Evaluation of Maxillary Second Molar Periodontal Problems after Tuberosity Bone Graft Harvesting

Shahakbari, Reza and Eshghpour, Majid and Mokhtari, Majid Reza and KazemiMoghadam, Azam (2015) Evaluation of Maxillary Second Molar Periodontal Problems after Tuberosity Bone Graft Harvesting. Journal of Mashhad Dental School, 39 (1). pp. 43-50.

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Introduction: One of the best methods for reconstruction of bone defects in the area of dental patients is using autogenously bone grafts that is considered the gold standard for bone defect augmentation. Different intraoral donor sites to harvest the bone graft are available and the maxillary tuberosity due to its convenient surgical access and fewer complications is a perfect place for taking a limited amount of bone. The aim of this study was to evaluate maxillary second molar periodontal problems after tuberosity bone graft harvesting. Materials & Methods: 15 patients admitted to the Department of Oral and Maxillofacial surgery at Mashhad Dental School with ages ranging from 20 to 40 years, were studied. For each patient, pocket depth index, gingival attachment loss index, plaque index, gingival index and bleeding on probing at four areas including middistal, disto buccal, disto lingual of each tooth, both before and 6 months after surgery were measured and recorded. Paired t test and Wilcoxon and Mc Nemar tests were used for data analysis (α=0.05). Results: The data showed that the mean pocket depth of distal of maxillary second molar, both before and 6 months after surgery, showed a rate of 15.4 reduction which was significant (P=0.002). Plaque index, gingival attachment loss index and gingival index were ordinal evaluated as and all three had declined significantly over time (P-value=0.002, 0.025 and 0.077 respectively. Bleeding rate observed at 6 months after surgery showed a 21.4 decrease which was not significant (P=0.250). Conclusion: The removal of bone from the maxillary tuberosity, will not cause any periodontal problems for second molar maxillary and if the supporting bone distal to it is damaged during surgery, would be restored so that there will be a normal biologic width and pocket depth.

Item Type: Article
Subjects: WU Dentistry. Oral surgery
Divisions: Journals > Journal of Mashhad Dental School
Depositing User: jmds jmds
Date Deposited: 21 Sep 2017 12:09
Last Modified: 21 Sep 2017 12:09
URI: http://eprints.mums.ac.ir/id/eprint/1916

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