Background:In periodontal regeneration, several alloplastic materials are being used with a goal to reconstruct new osseous tissue in the infrabony defect sites. The present study was undertaken to evaluate the efficacy of hydroxyapatite–bioactive glass (HA:BG) composite granules in the management of periodontal bony defects.Materials and Methods:A randomized control study was conducted. Subjects with infrabony defects were divided into three groups. Test Group 1 (n = 10): Defect site was treated with HA:BG, with a biodegradable membrane. Test Group 2 (n = 10): Defect site was treated with HAP, with a biodegradable membrane. Control group (n = 10): Defect site was treated with open flap debridement with a biodegradable membraneResults:The healing of defects was uneventful and free of any biological complications. The gain in clinical attachment level, reduction of probing pocket depth, and defect fill were statistically significant in all three groups. TG1 sites showed significant defect fill than TG2 and CG sites.Conclusion:The performance of HA:BG was better compared to HAP and open flap debridement for the reconstruction of infrabony defects.
Background:Polishing is an important step in oral prophylaxis procedure which retards further accumulation of plaque on the root surfaces. Though polishing was done with various abrasive particles with different sizes over a long period of time, it was never been highlighted to evaluate the ideal polishing material and the particle size that would produce the ideal surface smoothness (Ra <0.2 μm).Materials and Methods:The present study was carried out on 70 periodontally involved, caries-free extracted human teeth from 42 patients. All the teeth were collected from the region of incisors, canines, and premolars. In vitro scaling and root planing were performed by piezoelectric scaler and Gracey's area specific curettes, respectively. All the teeth were grouped at random into control and experimental. The collections of abrasive materials were done directly from the market, and the different particle sizes were prepared in the laboratory.Experimentation:The polishing was done at a constant speed of 200 rpm with cylindrical nylon bristle brush followed by rubber prophy cup. Each group belonging to control and experimental was subjected to profilometric study for evaluation of surface roughness.Results:Regular polishing abrasives are not able to produce the surface smoothness of our desire level (i.e., Ra <0.2 μm), which can be achieved only by submicron-sized particles.Conclusion:Regular size polishing particles available in the market (>5 μm) are not able to produce the surface smoothness <0.2 μm. Only, submicron sized particles are able to produce the desired smoothness.
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