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Year : 2016  |  Volume : 8  |  Issue : 2  |  Page : 172-176

Clinical Evaluation of Combined Porous Hydroxyiapatite and Platelet Rich Plasma in Management of Mandibular Class II Furcation Defects

Associate Professor, Department of Oral Medicine & Periodontology, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt

Correspondence Address:
Magdy Kamel Mohamed
Associate Professor, Department of Oral Medicine & Periodontology, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt

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Source of Support: None, Conflict of Interest: None

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Background: The purpose of the present study was to evaluate the role of platelet rich plasma (PRP) in augmenting the effects of porous hydroxyapatite (PHA) in promoting regeneration of furcated defects in mandibular molars Class II. Materials and Methods: A total of 14 male subjects (age 38-52 years old) were included in this study. All subjects were presented with bilateral mandibular Class II furcation involvement. The split-mouth technique is utilized in an attempt to avoid individual variations. The females were also excluded to avoid their possible hidden hormonal disturbances. Clinical parameters were recorded after the initial phase of scaling and root planning. The baseline clinical measurements included periodontal pocket depth, clinical attachment level, horizontal probing depth, gingival recession and periapical radiographs. In each patient, a unilateral defect site was exposed by modified widman flap, debrided and filled with PRP combined with PHA. 1 month after healing of study site, the contralateral site was managed by M.W. flap only (control site). The same initial clinical measurements were repeated 6 months after surgery. Results: The results showed that PHA combined with PRP induced a statistically significant improvement in the measured clinical parameters; greater than that of open debridement alone. Conclusion: It could be concluded that regenerative periodontal surgery using the forementioned combination (PHA and PRP); could be proposed as a modality to enhance treatment outcome of mandibular furcated areas Class II involvement.

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