October 2022
A comparative evaluation of non-incised papillae and entire papilla preservation surgical approaches in treatment of intrabony defects – a clinical and radiographic study
Abstract
Aim: The aim of the present study was to clinically and radiographically compare and evaluate the NIPSA and EPP techniques in the treatment of intrabony defects. Patients and methods: 44 individuals satisfying the inclusion criteria were selected. Clinical parameters included the recording of pocket probing depths (PPD), clinical attachment levels (CAL) and papilla loss. The evaluation of bone fill was performed at the end of 3& 6-months by using Image J® software. Results: NIPSA and EPP resulted in highly significant CAL gains (4.00±1.00vs 5.25 ± 1.47 mm; p ≤ 0.001) and PPD reductions (3.352±0.70vs3.625±1.024 mm; p ≤ 0.001) at 6-months post-surgery. From the start to the end of study period, NIPSA resulted in almost no papilla loss (1.71±0.47 to 1.73±0.77 mm) while EPP technique showed minimal and insignificant (1.57±0.52 to 1.48±0.71 mm; p≥0.05) papilla loss. The EPP group revealed a highly significant (0.459±0.16vs 0.269±0.16cm2; p≤0.001) bone fill over NIPSA group at 6-months. Conclusion: From this trial conducted over a period of 6-months, NIPSA and EPP both resulted in significant improvements in clinical outcomes. NIPSA and EPP showed favourable outcomes in terms papilla loss and bone fill respectively. Both the techniques achieve the aims outlined earlier and broaden the choice available to a periodontist in the management of intrabony defects.
Other articles in this issue
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| Relationship between gingival crevicular trappin-2 and gingipain levels in periodontal health and disease - An observational report Pavithra Durgesh, Srikumar Prabhu, Srirangarajan Sridharan, Ravi Rao, Shashidara Raju, Oradiyath Deepika | Download |
| Characterization of the human root dentin, in the use of EDTA 24%. Intercalated or continuous application? Anne Karoline Fernandes de Matos, Fernanda Aparecida Silva, Tomaz Gonçalves Martins Neto, Priscila dos Santos Simões, Gabriel Gonçalves Amaral, Fernando Antônio Mauad de Abreu | Download |
| A comparative evaluation of non-incised papillae and entire papilla preservation surgical approaches in treatment of intrabony defects – a clinical and radiographic study Vallabhdas Santosh, Vallabhdas Santosh, Bandi Divya Elenora Martina, Rampalli Viswa Chandra, Aileni Amarender Reddy | Download |
| Efficacy of recombinant human fibroblast growth factor-2 (rhfgf-2) impregnated absorbable collagen scaffold in sites with multiple gingival recession defects Viswa Chandra Rampalli , Rajini Kandikatla, Sneha Kidambi, Santosh Vallabhdas, Amarendhar Reddy Aileni | Download |
| Association of periodontitis and psoriasis: a systematic review and meta-analysis Maiara Rodrigues de Freitas, Fabiana Martins de Oliveira Campos, Isabelle Schalch de Oliveira Campos, Victor Silva Mendes, Monique Vieira Furukawa, Fernando O Costa, José R Cortelli, Emanuel Silva Rovai, Sheila Cavalca Cortelli | Download |
| Proof of Principle: human histologic demonstration of socket healing with socket shield and grafting using non-demineralized autologous tooth dentin graft Snježana Pohl, Narayan Tondikulam Venkataraman, Jelena Tomac | Download |
| Cure of type II diabetes mellitus by anti-infectious (step 2) periodontal therapy and the reduction of body weight Jens Martin Herrmann, Kay-Arne Walther, Negar Mirzabeygi, Joerg Meyle | Download |
| Somatosensory evaluation of donor and recipient sites of subepithelial connective tissue graft: case-control preliminary study Talyta Sasaki Jurkevicz, Yuri Martins Costa, Matheus Völz Cardoso, Carla Andreotti Damante, Adriana Campos Passanezi Sant’Ana, Leonardo Rigoldi Bonjardim, Mariana Schutzer Ragghianti Zangrando | Download |
| Painless osteoid osteoma over anterior hard palate: A case report and review of literature Nishat Sultan, Mohammad Faisa, Zeba Jafri, Madhuri Sawai, Ashu Bhardwaj | Download |
| Alveolar ridge and keratinized gingiva preservation using collagen matrix and inorganic bone substitute in flapless extractions: A case series of exposed biomaterials Mariana Moraes de Souza, Cristhiam de Jesus Hernandez Martinez, Valessa Florindo Carvalho, Flávia Aparecida Chaves Furlaneto Messora, Daniela Bazan Palioto Bulle, Michel Reis Messora, Sérgio Luís Scombatti de Souza, Arthur Belém Novaes Jr, Mario Taba | Download |
