An interventional study of minimally invasive non- surgical therapy and open flap debridement in Furcation Defects, Open Flap Debridement and Periodontal Diseases, sponsored by Postgraduate Institute of Dental Sciences Rohtak. Recruiting at 1 site in India. Per ClinicalTrials.gov, last updated 2024-02-26.
Sponsored by Postgraduate Institute of Dental Sciences Rohtak · Not applicable, Interventional, and Treatment
The reduced rate of success experienced in the treatment of Furcation involvement (FI) seems to result from the incomplete removal of subgingival plaque and calculus in the interradicular area owing to the peculiar anatomy of the furcation space.
Regarding the therapeutic approach, although FI treated with a conservative approach may not yield the same satisfactory results as single rooted teeth; it has been shown that teeth with FI have a remarkable survival rate following conservative treatment in patients demonstrating a satisfactory plaque control. Minimally invasive techniques aim to retain the preoperative gingival architecture, create a minimal wound and gently handle soft and hard tissues. It becomes imperative to see the differences in clinical, and patient centered outcomes of minimally invasive non- surgical versus surgical technique in the management of furcation involvement in mandibulae molar.
Patients will be recruited from outpatient clinic of Department of Periodontics, PGIDS, Rohtak after screening based on given inclusion and exclusion criteria. after initial session of scaling and root planing patient will be re -elevated at the and of 6 to 8 weeks those having grade 2 furcation involvement in any mandibular molar and meeting other eligibility criteria will be randomly allocated to test group and control group Test group -Experimental sites designated to receive non-surgical treatment will be submitted to careful subgingival debridement using curettes and ultrasonic device using 3.5 x magnification.
control group-Surgical technique will be followed with minimally flap reflection and incisions will be performed with papilla preservation techniques. vertical- releasing incisions will not be made, and the full-thickness flap will be minimally elevated. The granulation soft tissue will be dissected with a blade and carefully removed with curettes. The visible calculus will be carefully removed with curettes and an ultrasonic device. The flaps will be re-positioned and sutured and patient follow up 3 to 6 months .
42 studies on the registry are indexed under Furcation Defects; 13 are open to participants now.
This study's planned enrollment of 44 is above the median of 27 across 38 interventional studies indexed under Furcation Defects.
Browse Furcation Defects studies →Postgraduate Institute of Dental Sciences Rohtak is the lead sponsor of 213 studies on the registry; 72 are open to participants now.
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Exclusion Criteria:
Experimental sites designated to receive non-surgical treatment will be submitted to careful subgingival debridement using curettes and ultrasonic device using 3.5 x magnification.
Procedure: minimally invasive non- surgical therapy
Surgical technique will be used and the full-thickness flap will be minimally elevated. The granulation soft tissue will be dissected with a blade and carefully removed with curettes.
Procedure: open flap debridement
hand and ultrasonic instrumentation will be done
flap surgery will be done
change in horizontal clinical attachment level (HCAL)
change in horizontal clinical attachment level (HCAL) of the furcation as assessed
Time frame: 3 months
change in horizontal clinical attachment level (HCAL)
change in horizontal clinical attachment level (HCAL) of the furcation as assessed
Time frame: 6 months
changes in vertical probing depth of the furcation
vertical probing depth will be assessed using UNC 15probe
Time frame: 3 months
changes in vertical probing depth of the furcation
vertical probing depth will be assessed using UNC 15probe
Time frame: 6 months
change in changes vertical clinical attachment level of furcation
change clinical vertical attachment will be assessed using UNC 15 probe
Time frame: 3 months
change in vertical clinical attachment level of furcation
change in vertical clinical attachment level of furcation will be assessed using UNC 15 probe
Time frame: 6 months
probing pocket depth (PPD)reduction
probing pocket depth (PPD)reduction will be calculated around the molar at 6 sites
Time frame: 3 months
probing pocket depth (PPD)reduction
probing pocket depth (PPD)reduction will be calculated around the molar at 6 sites
Time frame: 6 months
Plan to share: No
No publications or documents are linked to this record.
Started Sep 2023 (actual). Primary completion is estimated for Nov 2024, 14 months after the start.
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