Evaluation of periodontal clinical index after class V restorations using miniflap surgery technique
2006
Introduction:
Dental caries had been known historically as the most common infectious disease. Miniflap is one of the techniques
used for better access to class V caries. The aim of this study was making a comparison between periodontal index
after class V restorations of composite resin and glassionomer by miniflap.
Materials & Methods:
This clinical trial study was carried out on 30 premolar teeth in patients who reffered to Babol dentistry faculty with
class V caries, which their gingival margin was 1mm apical to the free gingiva, in maximum. Two incisions in
mesial and distal of the tooth at the level of attached gingiva and thereafter conventional class V cavity preparation
were performed. Then teeth were devided in to two groups. The first group was restored by glass ionomer (Fuji II
Lc) and second group by heliomolar resin composite. Patients were followed up in, 1, 3 and 6 month after
restoration concerning gingival index, Bleeding index, plaque index, probing pocket depth index and clinical
attachment level and the findings were analyzed by Student’s t-test.
Results:
Comparing the mean of periodontal indexes before and after restoration by glass ionomer showed that only Bleeding
index was changed significantly 6 months after restoration. The mean of periodontal indexes including CAL and
PPD changed significantly before and after restoration by composite in 1 , 3 and 6 months follow up. For a better
comparison of indexes between two groups ∆ (the change rate of different indexes) in 1, 3 and 6 monthes after
restoration was assesed and showed that this difference was significant in CAL and PPD index between intervals,
except for the restoration time after six monthes.
Conclusion:
Periodontal indexes in gingiva adjacent to cavity restored by glass ionomer indicated better gingival adaptation for
this material compared to composite.
Key words:
Composite, glassionomer, miniflap, class V caries, periodontal indexes.
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