Periodontitis
Conditions
Keywords
Periodontal regeneration, Growth factors
Brief summary
Background: To compare the effectiveness of open flap debridement (OFD) alone and OFD along with either Autologous Platelet Rich Fibrin (PRF) or Titanium Platelet Rich Fibrin (TPRF) in the treatment of intrabony defects (IBDs). Materials and methods: Study was conducted on subjects reporting to the Department of Periodontics, The Oxford Dental College and Hospital, Bangalore. 38 subjects with 90 periodontal IBDs of moderate to severe periodontitis were selected and assigned to OFD alone (group I) or OFD with Autologous PRF (group II) or OFD with TPRF (group III). In each subject, a minimum number of two sextants were present with probing pocket depths (PPD) ≥5mm in at least three teeth.
Interventions
Oral prophylaxis followed by Open flap debridement (OFD)
Oral prophylaxis followed by Open flap debridement (OFD) with Platelet rich fibrin (PRF) placement into the bone defect
Oral prophylaxis followed by Open flap debridement (OFD) with Titanium Platelet rich fibrin (TPRF) placement into the bone defect
Sponsors
Study design
Eligibility
Inclusion criteria
* presence of minimum 20 permanent teeth * age group 20-55 years * radiographic evidence of periodontal IBDs * probing pocket depth (PPD) \>5mm in minimum two sextants in at least three teeth * clinical attachment (CA) loss of ≥ 3mm.
Exclusion criteria
* Systemically compromised subjects * those on medications (corticosteroids/ bisphosphonate therapy) that may interfere with wound healing * grade III tooth mobility * smokers and alcoholic subjects * pregnant and lactating mothers * subjects who underwent periodontal treatment within a period of 1 year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| defect depth reduction (DDR) | Change from baseline to 9 months |
| change in clinical attachment level (CAL) | Change from baseline to 9 months |
Secondary
| Measure | Time frame |
|---|---|
| change in probing pocket depths (PPD) | Change from baseline to 9 months |
| change in plaque index (PI) | Change from baseline to 9 months |
Countries
India