Journal of Indian Society of Periodontology最新文献

{"title":"Effectiveness of subgingival irrigation and powered toothbrush as home care maintenance protocol in type 2 diabetic patients with active periodontal disease: A 4-month randomized controlled trial.","authors":"Jaspreet Kaur,&nbsp;Vishakha Grover,&nbsp;Jyoti Gupta,&nbsp;Mili Gupta,&nbsp;Vinay Kapur,&nbsp;Manjula Mehta,&nbsp;Deborah M Lyle,&nbsp;Tanvi Samujh,&nbsp;Ashish Jain","doi":"10.4103/jisp.jisp_509_21","DOIUrl":"10.4103/jisp.jisp_509_21","url":null,"abstract":"<p><strong>Background: </strong>There is a bidirectional link between diabetes and periodontal disease. Control of active periodontal infection is an essential requisite to maintain optimal oral and systemic health in diabetic patients. The purpose of this study was to evaluate the efficacy of subgingival irrigation and powered toothbrush as home care maintenance protocol in type 2 diabetic patients with active periodontal disease compared to routine oral hygiene.</p><p><strong>Materials and methods: </strong>Forty (<i>n</i> = 40) diabetic (HbA1c >7%) patients were enrolled in this parallel, examiner-blind, interventional clinical trial. Patients were randomized into two groups: Group A (sonic toothbrush and irrigation with water twice daily) or Group B (manual toothbrush and mouth rinsing with 0.12% Chlorhexidine gluconate (CHX) twice daily)). All patients received Phase I therapybefore the start of the study. Clinical parameters (plaque index [PI], gingival index [GI], oral hygiene index [OHI], pocket depth [PD], clinical attachment level [CAL], and bleeding index [BI]) were assessed at baseline, 1, 2, and 4 months. Levels of C-reactive protein (CRP), HbA1c, and interleukin (IL)-1 β were assessed at baseline and 4 months only. Verbal and written instructions were provided to each subject specific to their intervention allocation. Descriptive, parametric, and nonparametric analyses were used where appropriate.</p><p><strong>Results: </strong>Sixteen (<i>n</i> = 16) patients in Group A and fifteen (<i>n</i> = 15) patients in Group B completed the 4-month study. Both groups showed a significant difference in BI, PD, CAL, and HbA1c from baseline to 4 months. There were no differences within groups for OHI, GI, or PI and CRP, IL-1 β. The results are based on an underpowered study due to the drop out of 9 patients reducing the number below the needed 19 patients per group based on the power analysis.</p><p><strong>Conclusion: </strong>Results from this study provide information for future studies on self-care regimens for individuals living with Type 2 diabetes.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"515-523"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of bioactivity and biodegradability of a biomimetic soft tissue scaffold for clinical use: An <i>in vitro</i> study.","authors":"Behzad Houshmand, Azadeh Esmaeil Nejad, Fatemeh Safari","doi":"10.4103/jisp.jisp_555_22","DOIUrl":"10.4103/jisp.jisp_555_22","url":null,"abstract":"<p><strong>Background: </strong>Autogenous soft-tissue graft is the gold-standard approach to augment oral soft tissues. However, tissue engineering is increasingly surveyed to overcome its substantial drawbacks, including the secondary site of operation, patient's pain and discomfort, limited tissue of donor site, and so on. Chitosan and gelatin have been utilized in this field over the years due to their great biological virtues. Zeolite, another remarkable candidate for tissue engineering, possesses outstanding biological and mechanical properties, thanks to its nanostructure. Therefore, this study aimed to investigate the biodegradability and DNA content of seeded human gingival fibroblasts on a New Chitosan-Gelatin-Zeolite Scaffold for the perspective of oral and mucosal soft tissue augmentation.</p><p><strong>Materials and methods: </strong>DNA contents of the human gingival fibroblast cell line (HGF.1) seeded on the chitosan-gelatin (CG) and CGZ scaffolds were evaluated by propidium iodide staining on days 1, 5, and 8. Scaffolds' biodegradations were investigated on days 1, 7, 14, 28, 42, and 60.</p><p><strong>Results: </strong>Although both scaffolds provided appropriate substrates for HGF.1 growth, significantly higher DNA contents were recorded for the CGZ scaffold. Among experimental groups, the highest mean value was recorded in the CGZ on day 8. CGZ showed a significantly lower biodegradation percentage at all time points.