Occlusal Stent Construction Research

Occlusal Stent Construction ResearchInitial examination was carried come out of the closet consisting of military rank the periodontic condition of the teeth. After selecting the suitable endurings for the reckon, all of them received in a higher place gingival scaling and polishing with a good motivation and argument in oral hygiene measures including brushing, using dental floss and interproximal brushes as indicated and demonstration was given to them about the work of perio Q gelatin and its exertion .An alginate impression was taken and an occlusal stent was constructed for each patient. After completion of the occlusal stent construction, the patient was recalled again and this was considered the first visit. In this visit the clinical periodontal examination was carried out for the selected sites and it included the following parametersPlaque Index (PLI) - (Silness and Loe 1964)A periodontal investigate was apply after air drying of the teeth and the selected sites were examined for brass section. The periodontal probe was lightly passed a foresightful the gingival crevice. The criteria was the following level 0 No plaque in the gingival area. stimulate 1 A film of plaque adhering to the free gingival margin and adjoining area of the tooth surface, which cannot be seen with the nude eye but only by using disclosing solution or by using probe.Score 2 Moderate accumulation of flabby deposits inwardly the gingival firing, on the gingival margin and or adjacent tooth surface which can be seen by naked eye.Score 3 Abundance of soft matter within the gingival pocket and or on the gingival margin and adjacent tooth.Gingival Index (GI) (Loe, 1967).The feature of gingival inflammation was assessed using the criteria of gingival index systemScore 0 Normal gingiva.Score 1 Mild inflammation, slight switch in color, slight edema, and no bleeding on probeScore 2 Moderate inflammation, redness and glazing, bleeding on probing.Score 3 Severe infla mmation, marked redness and ulceration, tendency to spontaneous bleeding.Bleeding on Probing (BOP) - (Carranza, 2012).A blunt periodontal probe inserted to the bottom of the periodontal pocket/sulcus and is moved gently along the root surface. If bleeding occurred within 30 seconds after probing, the site was given positive score (1), and a negative score (0) for the non-bleeding siteProbing Pocket Depth (PPD) (Lindhe et al.,1998)The probing pocket abstrusity was measured with a Williams periodontal probe at quartet sites of all teeth on (mesial, buccal, distal and lingual), the distance from gingival margin to the most apical extent of the probe inserted parallel to the long axis of the tooth to the nearest millimeter (mm) was recorded only for the sites exhibiting probing depth of (5-8)mm.Relative Attachment Level (RAL)The occlusal stent was adjusted to fit the teeth, then upright grooves or holes corresponding to the probed site were made using rotary pass bur, these grooves p rovided a fixed reference mark for probe insertion and angulation. The stent was putted on the occlusal surfaces to cover half or 2/3 of the crown. The distancefrom the ignorant of the pocket to the lower border of the stent at the base of the groove was considered as the RAL. The measurement was made to the nearest mm .The clinical periodontal recordings were reiterate after 3 and 6 weeks.TreatmentsAfter recording of all periodontal parameters for the selected sites, the patient mouth was splitted into three quadrants, each quadrant received contrasting treatment modality and as followsInitial visit (1stday) patient selection, above gingival scaling, alginate impression, motivation, instruction.. Gel assemblage 111 sites in this group received intra pocket screening of perio Q gel. The selected sites were isolated by cotton rolls and dried the teeth by air, and then dried the pockets by paper point size (30, 35, 40, and 45).the application of the gel was made using disposable syringe of 5ml. the sharp intercept of needle was removed by rotary bur to avoid nuisance the gingival tissue and smoothened it, then 1 ml of the gel was pulled by the syringe and the needle gently placed down through with(predicate) the pocket until it reach to the bottom of the pockets then placed the gel composition worked the way up until the gingival margin. Each pocket was received a range of (0.1-0.3) ml., the excess gel oozing from the pockets was removed by cotton plant rolls The patients were instructed to avoid spitting, washing, eating and drinking for 2 hours of the gel application. Toothbrush and interdental support should paused of the day after the gel application.Combination group 106 sites in this group received scaling and root planing, then after one hour, the patient examined if there was no blood oozing,then the gel applied as was draw previously. If not, the patient was referred to the next day.Scaling and root planning group 106 sites in this group re ceived scaling and root planning only.Pilot plainTo perform intra examiner calibration and inter examiner calibration with clinical periodontal parameters used in this study (PLI, GI, BOP, PPD, RALI), a pilot study was carried out in Department of periodontics, College of Dentistry, Baghdad University. It was carried at about four weeks before the conduction of the actual project on two open with twelve-sites. The intra examiner calibration was repeat after an appropriate period (usually 2-4 weeks) to solve any memory bias. While the inter examiner calibration was repeated by another trained professional at the same time. The organic structure (calibration) should be at least 90% and if it is low, the measurement should be repeated.statistical AnalysisData were processed and analyzed using SPSS 16 for windows8 (statistical bundle for social science) and excel 2013.both descriptive and inferential analysesDescriptive StatisticsTables (Range, Frequencies and Percentage)Arithmeti c hold still forStandard DeviationMean Difference.MedianMinimum and Maximum in writing(p) Presentation by Bar Charts and Scattered Plots.Inferential StatisticsThere was used to accept or reject the statistical hypotheses, which includedAnalysis of sport Test(ANOVA) One WayStudent t-Test for equality of means of two self-sufficient groups.Wilcoxon Signs rank testMann Whitney U TestReferencesLindhe J Karring T Lang N. clinical periodontology and implant dentistry. 3rd edition. Copenhagen, Munksgaard,1998Le, H. The Gingival Index, the Plaque Index and the holding Index Systems. Journal of Periodontology, Vol. 38, No. 6 (November-December 1967), pp. 610-616.Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 196422112-135