{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:37:25Z","timestamp":1787841445627,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate and compare the periodontal treatment outcomes in patients with periodontitis treated using conventional and microsurgical access flap procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Fifty chronic periodontitis patients were randomly assigned to conventional (Group I) and microsurgical (Group II) open flap debridement procedure. The parameters measured were probing pocket depth, clinical attachment loss (CAL), gingival recession (GR), bleeding on probing (BOP), wound healing, and postoperative pain. PD, CAL, GR, and BOP were assessed at pretreatment (baseline) and 3 months postoperatively. Wound healing was assessed using Landrey et al. healing index at 7th day and 3 months postoperatively and postoperative pain was assessed using number of analgesics taken for 7 days following surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Healing Index score of 4 (very good healing) was found in 40% of sites of Group I and 95% of sites of Group II. Comparison of number of analgesics taken between groups on day 7 showed a statistically significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), indicating that pain was significantly reduced in Group II compared to Group I. At 3 months postoperatively, there was no significant reduction in PD, CAL, GR, and BOP between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In open flap debridement procedure, a microsurgical approach can substantially improve the early healing and induce less postoperative pain when compared to a conventional macroscopic approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ccd.ccd_151_23","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T15:41:33Z","timestamp":1720539693000},"page":"118-123","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Conventional and Microsurgical Access Flap Procedure in Managing Chronic Periodontitis: A Randomized Controlled Trial"],"prefix":"10.4103","volume":"15","author":[{"given":"A B","family":"Archana","sequence":"first","affiliation":[{"name":"Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshni","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Anoop","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"R1-20260507","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1902\/jop.1994.65.5s.498","article-title":"Bacteria as risk markers for periodontitis","volume":"65","author":"Wolff","year":"1994","journal-title":"J Periodontol"},{"key":"R2-20260507","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1902\/jop.1971.42.9.571","article-title":"Leonard Widman: surgical treatment of pyorrhea alveolaris","volume":"42","author":"Everett","year":"1971","journal-title":"J Periodontol"},{"key":"R4-20260507","first-page":"960","article-title":"Granulation tissue removal in routine and minimally invasive procedures","volume":"16","author":"Harrel","year":"1995","journal-title":"Compend Contin Educ Dent"},{"key":"R5-20260507","doi-asserted-by":"crossref","first-page":"406","DOI":"10.4103\/0972-124X.156884","article-title":"Comparison of 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Periodontol"},{"key":"R12-20260507","first-page":"73","article-title":"Comparative evaluation of conventional scaling with and without magnification loupes","volume":"17","author":"Parvez","year":"2018","journal-title":"IOSR J Dent Med Sci"},{"key":"R13-20260507","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1111\/j.1600-051X.1982.tb02099.x","article-title":"Critical probing depths in periodontal therapy","volume":"9","author":"Lindhe","year":"1982","journal-title":"J Clin Periodontol"},{"issue":"Suppl 22","key":"R14-20260507","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/jcpe.13246","article-title":"The efficacy of pocket elimination\/reduction compared to access flap surgery: A systematic review and meta-analysis","volume":"47","author":"Polak","year":"2020","journal-title":"J Clin Periodontol"},{"key":"R15-20260507","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1902\/jop.2001.72.4.559","article-title":"Microsurgical approach to periodontal 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Initial evaluation in a case cohort","volume":"72","author":"Cortellini","year":"2001","journal-title":"J Periodontol"},{"key":"R16-20260507","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1600-051X.2006.01020.x","article-title":"A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: A novel approach to limit morbidity","volume":"34","author":"Cortellini","year":"2007","journal-title":"J Clin Periodontol"},{"key":"R17-20260507","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/NNR.0b013e3181dbb2cc","article-title":"Understanding statistical significance","volume":"59","author":"Hayat","year":"2010","journal-title":"Nurs Res"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_151_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:55:21Z","timestamp":1787838921000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_151_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_151_23","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-04-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}