Research Article
Volume 20 Issue 10 - 2021
Comparison of Recession Coverage Using Periosteal Pedicle Graft Alone and in Combination with Low Level Laser Therapy - A Randomised Controlled Clinical Trial
Anjali R, Rashmi Paramashivaiah, Prabhuji Munivenkatappa Lakshmaiah Venkatesh* and Mounika Maganti
Department of Periodontics and Implantology, Krishnadevaraya College of Dental Sciences and Hospital, Krishnadevarayanagar, Hunasamaranahalli, Bengaluru, Karnataka, India
*Corresponding Author: Prabhuji Munivenkatappa Lakshmaiah Venkatesh, Department of Periodontics and Implantology, Krishnadevaraya College of Dental Sciences and Hospital, Krishnadevarayanagar, Hunasamaranahalli, Bengaluru, Karnataka, India.
Received: July 26, 2021; Published: September 24, 2021


Background and Objectives: For recession coverage, Subepithelial connective tissue autograft is the gold standard, but it has inherent disadvantages of complexity and requirement of second surgical site. Thus many techniques have been tried for the same. Utilizing the principle of connective tissue autograft, an ingenious technique known as periosteal pedicle graft has been tried in the recent times. Low level laser therapy (LLLT) to optimize healing is more popular of late. Thus the purpose of this randomised controlled clinical trial was to compare recession coverage using periosteal pedicle graft alone and in combination with low level laser therapy.

Materials and Method: 14 healthy patients with a mean age of 20-50 years with one or two teeth having Miller’s Class I, II or combination of class I and II recession defects were selected. Out of the 14 sites 7 were randomly assigned to control group and the other 7 sites to the test group. The test group was treated with periosteal pedicle graft and laser irradiation whereas the control group was treated by periosteal pedicle graft alone. Clinical parameters were assessed at baseline, 6 weeks, 3 months and 3 months after surgery.

Results: Statistically significant differences were observed between test and control sites in the gingival recession width (GRW) and clinical attachment level (CAL) measurements after 6 months (p ≤ 0.05). The exceptions were the gingival recession depth (GRD), width of keratinised tissue (WKT) and probing pocket depth (PD) which was not statistically significant (p ≥ 0.05) between the test and control groups.

Conclusion: At the end of six months in the current clinical trial, post-surgical evaluation revealed that PPG can be an excellent alternative for root coverage procedures and the use of LLLT may stabilise the root coverage obtained by PPG.

Keywords: Biostimulation; Gingival Recession; Low Level Laser Therapy; Periosteal Pedicle Graft; Wound Healing


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Citation: Prabhuji Munivenkatappa Lakshmaiah Venkatesh., et al. “Comparison of Recession Coverage Using Periosteal Pedicle Graft Alone and in Combination with Low Level Laser Therapy - A Randomised Controlled Clinical Trial”. EC Dental Science 20.10 (2021): 68-80.

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