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

NCT ID: NCT06744348

Last Updated: 2024-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

17 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-25

Study Completion Date

2024-12-15

Brief Summary

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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.

Detailed Description

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Conditions

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Periodontal Diseases Periodontal Bone Loss

Keywords

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microsurgery clinical attachment level

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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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

ENTİRE PAPİLLA PRESERVATİON

Intervention Type 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.

Interventions

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ENTİRE PAPİLLA PRESERVATİON

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.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* • 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%

Exclusion Criteria

* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Necmettin Erbakan University

OTHER

Sponsor Role lead

Responsible Party

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Fatma Uçan Yarkaç

assoc. prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Konya Necmettin Erbakan Üniversitesi

Konya, Meram, Turkey (Türkiye)

Site Status

Konya Necmettin Erbakan Üniversitesi

Konya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2024/470

Identifier Type: -

Identifier Source: org_study_id