</p><p><strong>Conclusions: </strong>The incorporation of zeolite into the CG scaffold at a ratio of 1:10 improved the cell proliferation and stability of the composite scaffold. CGZ scaffold may offer a promising alternative to soft-tissue grafts due to its suitable biological features.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"471-478"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cold atmospheric plasma: Its time-dependent effects on the elimination of bacterial colony on periodontal manual scalers.","authors":"Veena Viswanadh, Rajesh Prabhakar Gaikwad, Rajib Kar, Vandan Nagar, Chandulal Digambarrao Dhalkari, Akshaya Banodkar, Namita Maiti","doi":"10.4103/jisp.jisp_309_22","DOIUrl":"10.4103/jisp.jisp_309_22","url":null,"abstract":"<p><strong>Background: </strong>This <i>in vitro</i> study investigated the time-dependent bactericidal effects of cold atmospheric argon plasma treatment of periodontal hand scalers as well as the scanning electron microscopic view of the scaler tip surfaces before and after plasma treatment.</p><p><strong>Materials and methods: </strong>The study used 34 periodontal hand scalers which were divided into test and control groups. The scaler tips were inoculated with <i>Escherichia coli</i> and <i>Staphylococcus aureus</i> bacteria, following which the scalers in the control and test groups were subjected to conventional sterilization and argon plasma sterilization, respectively. Varying exposure times of plasma treatment were done on the test group samples to evaluate the minimum time required for complete sterilization. Subsequently, streaks were made on plate count agar using each of these instruments. The agar plates were then kept in an incubator for 24 h, following which bacterial colony count was assessed (colony-forming units/mL). Furthermore, the scanning electron microscopic (SEM) view of the scaler tip was studied before and after plasma treatment.</p><p><strong>Results: </strong>A complete elimination of bacterial load (Gram-positive as well as Gram-negative) from the instrument surface was achieved by the plasma exposure time of 15-20 s. SEM analysis did not show a significant difference before and after plasma treatment as not many organic residues were present on the scaler tip.</p><p><strong>Conclusion: </strong>Cold atmospheric pressure plasma is an efficient and time-saving method of sterilization, capable of destroying both Gram-positive and Gram-negative bacteria.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"503-507"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of potential antimicrobial activity of <i>Ocimum basilicum</i> extract and chlorhexidine against Socransky's complex pathogens of oral cavity: An <i>in vitro</i> study.","authors":"Atrey J Pai Khot, Anil V Ankola, Suneel Dodamani, Roopali M Sankeshwari, Ram Surath Kumar, Varkey Nadakkavukaran Santhosh","doi":"10.4103/jisp.jisp_406_22","DOIUrl":"10.4103/jisp.jisp_406_22","url":null,"abstract":"<p><strong>Background and objective: </strong>Periodontitis is a multifactorial disease initiated by periodontal pathogens and progresses further in destruction of periodontium. Hence, the objective of this study was to test the efficacy of <i>Ocimum basilicum</i> seeds extract on periodontal pathogens.</p><p><strong>Materials and methods: </strong><i>O. basilicum</i> seeds were authenticated from a recognized taxonomist. They were coarsely powdered; ethanol-based extract preparation was done by the Soxhlet method and aqueous-based extract by hot infusion procedure. Extracts so obtained were assessed for minimum inhibitory concentration, minimum bactericidal concentration, zone of inhibition, and time-kill assay of <i>O. basilicum</i> seeds extract on periodontal pathogens, and comparatively evaluated the effectiveness against 0.12% chlorhexidine (CHX) gluconate in triplicates. Kruskal-Wallis Test was employed wherein the statistical significance was set at <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>The concentration of <i>O. basilicum</i> ethanolic extract against periodontal pathogens was determined to be 10 mg/ml, whereas 4.7 mg/ml of aqueous extract was proven effective against periodontal pathogens. Similarly, aqueous extract of <i>O. basilicum</i> developed a wider zone against periodontal pathogens compared to ethanol-based <i>O. basilicum</i> extract. Statistically significant difference found in the effectiveness between both extract and CHX.