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

Necmettin Erbakan University

Status: Active, not recruiting

Conditions: Periodontal Diseases; Periodontal Bone Loss

Treatments: Procedure: ENTİRE PAPİLLA PRESERVATİON

Study type: Observational

Funder types: Other

Identifiers

NCT06744348

2024/470

Details and patient eligibility

About

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.

Enrollment: 17 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

17 participants in 1 patient group

Entire Papila Preservation Tecnique

Description:

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

Treatment:

Procedure: ENTİRE PAPİLLA PRESERVATİON