International Journal of Clinical Oral and Maxillofacial Surgery

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Management of Periodontal Defect after Mandibular Third Molar Extraction

Received: 17 June 2015    Accepted: 30 June 2015    Published: 01 July 2015
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Abstract

Objectives: 1) to compare the regeneration with and without applying nanohydroxyapetite (nHA) bone graft and to determine if there is a clinical potential benefits of nHA in the regeneration on postextraction alveolar bone healing of distal bone defects of mandibular 2nd molar, 2) to determine whether there are differences in postoperative clinical symptoms between the two groups. Study Design: a prospective, randomized controlled and double blinded study. The hypothesis is based on the extraction of impacted third molar in both groups by the same surgeon. A total of 50 patients were included in the present study, they were divided into two equal group. Group I treated by surgical extraction of impacted third molar with nHA on the socket, while Group II treated by surgical extraction of impacted third molar alone. Assessment of postoperative clinical symptoms (pain, swelling, trismus, infection), changes in probing depth and alveolar bone height and density at the distal second molar was done in both groups. Results: The highest acceleration in alveolar bone formation on the distal aspect of the adjacent second molar was observed on graft group. There were no statistically significant differences between groups regarding the clinical symptoms pain, swelling, trismus and infection. There was a significant reduction in probing pocket depth and increase in bone height and density at the end of study period in both groups. Conclusions: According to the results of the present study, the use of nanohydroxyapetite bone graft show improvement on height and density of alveolar bone and there was a significant reduction of the probing pocket depth. The clinical symptoms seems similar with non- significant differences between groups regarding pain, swelling, trismus and infection.

DOI 10.11648/j.ijcoms.20150101.12
Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 1, Issue 1, June 2015)
Page(s) 4-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Periodontal Defect, Mandibular Third Molar Extraction, Bone Graft, Nanohydroxyapetite

References
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Author Information
  • Lecturer of Oral & Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al Azhar University, Nasr City, Cairo, Egypt

  • Vise Dean and Professor of Oral Medicine and Periodontology, Faculty of Dentistry, Sinai University and Al-Azhar University, Cairo, Egypt

  • Lecturer of Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Elnahda University, Banisweef, Egypt

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  • APA Style

    Shadia Abdel-Hameed Elsayed, Abeer Saad Gawish, Amany Khalifa. (2015). Management of Periodontal Defect after Mandibular Third Molar Extraction. International Journal of Clinical Oral and Maxillofacial Surgery, 1(1), 4-10. https://doi.org/10.11648/j.ijcoms.20150101.12

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    ACS Style

    Shadia Abdel-Hameed Elsayed; Abeer Saad Gawish; Amany Khalifa. Management of Periodontal Defect after Mandibular Third Molar Extraction. Int. J. Clin. Oral Maxillofac. Surg. 2015, 1(1), 4-10. doi: 10.11648/j.ijcoms.20150101.12

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    AMA Style

    Shadia Abdel-Hameed Elsayed, Abeer Saad Gawish, Amany Khalifa. Management of Periodontal Defect after Mandibular Third Molar Extraction. Int J Clin Oral Maxillofac Surg. 2015;1(1):4-10. doi: 10.11648/j.ijcoms.20150101.12

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  • @article{10.11648/j.ijcoms.20150101.12,
      author = {Shadia Abdel-Hameed Elsayed and Abeer Saad Gawish and Amany Khalifa},
      title = {Management of Periodontal Defect after Mandibular Third Molar Extraction},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {1},
      number = {1},
      pages = {4-10},
      doi = {10.11648/j.ijcoms.20150101.12},
      url = {https://doi.org/10.11648/j.ijcoms.20150101.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcoms.20150101.12},
      abstract = {Objectives: 1) to compare the regeneration with and without applying nanohydroxyapetite (nHA) bone graft and to determine if there is a clinical potential benefits of nHA in the regeneration on postextraction alveolar bone healing of distal bone defects of mandibular 2nd molar, 2) to determine whether there are differences in postoperative clinical symptoms between the two groups. Study Design: a prospective, randomized controlled and double blinded study. The hypothesis is based on the extraction of impacted third molar in both groups by the same surgeon. A total of 50 patients were included in the present study, they were divided into two equal group. Group I treated by surgical extraction of impacted third molar with nHA on the socket, while Group II treated by surgical extraction of impacted third molar alone. Assessment of postoperative clinical symptoms (pain, swelling, trismus, infection), changes in probing depth and alveolar bone height and density at the distal second molar was done in both groups. Results: The highest acceleration in alveolar bone formation on the distal aspect of the adjacent second molar was observed on graft group. There were no statistically significant differences between groups regarding the clinical symptoms pain, swelling, trismus and infection. There was a significant reduction in probing pocket depth and increase in bone height and density at the end of study period in both groups. Conclusions: According to the results of the present study, the use of nanohydroxyapetite bone graft show improvement on height and density of alveolar bone and there was a significant reduction of the probing pocket depth. The clinical symptoms seems similar with non- significant differences between groups regarding pain, swelling, trismus and infection.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Management of Periodontal Defect after Mandibular Third Molar Extraction
    AU  - Shadia Abdel-Hameed Elsayed
    AU  - Abeer Saad Gawish
    AU  - Amany Khalifa
    Y1  - 2015/07/01
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijcoms.20150101.12
    DO  - 10.11648/j.ijcoms.20150101.12
    T2  - International Journal of Clinical Oral and Maxillofacial Surgery
    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
    SP  - 4
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2472-1344
    UR  - https://doi.org/10.11648/j.ijcoms.20150101.12
    AB  - Objectives: 1) to compare the regeneration with and without applying nanohydroxyapetite (nHA) bone graft and to determine if there is a clinical potential benefits of nHA in the regeneration on postextraction alveolar bone healing of distal bone defects of mandibular 2nd molar, 2) to determine whether there are differences in postoperative clinical symptoms between the two groups. Study Design: a prospective, randomized controlled and double blinded study. The hypothesis is based on the extraction of impacted third molar in both groups by the same surgeon. A total of 50 patients were included in the present study, they were divided into two equal group. Group I treated by surgical extraction of impacted third molar with nHA on the socket, while Group II treated by surgical extraction of impacted third molar alone. Assessment of postoperative clinical symptoms (pain, swelling, trismus, infection), changes in probing depth and alveolar bone height and density at the distal second molar was done in both groups. Results: The highest acceleration in alveolar bone formation on the distal aspect of the adjacent second molar was observed on graft group. There were no statistically significant differences between groups regarding the clinical symptoms pain, swelling, trismus and infection. There was a significant reduction in probing pocket depth and increase in bone height and density at the end of study period in both groups. Conclusions: According to the results of the present study, the use of nanohydroxyapetite bone graft show improvement on height and density of alveolar bone and there was a significant reduction of the probing pocket depth. The clinical symptoms seems similar with non- significant differences between groups regarding pain, swelling, trismus and infection.
    VL  - 1
    IS  - 1
    ER  - 

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