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Comparative evaluation of gingival fiber retention technique and conventional periodontal flap technique (kirkl and technique) in the treatment of patients with chronic periodontitis – A clinical study

Author Names : 1Dr. Priyanka Muwal, 2Dr. Gurpreet Kaur  Volume 6 Issue 3
Article Overview

Background: The primary goal of periodontal therapy is to arrest and eliminates the inflammatory disease process as well as their risk factors which are associated with periodontal disease. Periodontal surgery generally indicated to treat deep pockets that are less responding to non-surgical therapy. The aim and objective of this study was to assess and compare the clinical outcomes of the effect of periodontal muco-periosteal flap surgery with gingival fiber retention technique in treating supra-bony periodontal pockets and minimizing the post-surgical recession.

Material And Methods: 4 patients, with moderate to severe chronic periodontitis patients were selected and randomly divided into two groups/sites:- Group 1/ Site 1 – Experimental Site - Flap surgery with gingival fiber retention technique. Group 2/ Site 2– Control Site – Conventional periodontal flap technique (Kirkland technique). Clinical parameters included plaque index, gingival index, periodontal disease index, clinical probing attachment level, recession length, recession width, area of recession were recorded at baseline, 4 weeks, 8 weeks and 12 weeks.

Results: In both intergroup and intragroup comparison of in terms of recession length and recession width were found to be stastically non-significant (p≤0.05) with comparative reduction in recession length and recession width from baseline to 12 weeks-time interval. Moreover, the mean area of recession in intra-group comparison was found to be stastically non-significant (p) at baseline 4weeks, 8weeks and 12 weeks-time interval. The mean area of recession in intragroup comparison was found to be no-significant at 4weeks, 8weeks but at 12 weeks-time interval it was significantly higher in control group.

Conclusion: Gingival fiber retention technique is simple requires less working time and excellent results. It also showed less post-operative surgical recession throughout the study.

Keywords: Gingival fiber retention, Post- surgical recession, Periodontal therapy, Periodontal pocket, Muco-periosteal flap.

 

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