Use of Collagen Membrane in the Treatment of Periodontal Defects Distal to Mandibular Second Molars Following Surgical Removal of Impacted Mandibular Third Molars: A Comparative Clinical Study
C. Burnice Nalina Kumari,
Thiagarajan Ramakrishnan,
Pradeep Devadoss,
Rajaram Vijayalakshmi,
Khalid J. Alzahrani,
Mazen A. Almasri,
Manea Musa. Al-Ahmari,
Hajar Saeed Al Dira,
Malath Suhluli,
Ashok Kumar Bhati,
Zeeshan Heera Ahmad,
A. Thirumal Raj,
Shilpa Bhandi,
Shankargouda Patil
Affiliations
C. Burnice Nalina Kumari
Department of Periodontology and Implantology, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai 600095, India
Thiagarajan Ramakrishnan
Department of Periodontology and Implantology, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai 600095, India
Pradeep Devadoss
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai 600095, India
Rajaram Vijayalakshmi
Department of Periodontology and Implantology, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai 600095, India
Khalid J. Alzahrani
Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, Taif 11099, Saudi Arabia
Mazen A. Almasri
Department of Oral Maxillofacial Surgery, King Abdulaziz University, Jeddah 21589, Saudi Arabia
Manea Musa. Al-Ahmari
Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
Hajar Saeed Al Dira
College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
Malath Suhluli
College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
Ashok Kumar Bhati
Division of Periodontics, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
Zeeshan Heera Ahmad
Dental College Hospital, King Saud University Medical City, Riyadh 11362, Saudi Arabia
A. Thirumal Raj
Department of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600130, India
Shilpa Bhandi
Department of Restorative Dental Science, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
Shankargouda Patil
Division of Oral Pathology, Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
The study aims to assess the efficacy of using collagen membrane in the treatment of distal periodontal defects of mandibular second molars following the removal of mesioangularly or horizontally impacted mandibular third molars surgically. Forty sites in twenty patients with bilaterally impacted mandibular third molars (mesioangular or horizontal) were considered for the study. In 20 test sites (Group A), after surgical removal of the mandibular third molar, a resorbable collagen membrane barrier was placed on the distal aspect of the mandibular second molar to cover the post-surgical bone defect. In the other control 20 sites (Group B), the same surgical procedure was repeated without placing any membrane barrier. The clinical parameters recorded were Oral Hygiene Index Simplified (OHI-S), Probing pocket depth (PPD), Clinical attachment level (CAL), and radiographic assessment of alveolar bone level (ABL). OHI-S score of most of the patients was observed to be satisfactory. Group A was observed to achieve a statistically significant reduction in PPD, CAL, and ABL gain compared to Group B. The improvements indicated that the use of collagen membrane facilitates early wound stabilization and promotes primary closure of the defect. This recovery is achieved through its unique property to assist fibrinogenesis over osteoconduction. Further longitudinal studies are needed to confirm the present findings.