</p><p><strong>Conclusion: </strong>The antibacterial activity was evident in both the extracts of <i>O. basilicum</i> against anaerobic periodontal pathogens. However, it was more pronounced in aqueous extract, but lower compared to CHX.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"479-486"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41120803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional-printed scaffolds for periodontal regeneration: A systematic review.","authors":"Tarsila De Moura Figueiredo,&nbsp;Guilherme Castro Lima Silva Do Amaral,&nbsp;Gabriela Neiva Bezerra,&nbsp;Lais Yumi Souza Nakao,&nbsp;Cristina Cunha Villar","doi":"10.4103/jisp.jisp_350_22","DOIUrl":"10.4103/jisp.jisp_350_22","url":null,"abstract":"<p><strong>Background: </strong>As current ethical codes preclude determining whether the clinical improvements obtained with the use of three-dimensional (3D)-printed scaffolds represent true periodontal regeneration, the histological proof of evidence for regeneration must be demonstrated in animal models. Thus, this systematic review investigated the regenerative potential of 3D-printed scaffolds in animal models of periodontal defects.</p><p><strong>Materials and methods: </strong>A systematic search was performed in four databases (Medline, Embase, Web of Science, and Scopus) to identify preclinical controlled studies that investigated the use of 3D-printed scaffolds for periodontal regeneration. Studies limited to periodontal defects treated with 3D scaffolds were eligible for inclusion. The primary outcome was periodontal regeneration, assessed histologically as new bone, cementum, and periodontal ligament (PDL). This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Quality was assessed according to the SRYCLE score.</p><p><strong>Results: </strong>Six studies met the inclusion criteria. Scaffolds were designed using computer-aided design software. While the absence of a scaffold resulted in defects repaired mainly with fibrous connective tissue, the use of nonguiding 3D scaffolds promoted some bone formation. Notably, the regeneration of cementum and functional PDL fibers perpendicularly inserted into the root surface and the alveolar bone was limited to the defects treated with multi-compartment fiber-guiding or ion-containing 3D scaffolds. Nevertheless, the quality of the evidence was limited due to the unclear risk of bias.</p><p><strong>Conclusions: </strong>Despite the limitations of the available evidence, the current data suggest that the use of printed multi-compartment fiber-guiding or ion-containing 3D scaffolds improves periodontal regeneration in animal models.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"451-460"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41134738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study on the comparative evaluation of residual periodontal ligament in extracted teeth of chronic periodontitis patients with and without type 2 diabetes - Vital function of an occult dimension.","authors":"Irene Majo,&nbsp;B Manovijay,&nbsp;Mathew Jacob,&nbsp;P Rajathi,&nbsp;Saramma Mathew Fenn,&nbsp;Saranyan Ravi","doi":"10.4103/jisp.jisp_522_22","DOIUrl":"10.4103/jisp.jisp_522_22","url":null,"abstract":"<p><strong>Background: </strong>Periodontitis is the most common type of periodontal condition, primarily affecting middle-aged people and resulting in tooth loss; when combined with diabetes, it becomes a debilitating condition. The aim of this study is to compare the residual periodontal ligament length in periodontitis patients with and without diabetes.