Yousra Mohamed*, Ahmed Farouk, Nahed Adly, Samir Abdo and Ahmed E. Salama

Department of Orthodontic Department, Al Azhar University, Egypt

*Corresponding Author: Yousra Mohamed, Department of Orthodontic Department, Al Azhar University, Egypt.

Received: May 10, 2022; Published: May 23, 2022

Abstract

Aim: In this study we were aiming to determine and evaluate the effect of the stem cells and piezo corticotomy on pocket depth and pain.

Materials and Methods: 22 patients from both genders were selected. The age range of the selected cases in between (15 and 20 years). All patients were examined to fulfill the inclusion criteria. These patients were divided into two groups; control group and intervention group. Split mouth technique was adopted in the intervention group to minimize the variables. In the intervention group one side received piezocorticomy only, while the other side received piezocorticotomy and stem cells. In control group conventional orthodontic treatment was carried out. To measure the pocket depth; assessment of the pocket depth of the canine before surgery and after complete canine retraction on each side was carried out. To assess pain; Pain was registered on each side (right and left) from day one after surgery and everyday till the end of the week.

Results: pocket depth: as regards upper arch there was a statistically significant difference between the groups. stem cells group showed the statistically significantly lowest mean Results 66 PD. There was no statistically significant difference between Piezo and control groups; both showed statistically significantly higher mean pocket depth. Similarly, with lower arch Post-operatively; there was a statistically significant difference between the groups stem cells group showed the statistically significantly lowest mean pocket depth. There was no statistically significant difference between Piezo and control groups; both showed statistically significantly higher mean pocket depth. Pain: As regards upper arch at day 1 as well as day 2; there was a statistically significant difference between the groups. stem cells group showed the statistically significantly highest median pain score. Piezo group showed statistically significantly lower median score. Control group showed the statistically significantly lowest median pain score. At day 3; there was a statistically significant difference between the groups. stem cells group showed the statistically significantly highest median pain score. There was no statistically significant difference between Piezo and control groups; both showed statistically significantly lower median scores. As regards lower arch at day 1; there was a statistically significant difference between the groups. stem cells group showed the statistically significantly highest median pain score. Piezo group showed statistically significantly lower median score. Control group showed the statistically significantly lowest median pain score. At day 2; there was a statistically significant difference between the groups. stem cells group showed the statistically significantly highest median pain score. There was no statistically significant difference between Piezo and control groups; both showed statistically significantly lower median scores. At day 3; there was no statistically significant difference between the groups.

Conclusion: Stem cells could enhance the periodontium as the pocket depth was decreased after injection. Pain was higher in stem cells group than piezo group in upper and lower arch but could be controlled by paracetamol. Stem cells aspiration from the ramus was performed without any pain or complications under local dental anesthesia.

Keywords: Pocket Depth; Pain; Stem Cells; Piezo Corticotomy; Split Mouth

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Citation

Citation: Yousra Mohamed., et al. “Effect of Stem Cells and Piezo Corticotomy on Pocket depth and Pain". Acta Scientific Dental Sciences 6.6 (2022): 141-148.

Copyright

Copyright: © 2022 Yousra Mohamed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.