Incidence of Periodontal Pocket Development in Distal Root of Mandibular Second Molar Following Impacted Third Molar Removal in Compare to Using Bone Graft & Platelet rich Plasma
1Samer Salim Jaafer, Osamah Mohammed Aldaghir, Hayder Saad Hanfoosh and Fadhil Abbass Hamad
Background : Extraction of deep impacted mandibular third molar lead to periodontal defect in the adjacent second molar, the using of bone graft & PRP as regenerative material aid in healing improvement & preventing periodontal pocket development. Materials and Methods: Population sample included in this research was randomly selected from patients attended the teaching dental hospital of the college of dentistry/ Almuthana university seeking dental treatment. 30 patients (20 females & 10 males), the age of these patients ranged from 17-26 years. All selected patients were nonsmokers, with bilateral mandibular third molar inclusion in mesio-horizontal position. In the study group, the alveolar cavity was filled with PRP, BPBM alone. The alveolar cavities of the control group were treated without PRP & BPBM. Inclusion criteria included the presence of a pocket that was located distally to the second mandibular molar with a probing depth greater than or equal to 7mm. Results: Following 18 weeks, a significant reduction in pocket depth & gain in clinical attachment level at distal root of second molar in both group treated with bone graft & platelet rich plasma in compare to control group. Conclusion: The using of bone graft & platelet rich plasma is necessary for filling bony defect following deep impacted third molar extraction to prevent periodontal defect development distally to the second molar and improvement new bone regeneration.
Platelet-rich Plasma, Bovine Porous Bone Mineral, Mesioangular Impacted Third Molar.