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Comparison of ADM and Connective Tissue Graft as the Membrane in Class II Furcation Defect Regeneration: A Randomized Clinical Trial.

Esfahanian V, Farhad S, Sadighi Shamami M - J Dent Res Dent Clin Dent Prospects (2014)

Bottom Line: Conclusion.Both treatments modalities have potential of regeneration without any adverse effect on healing process.Connective tissue grafts did not have significant higher bone fill compared to that of ADM.

View Article: PubMed Central - HTML - PubMed

Affiliation: Assistant Professor, Department of Periodontology, Faculty of Dentistry, Islamic Azad University Khorasgan (Isfahan) Branch, Isfahan, Iran.

ABSTRACT
Background and aims. Furcally-involved teeth present unique challenges to the success of periodontal therapy and influence treatment outcomes. This study aimed to assess to compare use of ADM and connective tissue membrane in class II furcation defect regeneration. Materials and methods. 10 patient with 2 bilaterally class II furcation defects in first and/or second maxilla or man-dibular molar without interproximal furcation involvement, were selected. Four weeks after initial phase of treatment, before and thorough the surgery pocket depth (PD), clinical attachment level to stent (CAL-S), free gingival margin to stent(FGM-S) , crestal bone to stent (Crest-S), horizontal defect depth to stent (HDD-S) and vertical defect depth to stent (VDD-S) and crestal bone to defect depth measured from stent margin. Thereafter, one side randomly treated using connective tissue and DFDBA (study group) and opposite side received ADM and DFDBA (control group). After 6 months, soft and hard tissue parameters measured again in re-entry. Results. Both groups presented improvements after therapies (P & 0.05). No inter-group differences were seen in PD re-duction (P = 0.275), CAL gain (P = 0.156), free gingival margin (P = 0.146), crest of the bone (P = 0.248), reduction in horizontal defects depth (P = 0.139) and reduction in vertical defects depth (P = 0.149). Conclusion. Both treatments modalities have potential of regeneration without any adverse effect on healing process. Connective tissue grafts did not have significant higher bone fill compared to that of ADM.

No MeSH data available.


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Mentions: After soft tissue measurements prior to surgery local anesthesia was provided with 2% lidocaine containing 1/80,000 epinephrine (Darou Pakhsh, Tehran, Iran). Sulcular incision was made by scalpel No. 15 in one tooth, mesial and distal of the treatment area, in the buccal and lingual aspects. A mucoperiosteal flap was elevated 3 mm beyond the margins of the furcation defect. After complete debridement of granulation tissues from the defect walls and inner surfaces of flap, root surfaces were planned. The acrylic stent was again placed in the area and hard tissue parameters including crestal bone to stent (Crest-S), horizontal defect depth to stent (HDD-S), and vertical defect depth to stent (VDD-S) were measured by means of an UNC-15 periodontal probe (Figure 2). To obtain palatal connective tissue graft, after anesthesia with 2% lidocaine containing 1/80000 epinephrine, a horizontal incision with 3-mm distance from the palatal gingival margin was made by a scalpel blade No. 15 in the site of the first molar to the first premolar. Two vertical incisions from the terminal points of the horizontal incision were made toward the midline of the palate. A thickness of 1-1.5 mm of the underlying connective tissue was dissected by sharp dissection and was stored in normal saline soaked gauze.


Comparison of ADM and Connective Tissue Graft as the Membrane in Class II Furcation Defect Regeneration: A Randomized Clinical Trial.

Esfahanian V, Farhad S, Sadighi Shamami M - J Dent Res Dent Clin Dent Prospects (2014)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4120901&req=5

Mentions: After soft tissue measurements prior to surgery local anesthesia was provided with 2% lidocaine containing 1/80,000 epinephrine (Darou Pakhsh, Tehran, Iran). Sulcular incision was made by scalpel No. 15 in one tooth, mesial and distal of the treatment area, in the buccal and lingual aspects. A mucoperiosteal flap was elevated 3 mm beyond the margins of the furcation defect. After complete debridement of granulation tissues from the defect walls and inner surfaces of flap, root surfaces were planned. The acrylic stent was again placed in the area and hard tissue parameters including crestal bone to stent (Crest-S), horizontal defect depth to stent (HDD-S), and vertical defect depth to stent (VDD-S) were measured by means of an UNC-15 periodontal probe (Figure 2). To obtain palatal connective tissue graft, after anesthesia with 2% lidocaine containing 1/80000 epinephrine, a horizontal incision with 3-mm distance from the palatal gingival margin was made by a scalpel blade No. 15 in the site of the first molar to the first premolar. Two vertical incisions from the terminal points of the horizontal incision were made toward the midline of the palate. A thickness of 1-1.5 mm of the underlying connective tissue was dissected by sharp dissection and was stored in normal saline soaked gauze.

Bottom Line: Conclusion.Both treatments modalities have potential of regeneration without any adverse effect on healing process.Connective tissue grafts did not have significant higher bone fill compared to that of ADM.

View Article: PubMed Central - HTML - PubMed

Affiliation: Assistant Professor, Department of Periodontology, Faculty of Dentistry, Islamic Azad University Khorasgan (Isfahan) Branch, Isfahan, Iran.

ABSTRACT
Background and aims. Furcally-involved teeth present unique challenges to the success of periodontal therapy and influence treatment outcomes. This study aimed to assess to compare use of ADM and connective tissue membrane in class II furcation defect regeneration. Materials and methods. 10 patient with 2 bilaterally class II furcation defects in first and/or second maxilla or man-dibular molar without interproximal furcation involvement, were selected. Four weeks after initial phase of treatment, before and thorough the surgery pocket depth (PD), clinical attachment level to stent (CAL-S), free gingival margin to stent(FGM-S) , crestal bone to stent (Crest-S), horizontal defect depth to stent (HDD-S) and vertical defect depth to stent (VDD-S) and crestal bone to defect depth measured from stent margin. Thereafter, one side randomly treated using connective tissue and DFDBA (study group) and opposite side received ADM and DFDBA (control group). After 6 months, soft and hard tissue parameters measured again in re-entry. Results. Both groups presented improvements after therapies (P & 0.05). No inter-group differences were seen in PD re-duction (P = 0.275), CAL gain (P = 0.156), free gingival margin (P = 0.146), crest of the bone (P = 0.248), reduction in horizontal defects depth (P = 0.139) and reduction in vertical defects depth (P = 0.149). Conclusion. Both treatments modalities have potential of regeneration without any adverse effect on healing process. Connective tissue grafts did not have significant higher bone fill compared to that of ADM.

No MeSH data available.


Related in: MedlinePlus