Aniruddh Menon, Nashra Kareem, Jayanth Kumar Vadivel. Evaluation Of Periodontal Flap Procedures Done Using Guided Tissue Regeneration (Gtr) Versus Guided Tissue Regeneration (Gtr)
With Bone Graft. Int J Dentistry Oral Sci. 2021;8(8):4065-4069.
4065
OPEN ACCESS https://scidoc.org/IJDOS.php
Evaluation Of Periodontal Flap Procedures Done Using Guided Tissue Regeneration (Gtr) Versus
Guided Tissue Regeneration (Gtr) With Bone Graft
Research Article
International Journal of Dentistry and Oral Science (IJDOS)
ISSN: 2377-8075
*Corresponding Author:
Nashra Kareem,
Senior Lecturer, Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences(SIMATS), Saveetha University, Chennai
600077, Tamil Nadu, India.
E-mail: nashrak.sdc@saveetha.com
Received: July 30, 2021
Accepted: August 11, 2021
Published: August 18, 2021
Citation: Aniruddh Menon, Nashra Kareem, Jayanth Kumar Vadivel. Evaluation Of Periodontal Flap Procedures Done Using Guided Tissue Regeneration (Gtr) Versus Guided
Tissue Regeneration (Gtr) With Bone Graft. Int J Dentistry Oral Sci. 2021;8(8):4065-4069. doi: http://dx.doi.org/10.19070/2377-8075-21000830
Copyright: Nashra Kareem
©
2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distri-
bution and reproduction in any medium, provided the original author and source are credited.
Aniruddh Menon
1
, Nashra Kareem
2*
, Jayanth Kumar Vadivel
3
1
Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences(SIMATS), Saveetha University, Chennai 600077, Tamil
Nadu, India.
2
Senior Lecturer, Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences(SIMATS),
Saveetha University, Chennai 600077, Tamil Nadu, India.
3
Reader, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical
Sciences(SIMATS), Saveetha University, Chennai 600077, Tamil Nadu, India.
Introduction
Periodontitis is a group of infammatory diseases affecting the
supporting structures of the tooth, i.e., is a serious infection that
damages the soft tissue and destroys the underlying bone that sup-
ports the teeth. It is caused by a large group of microorganisms
that adhere frmly to and grow on the tooth’s surfaces, along with
an aggressive cascade of immune response against these causative
microorganisms [23, 24, 34, 64]. It results ultimately in the loss of
the alveolar bone around the teeth, and if left untreated, can lead
to abnormal loosening and subsequent loss of all affected teeth
[2, 15]. Periodontitis can cause pathological loss of the tooth and
various other systemic complications such as heart attack, stroke
or even infective endocarditis. It is also aggravated and seen in
association with various systemic complications like diabetes mel-
litus [45, 49, 50] etc. In light of various recent breakthroughs in
treatment planning and execution, for extensive and comprehen-
sive treatment for periodontitis there are various approaches [21,
39, 49, 50, 52, 53, 62]. Periodontal therapy is aimed at arresting
the progression of disease by controlling the infection, and re-
generating the lost attachment apparatus of the tooth. The use of
bone grafts and guided tissue regeneration (GTR) are among the
techniques widely used to reach this therapeutic endpoint [47, 54].
Numerous studies have reported successful clinical results when
employing collagen membranes for GTR therapy [7]. The ration-
ale for selecting collagen as a barrier membrane was based on
the fact that type-1 collagen is the main constituent of periodon-
tal connective tissue. In addition, collagen materials also exhibit
chemotactic function for fbroblasts, hemostatic property, weak
immunogenicity and osteoblast adhesion activity. However, it is
critical in GTR that the space under- neath the barrier is main-
Abstract
The aim of the present study is to assess the prevalence of GTR and GTR with bone graft procedures for periodontal therapy
at Saveetha Dental College. Retrospective data of 28 patients was obtained and segregated. The inclusion criteria included 21-
65 years age group, patients who underwent frenectomy/frenotomy and visited between June 2019 to April 2020. Once the
data was obtained it was statistically analyzed using SPSS by IBM version 20. In the present study out of the 28 patients that
were assessed males were 64.3% and females were 35.7%. The patients were within the age group of 21-65 years with a mean
age of 39.75 plus or minus 12.04 years. Maximum numbers of Regenerative Procedures are done in the ages of 38, 39 and 47
years each with 10.7% of the study population. Out of the total 28 Regenerative Procedures, a procedure using guided tissue
regeneration alone constitutes about 39.3% whereas 60.7% of the regenerative Procedures were performed along with bone
graft as an adjunct to guided tissue repair. Chi Square Test was performed between the different variables but there was no as-
sociation. Although traditional non-surgical and surgical periodontal therapy can be predictably used to arrest the progression
of the disease and in the treatment of mild defects, it might be inadequate for the treatment of moderate and severe defects.
Keywords: Gtr; Bone Graft; Periodontal Therapy; Xenograft Periodontitis.