Clinical and Radiographic Evaluation of NIPSA Versus M-MIST in Treatment of Intra-osseous Defects
Periodontitis, Adult
About this trial
This is an interventional treatment trial for Periodontitis, Adult focused on measuring Intraossous defects, Periodontitis
Eligibility Criteria
Inclusion Criteria:
- Stage III periodontitis patient having at least one tooth with Two walls or combined 2- to 3-walls intraosseous defects ≥ 3 mm deep (assessed by trans-gingival probing, radiographic examination) with clinical attachment level (CAL) ≥ 5mm and pocket depth (PD) ≥ 6 mm.
- Defect not extended to a root furcation area.
- Vital teeth
- Non-smokers.
- No history of intake of antibiotics or other medications affecting the periodontium in the previous 6 months.
- No periodontal therapy carried out in the past 6 months.
- Able to sign an informed consent form.
- Patients age between 20 and 60 years old.
- Patients who are cooperative, motivated, and hygiene conscious.
- Able to come for the follow up appointment's needed.
- Systemically free according to Modified Cornell Medical Index health questionnaire (Kark et al., 1964).
Exclusion Criteria:
- Pregnancy or breast feeding.
- The presence of an orthodontic appliance.
- Teeth mobility greater than grade I.
Sites / Locations
- Cairo UnvRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Other
Modified Minimally Invasive Surgical Technique
Non- incised papilla surgical approach
Comparator: Modified Minimally Invasive Surgical Technique The defect will be gained through the tiny buccal triangular flap: from the buccal 'window' the soft tissue filling the defect (i.e. the so-called granulation tissue) will be sharply dissected from the papillary supra-crestal connective tissue and from the bony walls with a micro-blade and will be removed with a mini-curette (The soft tissue will be sharply dissected from the osseous defect)
intervention: Non- incised papilla surgical approach Apical horizontal incision on the buccal mucosa, as far as possible from the interdental papillae and marginal KT will be performed. Soft tissue will be reflected apico-coronally by a full-thickness flap showing the granulation tissue filling the bony defect after exposing the coronal limit of the intra-bony component of the defect, while the marginal tissue will be kept unaltered.