Assessment of supracrestal tissue attachment variation in patients with chronic periodontitis before and after treatment: A clinical-radiographic study

Abstract

Brief summary:The supra crestal tissue attachment is an essential concept in the periodontics and restorative dentistry. The dimension of supra crestal tissue attachment is directly related to the periodontal disease severity. Assessment of the supra crestal tissue attachment is crucial because after treatment of periodontitis there is a frequent need for restoration or prosthesis. AbstractBackground/Aim. Healthy periodontium comprises the dento-gingival junction.Periodontal disease starts to appear when the integrity of the junctional epithelium is disturbed. Assessment of the supra crestal tissue attachment (SCTA) is essential because there is a frequent need for restoration or prosthesis after periodontal surgical and nonsurgical therapy. The aim of the present study is to evaluate the SCTA variation in a patient of chronic periodontitis before and after treatment. Methods. Thirty systemically healthy patients with periodontitis were enrolled in the study. Fifteen patients were subjected to scaling and root planing and 15 to open flap debridement. Radiographic and clinical supra crestal tissue attachment was assessed before and after treatment at 3 and 6 months interval. Results. Comparison between clinical and radiographic SCTA shows a significant difference in patients with periodontitis (p<0.05). This difference is not significant after treatment of patients with shallow pockets with scaling and root planing (p>0.05) but shows a significant difference in patients with moderate pockets treated by open flap debridement (p<0.05). Conclusion. Progression in periodontal disease will cause a reduction in the SCTA dimension, which regains its original dimensions after periodontal therapy. It takes around 3 months for the shallow pockets to regain supra crestal tissue attachment to the original dimension when treated by scaling and root planing. Whereas moderate pockets regain it after 6 months when treated with open flap debridement.

Comparison between Measurements of Clinical Attachment Level and Transgingival Probing with Alveolar Bone Crest Level in Chronic Periodontitis Patients

“…(frequently referenced for BW), measurements were taken on autopsy jaws, [23](b) dimensions of the BW seem to differ with respect to periodontal health and in patients with untreated chronic periodontitis, [25] (c) periodontal disease progression has an inverse correlation with dimensions of the BW [13]. The progression of periodontal disease causes reduction in BW which is regained to its original dimension after periodontal therapy.…”