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Platelet-rich fibrin in combination with decalcified freeze-dried bone allograft for the management of mandibular degree II furcation defect: A randomised controlled clinical trial

Ashish Agarwal

http://orcid.org/0000-0002-5859-5575

Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India

E-mail Address: drashish.aag@gmail.com

Corresponding author.

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R. G. Shiva Manjunath

http://orcid.org/0000-0003-0032-8367

Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India

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Priyamwada Sethi

http://orcid.org/0000-0001-8531-4874

Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India

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, and

G. Shiva Shankar

http://orcid.org/0000-0003-3892-7322

Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India

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https://doi.org/10.1142/S2214607519500032Cited by:14 (Source: Crossref)

Abstract

Background: Treatment of furcation involvement of molars with periodontal disease remains challenging and unpredictable. Platelet-rich fibrin (PRF) has received the attention of researchers due to its pleiotropic properties essential for periodontal wound healing. The osteoinductive property of demineralized freeze-dried bone allograft (DFDBA) has been successfully used in periodontal regeneration.

Aim: The present study aimed to explore the effectiveness of PRF alone and with DFDBA in the treatment of mandibular degree II furcation defects in subjects with chronic periodontitis.

Material and Methods: Patients treated were from the Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly. A total of 60 mandibular molars were treated with either open flap debridement (OFD) alone, $PRF + OFD$ $PRF + OFD$ combination or $OFD + PRF + DFDBA$ $OFD + PRF + DFDBA$ combination. The soft and hard tissue parameters such as vertical probing depth (VPD), vertical clinical attachment level (VCAL), gingival marginal level (GML), horizontal probing depth (HPD), vertical bone fill (VBF), horizontal bone fill (HBF) and furcation width (FW) were determined at baseline and 9 months postoperatively. A paired $t$ $t$ -test was conducted to assess the statistical significance between time period within each group for clinical and radiographic parameters. ANOVA and post-hoc Tukey’s tests were also conducted for intergroup comparison of soft and hard tissue parameters. Statistical significance was set at $p < 0.05$ $p < 0.05$ .

Results and Discussion: After 9 months, all treatment groups showed significant ( $p < 0.001$ $p < 0.001$ ) improvement in soft and hard tissue parameters, except GML in all the three groups and HBF and FW in the OFD group as compared to baseline. The mean VBF change was highest in the $OFD + PRF + DFDBA$ $OFD + PRF + DFDBA$ group ( $1.90 + 0.45$ $1.90 + 0.45$ ) mm, followed by that in the $PRF + OFD$ $PRF + OFD$ and OFD groups ( $1.60 + 0.88$ $1.60 + 0.88$ and $0.45 + 0.51$ $0.45 + 0.51$ mm, respectively).

Conclusions: It was shown that both $PRF + OFD$ $PRF + OFD$ and $PRF + DFDBA + OFD$ $PRF + DFDBA + OFD$ combinations were significantly advantageous for the management of mandibular degree II furcation defects. However, the $PRF + DFDBA + OFD$ $PRF + DFDBA + OFD$ combination has significantly greater benefits than $PRF + OFD$ $PRF + OFD$ combination in terms of VBF.

Keywords:

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This is an Open Access article published by World Scientific Publishing Company. It is distributed under the terms of the Creative Commons Attribution 4.0 (CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Platelet-rich fibrin in combination with decalcified freeze-dried bone allograft for the management of mandibular degree II furcation defect: A randomised controlled clinical trial

Abstract

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