A Comparitive Evaluation of Single Flap Approach Versus Double Flap Approach for Periodontal Pocket Reduction in Suprabony Defects: A Split Mouth Study.

Abstract

Aim: The aim of the study is to compare the single flap approach (SFA) versus double flap approach (DFA) for periodontal pocket reduction in supra-bony defects.

Materials and methods: A total of 100 sites in 25 patients will be selected with chronic periodontitis having two or more supra-bony defect. Sites will be equally divided in split mouth design.

The selected sites will be divided equally into two groups, by convenient sampling method in split mouth design

GROUP A: In Group A, sites will be treated with single flap approach in supra-bony defects, a test site. GROUP B: In Group B, sites will be treated with double flap approach in supra-bony defect, a control site.

All the clinical parameters will be assessed at baseline and postoperatively at 3 and 6 months.

Result: Overall improvements in the parameters were observed. statistically significant results were observed in PPD, CAL, SBI in the test group from baseline to 3 months and highly statistically significant results were seen from 3 to 6 months. Highly significant results were observed in EHI. But no statistically significant results were observed with respect to PI.

Conclusion: The SFA resulted in better improvement in reduction in pocket depth with gain in CAL, early wound healing, less postoperative discomfort, and better patient-centered outcomes.