Health Condition 1: K053- Chronic periodontitis
Conditions
Interventions
Intervention1: open flap debridement with addition of bone graft material in the defect: Open flap debridement will be performed under local anesthesia using standard surgical protocol Intracrevicular
Sponsors
Chitwan Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Patients diagnosed with chronic periodontitis presenting with at least one intrabony defect Probing pocket depth (PPD) greater than or equal to 5 mm and clinical attachment loss (CAL) greater than or equal to 3mm Radiographic evidence of vertical (intrabony) bone defect Systemically healthy individuals Completed Phase I periodontal therapy with acceptable oral hygiene Willing to provide written informed consent
Exclusion criteria
Exclusion criteria: 1 Systemic conditions affecting healing ( uncontrolled diabetes, immunocompromised states) 2 History of periodontal surgery at the study site within the last 6 months 3 Use of antibiotics or anti-inflammatory drugs in the previous 3 months 3 Pregnant or lactating women 4 Smokers or tobacco users 5 Teeth with furcation involvement (Grade II/III) or poor prognosis 6 Presence of endodontic lesions or periapical pathology 7 Poor compliance or inability to attend follow-up visits
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Clinical Attachment Level (CAL)Timepoint: baseline 6 months 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include reduction in probing pocket depth (PPD), changes in radiographic bone level (RBL), percentage bone fill, gingival recession (GR), plaque index (PI), gingival index (GI), and postoperative healing outcomes. These will be assessed at baseline, 6 months, and 12 months, with early healing assessment at 1 week postoperatively.Timepoint: Probing Pocket Depth (PPD) Reduction Time Points: Baseline, 6 months, and 12 months Radiographic Bone Level (RBL) / Defect Depth Reduction Time Points: Baseline, 6 months, and 12 months Percentage Radiographic Bone Fill Time Points: 6 months and 12 months Gingival Recession (GR) Time Points: Baseline, 6 months, and 12 months Plaque Index (PI) Time Points: Baseline, 6 months, and 12 months Gingival Index (GI) Time Points: Baseline, 6 months, and 12 months Postoperative Healing and Complications (pain, swelling, infection) Time Points: 1 week (early healing), 6 months, and 12 months | — |
Countries
Nepal
Contacts
Public ContactDr Shristi Kafle
Chitwan Medical College
Outcome results
None listed