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The entire granulation tissue was removed from the defects, the pocket epithelium was carefully scrapped from the inner surface of the flap, and the roots were thoroughly scaled and planed by means of manual and ultrasonic instruments. The operative Individuals Need To See These Mind-Blowing EPZ005687  Video Clips area was irrigated with sterile saline. Figure 1 Mucoperiosteal flap reflected showing intrabony

defect on the mesial surface of mandibular first molar In the control group, the mucoperiosteal flaps were replaced without placement of any barrier membrane and secured with interrupted interdental sutures, using 3-0 black braided silk suture material. In the test group, the full-thickness mucoperiosteal flap was elevated, which was extended apically to expose sufficient amount of periosteum. Periosteal membrane was separated from the full-thickness mucoperiosteal

flap and released by one vertical incision mesially and one horizontal incision apically. One Must Take A Look At The Following Mind-Boggling Amisulpride  Videos Posteriorly, the periosteum remained attached with the mucoperiosteal flap, so that blood supply could be maintained in the reflected periosteum [Figure 2]. The periosteal membrane was turned over the intrabony defect in such a way that the defect was completely covered by the periosteal membrane and was sutured with a synthetic 5-0 bioabsorbable vicryl suture [Figure 3]. After that, the mucoperiosteal flap was sutured with 3-0 braided silk suture material. All surgical sites of both the groups were dressed with periodontal dressing. Figure 2 Surgical site showing released periosteum Figure 3 Periosteal membrane sutured in place Oral antibiotics (Amoxicillin 500 mg three times a day for 5 days) and Ibuprofen 600 mg every 8 h for 3 days were prescribed. The Users Have To View The Following Awe-Inspiring EPZ005687  Videos patients of both the groups were instructed not to brush the operated site for 3 weeks and were advised to rinse with 0.2% solution of chlorhexidine gluconate a day. After 1 week, the periodontal dressing and sutures were removed and the

surgical sites were irrigated with povidone鈥搃odine antimicrobial solution. Patients were advised to rinse with 0.2% solution of chlorhexidine twice a day for another 3 weeks. Recall visits were carried out weekly for 1 month following surgery and then monthly for the rest of the observation period of 6 months. The recall appointments consisted of reinforcement of oral hygiene measures and professional tooth cleaning. At 6 months post surgery, soft tissue measurements were recorded and postoperative CT dentascan [Figure 4] was taken for hard tissue measurement. Figure 4 Preoperative (above) and postoperative (below) panorex views of dentascan. Red arrow shows the test group and yellow shows the control group Two dependent groups (pre and post) were compared by using paired two-sample t-test, while two independent groups (control and test) were compared by using independent two-sample t-test. A two-tailed (伪 =2) probability (P) value less than 0.05 (P < 0.

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