Evaluation of anti-inflammatory effect of chorion membrane in periodontal pocket therapy: A clinical and biochemical study.

J Indian Soc Periodontol

Department of Periodontics, KAHE's KLE V. K. Institute of Dental Sciences, KAHER (KLE University), Belagavi, Karnataka, India.

Published: January 2018

Background: The aim of the study was to evaluate the anti-inflammatory effect of chorion as a barrier membrane in periodontal pocket therapy by assessing interleukin-11 (IL-11) level in gingival crevicular fluid (GCF).

Materials And Methods: The study was a randomized, controlled, single-blind clinical trial with split-mouth design. In each patient, two sites in two quadrants were selected and randomly allocated in Group 1 (flap surgery) and Group 2 (flap surgery + chorion membrane placement). After Phase 1 therapy, clinical and biochemical parameters were recorded at baseline and at 4 weeks. Plaque index (PI), sulcus bleeding index (SBI), probing pocket depth (PPD), clinical attachment level (CAL), and IL-11 in GCF were assessed. GCF was collected using microcapillary tubes. IL-11 was assayed in GCF with ELISA kit (Genxbio).

Results: At baseline, the clinical and the biochemical parameters were similar in both the groups. Intragroup comparison revealed statistically significant decrease in all clinical and biochemical parameters in Group 1 ( < 0.001) and Group 2 ( < 0.001). Intergroup comparison showed statistically significant decrease in SBI ( = 0.004), PPD ( = 0.004), CAL ( = 0.013), and IL-11 ( = 0.006) in Group 2 compared to Group 1 at 4 weeks. However, PI did not show any statistically significant difference on intergroup comparison.

Conclusion: Adjunctive use of chorion membrane in flap surgery provides an additive anti-inflammatory effect along with improvement in clinical outcomes enhancing the long-term prognosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128129PMC
http://dx.doi.org/10.4103/jisp.jisp_280_18DOI Listing

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