COMPARISON OF TREATMENT RESULTS OF CLASS N FURCATION INVOLVEMENT IN MANDIBULAR MOLARS WITH FLAP SURGERYWITH AND WITHOUTMODIFIED GLASS IONOMER RESIN
Abstract
Introduction. The treatment of furcation involvement is difficult due to the anatomic problems that interfere with the clinician"s accessibility in treating the area and the patient"s ability in maintanining adequate plaque control afterwards. The goal of traditional methods of treatment is to arrest the progression of the bone loss. the ratio of success with these methods has been poor, except for grade I involvements. Guided tissue regeneration has improved the long-term prognosis of many deep grade II lesions but has not always shown consistent predictability. The purpose of this study was to evaluate the clinical effectiveness of a resin modified glass ionomer as a barrier in the treatment of class 11furcation defect in mandibular molars.
Methods. Twenty six (13 eperimental and 13 control) defects were treated in 13 patients that presenting matched pair defects. The following clinical measurments were taken at baseline (after phase I) and 6 month after surgery: plaque index bleeding index, gingival recession, probing pocket depth, probing attachment level. Healing was uneventhful in all cases and barrier remained in place.
Results. No statistically singificant difference was found between the experiment group (use the resin modified glass ionomer) and control group (use the flap surgery alone) respectively. Plaque index reduction (1.38±0.65 VS 1.24±0.45) bleeding index reduction (0.6±0.48 VS 0.69 ± 0.48) (Mean ± SD) and gingival recession (0.3 ± 0.48 VS 0.27±0.57) and reduction probing pocket depth (2.38±0.74 VS 2.92±0.38) were noted. but statistically significant difference in gain of probing attachment level (3.07 ± 0.67 VS 1.96±1.07) were found.
Discussion. The study offers another treatment plan in the treatment of futcation defect molars. More study may be necessary to evaluate efficacy and adverse effects of resin modified glass ionomer.
Methods. Twenty six (13 eperimental and 13 control) defects were treated in 13 patients that presenting matched pair defects. The following clinical measurments were taken at baseline (after phase I) and 6 month after surgery: plaque index bleeding index, gingival recession, probing pocket depth, probing attachment level. Healing was uneventhful in all cases and barrier remained in place.
Results. No statistically singificant difference was found between the experiment group (use the resin modified glass ionomer) and control group (use the flap surgery alone) respectively. Plaque index reduction (1.38±0.65 VS 1.24±0.45) bleeding index reduction (0.6±0.48 VS 0.69 ± 0.48) (Mean ± SD) and gingival recession (0.3 ± 0.48 VS 0.27±0.57) and reduction probing pocket depth (2.38±0.74 VS 2.92±0.38) were noted. but statistically significant difference in gain of probing attachment level (3.07 ± 0.67 VS 1.96±1.07) were found.
Discussion. The study offers another treatment plan in the treatment of futcation defect molars. More study may be necessary to evaluate efficacy and adverse effects of resin modified glass ionomer.
Keywords
GTR, Resorce, Resin Modified Glass Ionomer Cement, Furcation Involvement