Laser assisted modified widman flap in the treatment of intrabony defects - A clinical & radiographical analysis Bala Deepak, MDS, Suresh D.K., Professor and HOD, Aggarwal Anurag, Reader Address for Correspondence: Dr. Deepak Bala, MDS, Deptt. of Periodontology, M.M. Dental College and Hospital, Mullana, Ambala, Haryana E-mail: drdeepakbala@gmail.com
Online published on 15 May, 2014. Abstract Background The goal of periodontal therapy is to reduce the bacterial deposits in the pockets and to enhance the clinical attachment. Different surgical techniques have been used in the past, which control the epithelial migration and promote the connective tissue formation. The aim of the present study was to evaluate the efficacy of laser assisted modified widman flap surgery on clinical and radiographical parameters in treatment of intrabony defects. Methods Atotal of ten patients with twenty intrabony sites were included in the study. Soft tissue diode laser assisted modified widman flap surgery was performed in selected subjects. Probing pocket depth, relative attachment level, position of gingival margin (gingival recession), plaque index, gingival index and sulcus bleeding index scores were recorded at baseline, three and six months. Radiographic bone fill was assessed after six months post-operatively. Results Laser assisted modified widman flap surgery resulted in statistically significant reduction in Probing pocket depth, gain in relative attachment level, change in position of gingival margin (gingival recession) p-value <0.001. At six months there was statistically significant change in defect fill was noted. Conclusion Laser assisted modified widman flap surgery resulted in statistically significant improvement in clinical and radiographic parameters so this can be safely used in treatment of intrabony defects. Top Keywords Diode laser, modified widman flap surgery, epithelial migration, de-epithelization, reepithelization. Top |