Periodontal Attachment Loss, Periodontal Diseases, Periodontal Pocket, Periodontitis
Conditions
Brief summary
This study compared the clinical outcomes of the non-incised papila surgical approach (NIPSA) alone and with grafting biomaterial.
Interventions
Periodontal reconstructive surgery
Periodontal reconstructive surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* patients diagnosed with periodontitis. * plaque index and bleeding index of \< 30%. * periodontal lesions with pocket probing depth \> 5 mm. * intrabony defect \> 3 mm. * intrabony defect configuration including a 1 and/or 2-wall component, always involving the buccal wall.
Exclusion criteria
* patients with systemic diseases that contraindicated treatment. * third molars. * teeth with incorrect endodontic or restorative treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Probing pocket depth (PD) | 12 months | Probing pocket depth will be assessed with a periodontal probe, measured in mm from the gingival margin to the bottom of the pocket |
| Clinical attachment level (CAL) | 12 months | Clinical attachment level will be assessed with a periodontal probe, measured in mm from the cementoenamel junction (CEJ) to the bottom of the pocket. |
| Recession (REC) | 12 months | Recession, will be assessed with a periodontal probe, measured in mmm on the buccal aspect, from the CEJ to the gingival margin zenith. |
| Location of the tip of the papillae (TP) | 12 months | Location of the tip of the papillae. Taking as reference the level of the mid-axis of the tooth, will be measured the distance from the CEJ at the zenith of the tooth to the tip of the papilla. A positive value will be recorded when the tip of the papillae is located coronally to the CEJ and a negative value otherwise. This outcome will be assessed with a periodontal probe and measured in mm. |
| Keratinized tissue width (KT) | 12 months | Keratinized tissue width will be assessed with a periodontal probe, measured in mm on the buccal aspect, from the gingival margin to the mucogingival line. |
| Bleeding on probing | 12 months | Bleeding on probing could be positive or negative. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Supra-alveolar attachment gain (SUPRA-AG) | 12 months | Subtracting the 12-month CAL from the intra-surgically BC-CEJ will provide the SUPRA-AG result. |
| Wound closure (WC) | 1 week | Complete wound closure (CWC = 2) Incomplete wound closure (IWC = 1) necrosis (NT = 0). |
Countries
Spain