Incidence of Periodontal Pocket Development in Distal Root of Mandibular Second Molar Following Impacted Third Molar Removal in Compare to Using Bone Graft & Platelet rich Plasma
DOI:
https://doi.org/10.61841/7my49179Keywords:
Platelet-rich Plasma, Bovine Porous Bone Mineral, Mesioangular Impacted Third MolarAbstract
Background : Extraction of a deep impacted mandibular third molar leads to a periodontal defect in the adjacent second molar; the use of bone graft & PRP as regenerative material aids in healing improvement & preventing periodontal pocket development.
Materials and Methods: The population sample included in this research was randomly selected from patients attending the teaching dental hospital of the college of dentistry/Almuthana University seeking dental treatment. 30 patients (20 females & 10 males); the age of these patients ranged from 17 to 26 years. All selected patients were nonsmokers, with bilateral mandibular third molar inclusion in mesio-horizontal position. In the study group, the alveolar cavity was filled with PRP and BPBM alone. The alveolar cavities of the control group were treated without PRP & BPBM. Inclusion criteria included the presence of a pocket that was located distally to the second mandibular molar with a probing depth greater than or equal to 7mm.
Results: Following 18 weeks, a significant reduction in pocket depth & gain in clinical attachment level at the distal root of the second molar in both groups treated with bone graft & platelet-rich plasma compared to the control group.
Conclusion: The use of bone graft & platelet-rich plasma is necessary for filling bony defects following deep impacted third molar extraction to prevent periodontal defect development distally to the second molar and improve new bone regeneration.
Downloads
References
[1] Löe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol 1965; 36:177–187.
[2] Leung WK, Corbet EF, Kan KW, et al: A regimen of systematic periodontal care after removal of impacted
The mandibular third molars manage periodontal pockets associated with the mandibular second molars. J
Periodontol 32:725, 2005
[3] Banks HV. Incidence of third molar development. Angle Orthod 1934; 4: 223–233.
[4] Baba-Kawano S, Toyoshima Y, Regalado L, Sa’do B, Nakasima A. Relationship between congenitally
missing lower third molars and late formation of tooth germs. Angle Orthod 2002; 72: 112–117.
[5] Worrall SF, Riden K, Haskell R, et al: UK National Third Molar project: The initial report. Br J Oral
MaxillofacSurg 36:14, 1998
[6] Nordenram A, Hultin M, Kjellman O, et al: Indications for surgical removal of the mandibular third molar.
Study of 2,630 cases. Swed Dent J 11:23, 1987
[7] McNutt M, Partrick M, Shugars DA, et al: Impact of symptomatic pericoronitis on health-related quality of
life. J Oral MaxillofacSurg 66:2482, 2008
[8] John MT: Oral health-related quality of life is often poor among patients seeking third molar surgery. J
Evid Based Dent Pract 5:158, 2005
[9] Kugelberg CF, Ahlström U, Ericson S, et al: Periodontal healing after impacted lower third molar surgery.
A retrospective study. Int J Oral Surg 14:29, 1985
[10] Leone SA, Edenfield MJ, Cohen ME: Correlation of acute pericoronitis and the position of the mandibular
third molar. Oral Surg Oral Med Oral Pathol 62:245, 1986
[11] Camargo PM, Lekovic V, Weinlaender M, et al: Platelet-rich plasma and bovine porous bone mineral
combined with guided tissue regeneration in the treatment of intrabony defects in humans. J Periodontal
Res 37:300, 2002
[12] Marx RE, Carlson ER, Eichstaedt RM, et al: Platelet-rich plasma: Growth factor enhancement for bone
grafts. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 85:638, 1998
[13] Irinakis T, Tabesh M. Preserving the socket dimensions with bone grafting in single sites: An esthetic
surgical approach when planning delayed implant placement. J Oral Implantol 2007; 33: 156-163.
[14] Keith JD Jr., Salama MA. Ridge preservation and augmentation using regenerative materials to enhance
Implement predictability and aesthetics. Compend Contin Educ Dent 2007; 28: 614-621.
[15] O’Leary TJ, Drake RB, Naylor JE: The plaque control record. J Periodontol 43:38, 1972
[16] Silness J, Loee H: Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal
condition. Acta Odontol Scand 22:121, 1964
[17] Muhlemann HR, Son S: Gingival sulcus bleeding—A leading symptom in initial gingivitis.
HelvOdontolActa 15:107, 1971
[18] Removal of third molars. National Institutes of Health Consensus Development Conference summary.
Volume 2, Number 11. Tex Dent J 98:6, 1980
[19] Ash M, Costich E, Hayward J: A study of periodontal hazards of 3rd molars. J Periodontol 33:209, 1962
[20] Szmyd L, Hester WR: Crevicular depth of the second molar in impacted third molar surgery. J Oral
SurgAnesthHosp Dent Serv 21:185, 1963
[21] Whitman DH, Berry RL, Green DM: Platelet gel: An autologous alternative to fibrin glue with applications
in oral and maxillofacial surgery. J Oral MaxillofacSurg 55:1294, 1997
[22] Strayhorn CL, Garrett JS, Dunn RL, et al: Growth factors regulate expression of osteoblast-associated
genes. J Periodontol 70:1345, 1999
[23] Polson AM, Proye MP: Fibrin linkage: A precursor for new attachment. J Periodontol 54:141, 1983
[24] Wikesjo UM, Nilveus RE, Selvig KA: Significance of early healing events on periodontal repair: A review. J Periodontol 63: 158, 1992
[25] Scheyer ET, Velasquez-Plata D, Brunsvold MA, Lasho DJ, Mellonig JT. A clinical comparison of a bovine-derived xenograft used alone and in combination with enamel matrix derivative for the treatment of periodontal osseous defects in humans. J Periodontol 2002; 73: 423-432.
[26] Tadjoedin ES, de Lange GL, Bronckers AL, Lyaruu DM, Burger EH. Deproteinized cancellous bovine bone (Bio-Oss) as a bone substitute for sinus floor elevation. A retrospective, histomorphometrical study of five cases. J Clin Periodontol 2003; 30: 261-270.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
