usage were 4.8 and 3.1 mm. We observed slight (2 mm) gingival recession. Afterwards 7 months healing period, registered parameters have been improved and we checked a maintained healing procedure. These results indicate that using air-abrasive device provides plaque-free and homogeneous but cemented root surfaces while periodontal ligaments might be properly preserved to give chance for periodontal regeneration.In dentistry, especially in periodontology, wide range of dental materials and equipment’s burst upon our view. One of basic pillar of periodontal surgery is open flap surgery, which helps the regeneration of the periodontium. Our working team combined open flap debridement with the usage of air-abrasive treatment for conditioning the root surfaces while we also tried to avoid the total lack of the cementum. The main goal of this procedure was to present the effects of air-polish device (Varios Combi Pro – NSK) usage in surgical treatment to assist periodontal attachment and regeneration.
Authors and Affiliations
Orsolya Nemeth, Fanni Simon, Julia Gango, Marton Kivovics
Keywords
Related Articles
- EP ID EP594426
- DOI 10.26717/BJSTR.2019.13.002376
- Views 146
- Downloads 0
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