</p><p><strong>Materials and methods: </strong>The cross-sectional observational study was conducted in the department of periodontics over 5 months. The patients in the study were divided into two groups. Group 1 comprised patients with periodontitis without type 2 diabetes and Group 2 comprised patients with periodontitis with type 2 diabetes. A total of 100 teeth 50 from each group were collected. The teeth were stained, and the Residual Periodontal Ligament (RPL) of all tooth aspects and surfaces to a total of 544 were measured. Two points were identified for measuring the RPL. The first point was from the apex of the tooth and the second point was the highest marking of the stain. The length from these two points was recorded as the RPL. Following which, means from Groups 1 and 2 were calculated to determine the rate of destruction. The average of the values for each tooth was calculated to determine the percentage of RPL in each tooth and surface. The Mann-Whitney test was used to compare the RPL of the teeth surfaces and Group 1 and Group 2 and <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The RPL was higher in nondiabetic patients, with a mean value of 23.66 mm, when compared to diabetic patients, with a mean RPL of 17.05 mm, implying that diabetic patients showed greater periodontal destruction. Buccal tooth surfaces displayed a mean RPL of 4.24 mm and 6.00 mm, lingual/palatal tooth surfaces with 4.02 mm and 5.91 mm, mesial tooth surfaces with 3.82 mm and 5.64 mm, and distal tooth surfaces showed 4.14 mm and 5.67 mm (diabetic and nondiabetic, respectively) with (<i>P</i> < 0.001) found to be statistically significant.</p><p><strong>Conclusion: </strong>This study observed that the destruction rate of the periodontal ligament was higher in diabetic teeth than in nondiabetic teeth, implying that patients with metabolic diseases such as type 2 diabetes influence the response of periodontal tissues to periodontitis and that hyperglycemia impacts the periodontal ligament either directly or indirectly.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"492-495"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41135429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative assessment of antibacterial properties of neem oil coated sutures: An <i>in vitro</i> study.","authors":"Bhavneet Kaur,&nbsp;Vidya Sekhar,&nbsp;Prashansa Sharma,&nbsp;Sumit Malhotra,&nbsp;Anshi Jain","doi":"10.4103/jisp.jisp_475_22","DOIUrl":"10.4103/jisp.jisp_475_22","url":null,"abstract":"<p><strong>Background: </strong>When it comes to surgical site infection (SSI), it has been shown that two-thirds of wound infections starts around the incision line and the number is even greater in the presence of sutures. Therefore, a number of compounds have been used to coat the suture materials which tend to decrease the SSI some of which include ciprofloxacin, <i>Aloe vera</i>, and chlorhexidine.</p><p><strong>Objective: </strong>The objective of this study was to assess the antibacterial properties of neem oil-coated sutures in anaerobic culture media when compared to triclosan-coated sutures and uncoated sutures.</p><p><strong>Materials and methods: </strong>The phosphate-buffered saline solution containing the plaque samples of the patients was transferred evenly onto the sterile agar media. Equal segments of 100% neem oil coated (Group 1), 50% neem oil coated (Group 2), triclosan-coated (Group 3), and uncoated (Group 4) sutures were placed on the agar plate. These were then incubated at 37°C for 24 h. The inhibition zone was calculated in mm by measuring of the zone of inhibition (ZOI) in terms of length, breadth, and area.</p><p><strong>Results: </strong>The results were calculated following the incubation. The mean length for 100% neem oil-coated suture was 2.61 mm ± 0.2 and for 50% neem oil-coated suture was 2.49 mm ± 0.24. The mean breadth for 100% neem oil-coated suture was 1.5 mm ± 0.41 and for 50% neem oil-coated suture the mean was 0.95 mm ± 0.58. The mean area for 100% neem oil-coated suture was 77 mm ± 32.9 and for 50% neem oil-coated suture was 16.8 mm ± 11.14. Triclosan and uncoated sutures did not show any ZOI.</p><p><strong>Conclusion: </strong>The 100% neem oil-coated sutures had the largest length, breadth, and area of ZOI in the anaerobic culture media, followed by 50% neem oil-coated sutures. Triclosan-coated and uncoated sutures did not show any ZOI. Therefore, neem oil-coated suture can be used in the overall healing and prevention of postoperative discomfort after oral surgical procedures.