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The Effect of Alloplastic Bone Graft and Absorbable Gelatin Sponge in Prevention of Periodontal Defects on the Distal Aspect of Mandibular Second Molars, After Surgical Removal of Impacted Mandibular Third Molar: A Comparative Prospective Study

Journal of Maxillofacial and Oral Surgery volume 14, pages 101–106 (2015)Cite this article

Abstract

Aim

Recent studies claim that haemostatic agents can be used as bone graft substitutes. The aim of this study was to compare the efficacy of alloplastic bone graft with absorbable gelatin sponge in prevention of periodontal defects distal to mandibular second molar after the surgical removal of impacted mandibular third molars.

Materials and methods

A prospective, randomized, single-blind split-mouth study was designed. The study consisted of 25 patients requiring surgical removal of bilateral impacted mandibular 3rd molars. The surgical sites were randomly divided into 2 groups: group I: G-graft (hydroxyapatite + collagen, study group) and group II: Abgel (absorbable gelatin sponge, control group). Patients were recalled on lst and 7th postoperative days and 3rd and 6th postoperative months. Probing depth, alveolar bone levels and soft tissue wound healing were evaluated. Paired t test was used to compare pre and post-operative alveolar bone levels and probing depth (PD). Wilcoxon signed ranks test was used to compare the wound healing.

Results

The soft tissue wound healing, PD and the distance between the cemento–enamel junction on the distal aspect of mandibular second molar (point A) and the alveolar crest on the distal aspect of the same tooth (point B) were significantly higher in group I as compared to group II.

Conclusion

This study reveals an increase in the alveolar bone level, improvement of PD and better wound healing in group I. Group II subjects required longer healing time than the normal. The authors disagree the claim that the haemostatic agents can be used as bone graft substitutes. However, long-term, multicenter, randomized controlled clinical trials are required.

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Acknowledgments

We would like to thank all the study participants, junior PGs, Assistants, and Sisters for their contributions to this study. We would like to thank Dr. DY Patil Dental College and Hospital for providing the study material. This is a self-funded study; there is no financial relationship between any author and any commercial firm(s), which may pose a conflict of interest.

Conflict of interest

None.

Author information

Affiliations

  1. Department of Oral and Maxillofacial Surgery, Dr. DY Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, 411018, India

    Manju Singh, Kalyani Bhate, Deepak Kulkarni & S. N. Santhosh Kumar

  2. Department of Periodontics, Dr. DY. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, 411018, Maharashtra, India

    Rahul Kathariya

Authors
  1. Manju Singh
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  2. Kalyani Bhate
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  3. Deepak Kulkarni
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  4. S. N. Santhosh Kumar
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  5. Rahul Kathariya
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Corresponding author

Correspondence to Rahul Kathariya.

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Singh, M., Bhate, K., Kulkarni, D. et al. The Effect of Alloplastic Bone Graft and Absorbable Gelatin Sponge in Prevention of Periodontal Defects on the Distal Aspect of Mandibular Second Molars, After Surgical Removal of Impacted Mandibular Third Molar: A Comparative Prospective Study. J. Maxillofac. Oral Surg. 14, 101–106 (2015). https://doi.org/10.1007/s12663-013-0599-z

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  • DOI: https://doi.org/10.1007/s12663-013-0599-z

Keywords

  • Impacted teeth
  • Hydroxyapatite-beta tricalcium phosphate
  • Collagen
  • Hemostatics