Entire Papilla Preservation Technique in the Treatment of Periodontal IntraBony Defects: a 1-year Follow-up Study

NCT06744348 | Active Not Recruiting

• 1 other identifier: 2024/470
• Study Type: observational
• Target: 17
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this study was to investigate the radiographic and clinical outcomes associated with the whole papilla preservation technique in the treatment of isolated intraosseous defects in patients with stage III periodontitis. The records of 17 systemically healthy patients (12 women and 5 men) diagnosed with stage III periodontitis who underwent the whole papilla preservation technique three months after nonsurgical periodontal treatment were evaluated. The following clinical parameters were recorded at baseline and after treatment: full mouth plaque score (FMPS), full mouth bleeding score (FMBS), probing depths (PD), clinical attachment level (CAL) and gingival recession (GR). The early healing index (EHI) score was assessed 1 week after surgery in both groups. CAL gain was determined as the primary outcome. Baseline data as well as follow-up assessments at 1 month, 3 months, 6 months and 1 year were analyzed to determine the efficacy and long-term outcomes of the treatment.

Conditions

Periodontal Diseases; Periodontal Bone Loss

Keywords

microsurgery; clinical attachment level

Outcome Measures

Primary Outcomes (2)

• PROBİNG DEPTH

  Probing Depth (PD) refers to the distance from the gingival margin to the base of the periodontal pocket. It is expressed in mm and a high measurement is a clinically unfavorable value

  1 YEARS

• Clinical Attachment Level

  Clinical Attachment Level (CAL) is defined as the distance from the cementoenamel junction (CEJ) to the base of the periodontal pocket. It is expressed in mm and a high measurement is a clinically unfavorable value.

  1 YEARS

Study Arms (1)

Entire Papila Preservation Tecnique

This innovative approach allows for vertical access to the defect site from the buccal and lingual sides without making incisions in the papillary region. Its goal is to minimize the risk of wound healing failure and the exposure of regenerative biomaterials by fully preserving the interdental papilla over the bony defect

Procedure: ENTİRE PAPİLLA PRESERVATİON

Interventions

ENTİRE PAPİLLA PRESERVATİON PROCEDURE

The "EPP" technique is a tunnel-like approach of the defect-associated inter-dental papilla. Surgical loupes (3.3× magnification) with LED light illumination were used to increase visibility of the surgical site. Following a buccal intra-crevicular incision, a bevelled vertical releasing incision was performed in the buccal gingiva of the neighbouring inter-dental space and extended just beyond the mucogingival line to provide appropriate mechanical access to the intrabony defect.

Entire Papila Preservation Tecnique

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The aim of this study was to evaluate the data of 17 systemically healthy patients (12 males and 5 females) aged between 22 and 60 years (mean age 41.5 ± 5.96 years) who underwent a surgical procedure three months after completion of non-surgical periodontal therapy (NSPT).

You may qualify if:

• Systemically healthy individuals.
• Patients who underwent reconstructive periodontal surgery following the completion of non-surgical treatment.
• Presence of at least one isolated two- or three-wall intrabony defect with probing depth (PD) ≥7 mm, clinical attachment level (CAL) ≥7 mm and at least 4 mm intrabony component involving predominantly the interproximal area of the affected tooth
• Full-mouth plaque score (FMPS) and full-mouth bleeding score ≤20%

You may not qualify if:

• Individuals who smoke
• Individuals with uncontrolled systemic disease
• Individuals using drugs that affect periodontal tissues
• Individuals during pregnancy and breastfeeding
• Presence of single-walled intraosseous defects
• Flood restoration
• Inadequate endodontic treatment

Sponsors & Collaborators

• Necmettin Erbakan University: lead

Study Sites (2)

Konya Necmettin Erbakan Üniversitesi

Konya, Meram, 42090, Turkey (Türkiye)

Location

Konya Necmettin Erbakan Üniversitesi

Konya, 42090, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Periodontal Diseases; Alveolar Bone Loss

Condition Hierarchy (Ancestors)

Mouth Diseases; Stomatognathic Diseases; Bone Resorption; Bone Diseases; Musculoskeletal Diseases; Periodontal Atrophy

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assoc. prof

Study Record Dates

• First Submitted: December 2, 2024
• First Posted: December 20, 2024
• Study Start: July 25, 2024
• Primary Completion: December 15, 2024
• Study Completion: December 15, 2024
• Last Updated: December 20, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)