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document
The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans . The purpose of this study was to evaluate the effect of splinting teeth on the results of periodontal reconstructive surgery using a specific carbonate bone replacement graft ( BRG ) material . Forty-five patients were randomly treated with a periodontal surgery approach . Natural coral calcium BRG was utilised in 33 patients . This 33-patient group was divided into three equal groups . In the presplint group , teeth were splinted to at least two rigid teeth before surgery , in the postsplint group , teeth were splinted at suture removal , and in the nonsplint group , the treated teeth were not splinted at all . In 12 patients , teeth were treated with surgical debridement ( DEBR ) alone and not splinted . Periodontal probing depth ( PPD ) , clinical probing attachment level ( CPAL ) , and tooth mobility were measured using desmodontometry ( DDM ) and periotest ( PTV ) with reproducible methods before surgery and at various periods up to 1 year afterwards . A decrease in PPD ( 5.4 mm , SD 1.4 mm ) and tooth mobility ( DDM-horizontal 257 microns , SD 60 microns ) and a gain of CPAL ( 5.1 mm , SD 1.4 mm ) were seen following the use of BRG in presplint teeth . In the same group , PPD and tooth mobility were significantly reduced compared to nonsplint teeth . DEBR alone showed reductions in tooth mobility and PPD and a significantly smaller gain in CPAL than in presplint teeth treated with BRG . The less favourable improvement in periodontal function of postsplint or nonsplint teeth seemed to be due to the loss of BRG material caused by tooth mobility . These results indicate that an undisturbed wound healing process using BRG together with tooth stability is beneficial to overall clinical success .
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Intervention_Physical
splinting of teeth
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Intervention_Surgical
reconstructive periodontal surgery
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Intervention_Physical
splinting teeth
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Intervention_Surgical
periodontal reconstructive surgery
5604
Intervention_Surgical
periodontal surgery
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Intervention_Surgical
splinted to at least two rigid teeth before surgery
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Intervention_Physical
splinted at suture removal
5607
Intervention_Physical
treated teeth were not splinted at all
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Outcome_Physical
Periodontal probing depth ( PPD ) , clinical probing attachment level ( CPAL ) , and tooth mobility
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Outcome_Other
decrease in PPD
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Outcome_Physical
tooth mobility
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Outcome_Other
gain of CPAL
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Outcome_Other
PPD
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Outcome_Physical
tooth mobility
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Outcome_Physical
tooth mobility
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Outcome_Other
PPD
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Outcome_Other
CPAL
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Outcome_Physical
loss of BRG material
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Outcome_Physical
tooth mobility
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Outcome_Physical
overall clinical success .
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Participant_Condition
reconstructive periodontal surgery
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Participant_Condition
humans
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Participant_Sample-size
Forty-five
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Participant_Condition
periodontal surgery
5624
Participant_Sample-size
33