Background: Currently, there is no gold-standard regenerative material for the treatment of furcation defects. The use of bone grafts in combination with guided tissue regeneration membrane is a predictable treatment option but is expensive. Platelet concentrates are increasingly being used owing to their ease of use and cost-effectiveness. Aims: The aim of this study is to evaluate the ability of platelet-rich fibrin (PRF) to augment the regenerative effects exerted by demineralized freeze-dried bone allograft (DFDBA) in the treatment of mandibular degree II furcation defects. Materials and Methods: Twenty-eight defects in 14 patients with bilateral Degree II mandibular furcation defects were included in the study. The test group was treated with a combination of DFDBA and PRF, while in the control group DFDBA was used alone. Clinical parameters such as probing depth, relative vertical clinical attachment level, relative horizontal clinical attachment level (RHCAL), gingival margin level (GML), plaque index, and sulcus bleeding index were measured at baseline and 6 months. Radiographic parameters, such as vertical defect depth, horizontal defect depth and defect fill, were measured using cone beam computed tomography, taken at baseline and 6 months. Statistical Analysis Used: The intragroup and intergroup comparisons were done using the paired t -test. Results: The intergroup comparison of mean change in the parameters showed, statistically significant difference in RHCAL (<0.001) and GML (0.014), and no significant difference in other parameters. Conclusions: Within the limitations of the present study, PRF seems to favor soft-tissue healing but has no additional benefit in bone regeneration when used in combination with DFDBA.
Introduction: Periodontitis is an inflammatory disease that is a common cause for damage to gingiva and periodontal tissue and for the loss of teeth. Tooth mobility, pathological migration and alveolar bone loss are common sequelae of periodontitis. Two types of periodontitis known are Chronic and Aggressive type. In gingival crevicular fluid (GCF), the activity of Alkaline phosphatase has been considered as a useful diagnostic and prognostic marker of periodontal disease. Based on this observation, a study has been conducted in patients with chronic and aggressive periodontitis and their age and gender matched healthy controls to assess the ALP levels in GCF. Material and methods: GCF alkaline phosphatase activity was observed in patients with aggressive and chronic periodontitis and their age and gender matched healthy controls. Results: On Comparison between GCF alkaline phosphatase levels between both aggressive and chronic periodontitis and their age and gender matched controls, the mean difference was statistically significant (P < 0.01) when paired t test was used. Conclusion: In patients with aggressive and chronic periodontitis, the mean alkaline phosphatase levels were increased significantly in comparison to healthy controls.
Aim: To assess parents’ attitudes towards the dental health of their children, considering the role of the family’s socioeconomic background. Materials and Methods: A questionnaire was formulated based on the literature review and the objective of the study and was self-administered to 400 parents, oral examination of the child was performed using WHO dentition status and treatment needs. Chi-square test was used for analysis. Results: The knowledge of parents regarding primary teeth was based on their socioeconomic status. A majority of parents from group II reported that primary teeth stay for 3 to 6yrs of age in contrast to parents from group V who said that primary teeth would remain till 12 yrs of age. A statistically significant difference was found between the various socioeconomic groups (p=0.000).
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