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Artigo em Inglês | MEDLINE | ID: mdl-32573474

RESUMO

AIM: The present study aimed to investigate the effectiveness of PRF in the treatment of infrabony defects in patients with chronic periodontitis by evaluating the clinical outcome through periodontal depth, clinical attachment level at the baseline, 6 and 9 months post operatively. MATERIAL AND METHODS: Sixty infrabony defects with probing depth ≥ 5 mm were treated. The inclusion criterion was the necessity for surgical bilateral maxillary treatment. By using split-mouth study design, each patient had one side treated with conventional flap surgery and the other side with conventional flap surgery and PRF. Clinical parameters, such as probing depth (PD) and clinical attachment lost (CAL), were recorded in both groups at baseline, 6 and 9 months post operatively. RESULTS: Positive effects for all clinical and radiographic parameters were evident in the group with PRF. Mean PD reduction demonstrated statistically significant greater results in the test group (4.00±1.07 mm) compared to the control one (4.83±0.99 mm), p = 0.003 after 9 months postoperatively. After 9 months, there were better results in the test group compared to the control group for CAL (5.60±1.61 mm, 6.20±1.58 mm), but statistically not significant. CONCLUSION: Additional use of PRF in the conventional surgical treatment of infrabony defects demonstrated better parameters than the open flap debridement alone.


Assuntos
Perda do Osso Alveolar/terapia , Periodontite Crônica/terapia , Doenças Periodontais/patologia , Fibrina Rica em Plaquetas/fisiologia , Adulto , Perda do Osso Alveolar/classificação , Perda do Osso Alveolar/diagnóstico , Reabsorção Óssea/diagnóstico , Reabsorção Óssea/etiologia , Estudos de Casos e Controles , Periodontite Crônica/classificação , Periodontite Crônica/complicações , Periodontite Crônica/patologia , Desbridamento/métodos , Feminino , Regeneração Tecidual Guiada Periodontal/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Fibrina Rica em Plaquetas/química , Retalhos Cirúrgicos/cirurgia , Resultado do Tratamento
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