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Jain, Saurabh
- Comparative Evaluation of Platelet Rich Fibrin Membrane vs. Collagen Membrane in Combination with Hydroxy-Apatite (HA) for the Treatment of Mandibular Molar Furcation Defects – A Randomized Clinical Control Trial
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Authors
Affiliations
1 Medical officer (Dental), Community Health Centre, Nawacity, Nagaur – 341509, Rajasthan,, IN
2 Senior Professor & Head, Department of Periodontology, Government Dental College (RUHS-CODS),Jaipur − 302016, Rajasthan, India, IN
3 Professor, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, India, IN
4 Assistant Professor, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, IN
5 Senior Demonstrator, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, IN
1 Medical officer (Dental), Community Health Centre, Nawacity, Nagaur – 341509, Rajasthan,, IN
2 Senior Professor & Head, Department of Periodontology, Government Dental College (RUHS-CODS),Jaipur − 302016, Rajasthan, India, IN
3 Professor, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, India, IN
4 Assistant Professor, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, IN
5 Senior Demonstrator, Department of Periodontology, Government Dental College (RUHS-CODS), Jaipur− 302016, Rajasthan, IN
Source
Journal of Pierre Fauchard Academy (India Section), Vol 35, No 4 (2021), Pagination: 128-137Abstract
Aim: A clinical trial to compare the relative efficacy of hydroxyapatite in combination with either PRF (Platelet rich fibrin) or collagen membrane in treatment of grade II furcation defects of mandibular molars. Methodology: The sample consisted of 35 Grade II mandibular molar furcation defects planed for open flap debridement (OFD) (Group 1, n=12), Platelet-rich fibrin membrane + Hydroxyapatite (HA) with OFD (Group 2, n=12), and Collagen membrane (CM) + HA with OFD (Group 3, n=11). These were recorded at baseline and 9 months postoperatively for plaque index (PI), gingival index (GI), probing depth (PPD), relative vertical and relative horizontal clinical attachment levels (RVCAL and RHCAL), and intrabony defect depth (IBD). Results: PI and GI scores decreased significantly in all three groups at 9 months postoperatively as compared to baseline scores. After 9 months of follow up visits mean PD reduction was greater in Group 2 (3.66 ± 0.98 mm) and Group 3 (3.45 ± 1.5 mm) than Group 1 (2.08 ± 0.90 mm), and mean RVCAL and RHCAL gain were greater in Group 2 (3.25 ± 0.75 mm and 3.92 ± 0.29 mm, respectively) and Group 3 (3.09 ± 0.70 mm and 3.89 ± 0.54 mm) compared with Group 1 (1.33 ± 0.77 mm and 2.25 ± 0.62 mm). A significant reduction in IBD depth was found in Groups 2 (2.16*0.38 mm) and 3 (1.58*0.35 mm) than in Group 1 (0.70*0.15 mm). The differences in PI, GI, PPD, RVCAL, and RHCAL between Groups 2 and 3 at baseline and 9 months were not statistically significant. There was a statistically significant difference in the depth reduction of IBD between Groups 2 and 3 at nine months. Conclusion: Within the scope of this study, it can be stated that the use of HA in conjunction with PRF or CM in the treatment of grade II mandibular furcation abnormalities resulted in a considerable reduction in GI PI, PPD, RVCAL, RHCAL, and IBD depth on follow up visit at 9 months after surgery. However, the combination of HA with PRF membrane exhibited significant improvement in radiographic parameters in comparison to the combination of HA with Collagen membrane.Keywords
Collagen Membrane, Mandibular Molar Furcation, Open Flap Debridement, StudyReferences
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- Comparison of Peri-implant Bone Level Changes in Immediate Implant with Functional versus Non- Functional Loading in Mandibular Posterior Region
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Authors
Affiliations
1 Medical Officer (Dental), CHC Bhinai, Ajmer – 305622, IN
2 2Associate Professor, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
3 Professor and HOD (Retired), Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
4 Professor and HOD, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
5 Medical Officer (Dental), CHC Nawa, Nagaur – 341509, IN
6 Associate Professor, Department of Periodontology, Burdwan Dental College and Hospital, Burdwan – 713101, IN
1 Medical Officer (Dental), CHC Bhinai, Ajmer – 305622, IN
2 2Associate Professor, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
3 Professor and HOD (Retired), Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
4 Professor and HOD, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur – 302016, IN
5 Medical Officer (Dental), CHC Nawa, Nagaur – 341509, IN
6 Associate Professor, Department of Periodontology, Burdwan Dental College and Hospital, Burdwan – 713101, IN
Source
Journal of Pierre Fauchard Academy (India Section), Vol 36, No 1 (2022), Pagination: 1-8Abstract
Introduction: Traditionally, teeth that are absent are substituted by partial dentures or by complete dentures. Many prefer a dental implant as it tries to imitate the natural tooth. Though the notion of immediate loading reduced the time of prosthetic treatment, debate arose whether the loading should be functional or non-functional. The objective of this study was to compare the Peri-implant Bone Level (PIBL) deviations in immediate implant placement with instantaneous functional versus non-functional loading in the mandibular posterior region. Material and Methods: Fifty patients were incorporated in the study and distributed by random sampling into two groups of equal members each. Group A had patients in whom implant was placed followed by immediate functional loading. Group B were those who had non-functional loading. After bone implant integration, temporary crowns were replaced with metal ceramic prosthesis. PIBL change (in mm) of each implant was assessed by periapical radiograph which were taken at immediate post op, after one month and then on three and six months follow up. Statistical analysis was done using software SPSS v 21.0. Comparison between the groups (Mann Whitney U test), intragroup (Friedman’s) and Wilcoxon Signed rank test for pairwise comparison were done. Results: There was PIBL gain mesially and distally of the implants in both the groups in all time intervals of one, three and six months follow up. Conclusions: To conclude immediate implants restored instantly yielded affirmative result as far as survival of the implants, bone level changes and aesthetics of the soft tissues are concerned irrespective of the type of loading.Keywords
Denture, Edentulousness, Implant, Occlusion, Osseo-IntegrationReferences
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