Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : ZC73 - ZC77

Effect of Autologous Platelet Rich Fibrin in Human Mandibular Molar Grade II Furcation Defects- A Randomized Clinical Trial

Syed Asimuddin, Rekha Rani Koduganti, Veerendra nath Reddy Panthula, Surya Prasanna Jammula, Rajashree Dasari, Himabindu Gireddy

1. Postgraduate Student, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India. 2. Professor and Head, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India. 3. Professor, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India. 4. Professor, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India. 5. Reader, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India. 6. Reader, Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India.

Correspondence Address :
Dr. Syed Asimuddin,
House no 12-2-37/17/1, Classic Apartment Flat 104, Sri Ramnagar Colony, Mehdipatnam,
Hyderabad-500028, Telangana, India.
E-mail: sayasim@gmail.com

Abstract

Introduction: The Furcation of multirooted teeth is difficult region to gain access for treatment due to their complex anatomy. Modifications have been made in the periodontal instrument armamentarium to facilitate treatment of furcations. Moreover, many new materials have been introduced to attempt regeneration in the furcation defects.

Aim: This study evaluated the role of Platelet Rich Fibrin (PRF) in comparison with allograft and Guided Tissue Regeneration (GTR) in the treatment of Grade II mandibular molar furcations.

Materials and Methods: This was a parallel arm prospective randomized, interventional trial (NCT 02430519) conducted on 22 patients, with Grade II mandibular furcation defects. Patients were divided into two equal groups. Group A, were treated by the placement of PRF as a graft and as a membrane while in Group B, the defects were treated by the placement of allograft and Healiguide collagen membrane. Clinical parameters {Plaque Index (PI), Probing Depth (PD), Relative Vertical Clinical Attachment Level (RVCAL), Relative Horizontal Clinical Attachment Level (RHCAL), Gingival Marginal Level(GML), and amount of Bonefill using Radio-Visiography (RVGBF)}, were estimated at baseline and nine months postoperatively. Comparison between the groups was analysed by using independent sample t-test, whereas, paired t-test was used to assess the mean values within the groups.

Results: The intergroup comparison for PI, PD, RHCAL, GML, was statistically not significant. Pertaining to RVCAL, there was a statistically significant difference at nine months (p-value=0.04) in Group A. Also, there was a statistically significant difference related to RVGBF (p-value=0.006) in Group A at nine months.

Conclusion: The efficacy of PRF should be ascertained by conducting more studies with a larger sample size, on a long term basis, in patients with molar Grade II furcation defects.

Keywords

Chronic periodontitis, Clinical parameters, Furcation defects, Radiographic bone fill

How to cite this article :

Syed Asimuddin, Rekha Rani Koduganti, Veerendra nath Reddy Panthula, Surya Prasanna Jammula, Rajashree Dasari, Himabindu Gireddy. EFFECT OF AUTOLOGOUS PLATELET RICH FIBRIN IN HUMAN MANDIBULAR MOLAR GRADE II FURCATION DEFECTS- A RANDOMIZED CLINICAL TRIAL. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 Apr 25 ]; 11:ZC73-ZC77. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=ZC73-ZC77&id=9694

DOI and Others

DOI: 10.7860/JCDR/2017/23277.9694

Date of Submission: Aug 12, 2016
Date of Peer Review: Sep 26, 2016
Date of Acceptance: Feb 20, 2017
Date of Publishing: Apr 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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