Abstract:Conventional complete denture therapy is the most extensively used form of treatment for replacement of missing dentition. Patient satisfaction plays a major role in determining the success during treatment procedures. It helps in assessment of certain psychological traits and the impact of complete denture prostheses on daily living. This study was done to evaluate the relationship between patient satisfaction and the newly constructed denture prostheses, as it would indicate the degree of success of the treatment given.

Planning a course of treatment for periodontially compromised patients is a multidisciplinary approach involving sequential therapy by a Periodontist and a Prosthodontist. Specific problems have to be recognized and a treatment plan has to be formulated from both the disciplines to deliver best professional and clinical skills in management of a periodontially compromised individual. Hence this review article addresses case characteristics, objectives, sequence of therapy and treatment planning in patients receiving periodontal prosthesis.

BACKGROUNDPlatelet Rich Fibrin has stood the test of time as an excellent augmenter of bone regeneration. It is not only cost effective and easy to produce, it also releases the much-needed cytokine cascade that promotes both soft tissue healing and bone regeneration. It is however, of utmost importance to establish other potentials of this widely used autologous agent to accelerate bone regeneration. We wanted to explore if addition of an antibiotic to PRF to improves its inherent qualities. We wanted to assess radiographically the changes in bone regeneration rate and soft tissue healing between bilateral mandibular third molar trans-alveolar extraction sockets placed with platelet-rich fibrin (PRF) alone as compared to platelet rich fibrin (PRF) gel infused with Metronidazole. METHODSFifty patients undergoing bilateral mandibular third molar extractions were included in the study. PRF was inserted into the extraction socket on one side (Group A) and PRF gel infused with Metronidazole into the socket on the contra-lateral side (Group B). The soft tissue healing of the surgical sites after one week and bone regeneration rates of both the groups was assessed radiographically at 1 week, 1 month, 2 months, 3 months and 6 months and compared statistically. RESULTSThe study was done between May 2010 and January 2012 on 50 patients with 20 women (30%) and 30 men (70%) with a mean age of 25 years. The healing of soft tissues was considerably better in Group B. The bone regeneration was also significantly higher in Group B than Group A at each of the follow-up intervals. CONCLUSIONSPlatelet rich fibrin gel with Metronidazole could significantly increase the amount of new bone formation in comparison to that of PRF alone. Also, soft tissue healing was more satisfactory and predictive in those receiving PRF gel with Metronidazole.

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