BİLGE KABACAOĞLU , HAFİZE ÖZTÜRK ÖZENER
Aydın Dental Journal - 2024;10(2):123-131
Objectives: This study assesses the efficacy of pocket closure (PC) following non-surgical periodontal treatment (NSPT) in patients diagnosed with stage III grade C periodontitis, examining various tooth types and probing depth (PD) ranges. Materials and Methods: 12 non-smoker, systemically healthy patients underwent NSPT and were reassessed after 3 months. Clinical parameters, including PD, bleeding on probing, and PC, were evaluated. Statistical analyses were conducted to assess changes in clinical measurements and PC rates among tooth types (incisors, premolars, and molars) and PD ranges (1-3 mm, 4-6 mm, >6 mm). Statistical significance was set at α=0.05. Results: Following NSPT, significant reductions in PD were observed (1.29±0.41 mm, p<0.05), particularly in PD >6 mm (2.63±0.76 mm, p<0.05). PC rates varied among tooth types, with molars exhibiting lower rates compared to incisors and premolars (p<0.05). The percentage of PC was 74.07±18.90 for incisors, 74.21±16.97 for premolars, and 57.52±12.48 for molars. For incisors, the percentage of PC was significantly higher for PD of 4-6 mm compared to PD>6 mm (77.74±21.03 vs. 46.91±25.02, p<0.05). Similar trends were observed in premolars and molars (p<0.05). Conclusion: NSPT effectively improves periodontal health indicators, but achieving complete closure of deep pockets remains challenging, particularly in molars. Tailored treatment approaches based on site-specific factors including tooth type and PD ranges, are crucial for optimizing treatment outcomes in stage III grade C periodontitis.
