EFFECTIVENESS OF ADVANCED AUTOLOGOUS PLATELET RICH FIBRIN IN THE TREATMENT OF CHRONIC PERIODONTITIS PATIENTS

SAMIM HABEEB  IBRAHIM; HASHIM DAWOOD  MOUSA

doi:10.26682/sjuod.2020.22.1.2

SAMIM HABEEB IBRAHIM Dept. of oral and maxillofacial surgery and periodontics, College of Dentistry, University of Duhok, Kurdistan Region- Iraq
HASHIM DAWOOD MOUSA . of oral and maxillofacial surgery and periodontics, College of Dentistry, University of Duhok, Kurdistan Region- Iraq

DOI: https://doi.org/10.26682/sjuod.2020.22.1.2

Keywords: periodontitis:, Advanced platelet rich fibrin :, periodontal pocket:, openflapdebridement:

Abstract

Background and objectives:A definitive objective of periodontal treatment incorporatesremoving of inflammation, stopping of periodontal disease advancement and the recovery of tissues lost due to previous existing disease process.Theaim of study was to examine the clinical effectiveness of advancedautologous platelet rich fibrin(A-PRF) in the treatment of moderate to severe chronic periodontitis patients using A-PRF with conventional open flap debridement(OFD) or OFD only without using A-PRF.

Methods: The study enlisted on 25 patients,After choice for patients who have horizontal bone loss by periapical X-ray and probing pocket depth(≥ 5mm).we did buccal and lingual incisions and the mucoperiosteal ﬂaps were raised(as a conventional flap)Meticulous deformity debridement and root planning was executed by manual curette, then in test group advanced platelet rich fibrin(A-PRF)derived into the cleaned area. The same procedure used in control group but without using of A-PRF.

Results: The study groups showed significant improvement in clinical periodontal parameters of probing pocket depth(PPD) and Real attachment level(RAL)after 6 months(p-value 0.011),(p-value <0.0001) respectively, also it showed significant improvement after 3 months in RAL(P-value0.0001)and between 3 and 6 months was significant(P-value,0.002),while non-significant improvement in PPD after 3 months(P-value,0.446) and also non-significant in RAL through 3 and 6 months(P-value,0.123).

Conclusion:APRF was significantly improved the clinical measurements(parameters)as far as Probing pocket Depth and Clinical Attachment Level with releasing high growth factors.

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