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"487-491"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A clinical investigation to assess the regenerative potential of Biostite^® (hydroxyapatite, type-I collagen and chondroitin-sulphate) with or without Paroguide^® type-I collagen and chondroitin sulphate) membrane in the treatment of periodontal intrabony defects appraised with surgical re-entry and computer-assisted densitometric image analysis.","authors":"Srinivasa Tenkasale Siddeshappa, Gayathri Gunjiganur Vemanaradhya, Nagur Karibasappa Sowmya","doi":"10.4103/jisp.jisp_450_22","DOIUrl":"10.4103/jisp.jisp_450_22","url":null,"abstract":"<p><strong>Background: </strong>The traditional treatment procedures which aimed at treating periodontal disease did not result in true periodontal regeneration. Unpredictability about osseous defect fill after periodontal flap surgery has stemmed in the research of a variety of regenerative materials. This randomized clinical trial was conducted to compare regenerative potential of Biostite^® bone graft material with and without Paroguide^® a bioresorbable membrane in the treatment of periodontal osseous defects.</p><p><strong>Materials and methods: </strong>Twenty sites from a total of from ten patients were chosen for the study. Those sites were divided into experimental site A (Biostite^®) and experimental site B (Biostite^® with Paroguide^®) at random. Plaque index and gingival index (GI) were the clinical parameters noted at baseline, 3^rd, 6^th and 9^th months, whereas the probing pocket depth, clinical attachment level and gingival recession were noted at baseline, 6^th and 9^th months. Radiographic evaluation was made by using computer-assisted densitometric analysis. Intrasurgical measurements were done at baseline and 9 months. Statistical analysis was done using paired <i>t</i>-test and un-paired <i>t</i>-test.</p><p><strong>Results: </strong>Both experimental site A and B showed a significant reduction in plaque and GI. All clinical parameters as well as radiographic image analysis showed highly significant improvement from baseline to 9 months for both sites. Inter-group comparison does not show statistically significant improvement.</p><p><strong>Conclusion: </strong>The results of this study suggested that both Biostite^® bone graft and Paroguide^® membrane have promised encouraging results in the management of periodontal intrabony defects, however, the groups did differed to each other statistically.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"496-502"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ADIOS.","authors":"Ashish Kumar,&nbsp;Tanya Nandkeoliar","doi":"10.4103/jisp.jisp_340_23","DOIUrl":"10.4103/jisp.jisp_340_23","url":null,"abstract":"","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"445-446"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A double lateral pedicle graft technique for palatal recession coverage on dental implants.","authors":"Mihir Raghavendra Kulkarni,&nbsp;Neel Bhalachandra Bhatavadekar,&nbsp;Swati Badrinarayan Setty,&nbsp;Purva Vijay Bakshi","doi":"10.4103/jisp.jisp_379_22","DOIUrl":"10.4103/jisp.jisp_379_22","url":null,"abstract":"<p><p>Rough surfaces of dental implants, when exposed to the oral environment, are conducive to biofilm colonization and can predispose the affected implant to periimplantitis. Recession coverage using soft-tissue grafts is one of the treatment modalities used for the treatment of exposed implant threads. Recession coverage on the palatal aspect of maxillary implants is difficult due to the firm nature of the palatal mucosa and, consequently has not been widely documented in the literature. This case report documents a novel double-pedicle technique for palatal recession coverage on a dental implant. Two pedicle grafts were obtained from either side of the implant with the mucosal recession: a full-thickness lateral-pedicle graft from the distal aspect and a subepithelial connective tissue pedicle from the mesial aspect. The connective tissue pedicle was stabilized first on the area of mucosal recession and was then covered with the distal full-thickness lateral pedicle. Complete recession coverage was obtained, and the result was observed to be clinically stable after 18 months of follow-up. The technique demonstrated in this report can be a useful tool for the treatment of localized palatal recessions on dental implants.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"27 5","pages":"536-540"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41134737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}