Clinical Evaluation Of Autogenous Bone Graft With And Without Platelet Rich Plasma In The Treatment Of Grade Ii Furcation Involvement Of Mandibular Molars

Research Article
Muzafar Ahmad Bhat, Rafiya Nazir Khan and Mudasir Ahmad Bhat
DOI: 
http://dx.doi.org/10.24327/ijrsr.2019.1004.3368
Subject: 
science
KeyWords: 
Bone grafting, furcation defect, periodontal regeneration, platelet-derived growth factor
Abstract: 

Background and aims: Plasma rich plasma (PRP) is a concentrated suspension of growth factors, which is used to promote periodontal tissue regeneration. The aim of this randomized, controlled, clinical trial was to evaluate of the treatment of grade II mandibular molar furcation involvement using autogenous bone graft with and without PRP Materials and methods: In this double-blind clinical trial, thirty mandibular molars with grade II furcation involvement in 30 patients were selected. The test group received bone graft combined with PRP, while the control group was treated with bone graft only. Clinical parameters included clinical probing depth (CPD), vertical clinical attachment level (V-CAL), horizontal clinical attachment level (H-CAL), location of gingival margin (LGM), surgically exposed horizontal probing depth of bony defect (E-HPD), vertical depth of the base of bony defect (V-DBD), After six months, a re-entry surgery was performed. Data were analyzed by SPSS 14 and paired t-test. Results: After 6 months, both treatment methods led to significant improvement in V-CAL and HCAL and significant decreases in CPD, E-HPD and V-DBD ; there was no significant difference in LGM in any of the treated groups compared to the baseline values. Also, none of the parameters showed significant differences between the study groups. Conclusion: Although autogenous bone grafts, with or without PRP, were successful in treating grade II furcation involvement, no differences between the study groups were observed.