مقايسه نتايج باليني جراحي فلپ پريودنتال يك مرحله اي و چند مرحله اي در مبتلايان به پريودنتيت مهاجم موضعي

Comparative evaluation of one-stage and multi-stages periodontal flaps in patients with localized aggressive periodontitis

Background and Aim: Microorganismsʹ transmission ability in the oral cavity, suggest the possibility of re-infection of treated sites by microorganisms which are still present in un-trcated sites. Thus, the purpose of the present study is to evaluate the clinical results of treatment of aggressive periodontitis patients in one session and multiple stages. Materials & Methods: Twenty patients of localized aggressive periodontitis were divided in two unique groups. Test groupʹs surgery was done within 72 h and control groupʹs surgery in 4 sessions with one week intervals. Plaque Index (PI), Gingival Index (GI), Bleeding On Probing (BOP), Pocket Depth (PD), Clinical Attachment Level (CAL) parameters were recorded at baseline and 4 and 8 months after treatment. Collected data were analyzed with SPSS 9 software, Kolmogorov-Smirnov, Bonferroni, Studentʹs T, Friedman, Wilcoxon, Mann-Whitney tests. Results: The findings showed that both treatment modalities resulted in periodontal improvements, however. GI and BOP parameters after 8 month were better in test group. Analysis of data showed pocket depth reduction in single- rooted teeth in test group, in contrast to control group was better than baseline after 8 months, yet. In multi-rooted teeth pocket depth reduction in test group was also better and more stable than control group (P<0.05) and clinical attachment gain was better and more stable. Conclusion: Based on this clinical study it was shown that the poeket depth reduction and attachment level gain were better and more stable in multi-rooted teeth with single stage technique. Performed surgical procedures in single - rooted teeth resulted the same pocket depth reduction and attachment level gain in both groups.