Clinical and radio graphic evaluation of periotome in single rooted teeth

Abstract

To evaluate the efficacy of periotome (Group p) in a traumatic extractions of single rooted teeth and to compare clinically and radio graphically with normal forceps extraction (Group c) in a sample of 30 patients. 30 patients -15 in each group (i.e. periotome and control group) were included in this randomised prospective comparative clinical study. Clinical parameters assessed were pain, buccal cortical plate fracture, gingival lacerations, soft tissue injury, teeth fracture, time taken for extraction, number and frequency of analgesics consumed and any post-operative complications were evaluated. Radiographic parameters of crestal alveolar bone levels were measured at pre operative, 1st month and 3rd month intervals by standardised IOPA using the grid in SOPRO imaging software, RVG.Comparing group C and P, statistically significant (p value <0.05) amount of MCABL bone loss is seen between preoperative to 3rd month and from 1st month to 3rd month in periotome group. The periotome group showed gingival of grade 1. Fracture of buccal cortical plate was seen in 26%, 2 cases of teeth fracture. Patients in the control group had more pain and increased analgesics consumption.Extraction of single rooted teeth can be done by periotomeatr aumatically which gives better ridge contours for future prosthetic rehabilitation.