scholarly journals Surgical Treatment of Periodontal Intrabony Defects with Calcium Sulphate in Combination with Beta Tricalcium Phosphate – A 12-Month Retrospective Clinical Evaluation

2010 ◽  
Vol 53 (4) ◽  
pp. 229-234 ◽  
Author(s):  
Sujith Sukumar ◽  
Ivo Dřízhal ◽  
Josef Bukač ◽  
Vladimíra Paulusová ◽  
Shriharsha Pilathadka
Keyword(s):  
Tissue Regeneration ◽  
Tricalcium Phosphate ◽  
Gingival Recession ◽  
Calcium Sulphate ◽  
Intrabony Defects ◽  
Clinical Attachment Level ◽  
Beta Tricalcium Phosphate ◽  
Probing Depth ◽  
One Year ◽  
Attachment Level

Alloplastic bone graft materials are widely been used in combination with barrier membranes to achieve guided tissue regeneration in the treatment of periodontal intrabony defects. This study was designed to evaluate the clinical outcome of a composite material, beta tricalcium phosphate in combination with calcium sulphate in the treatment of periodontal intrabony defects. The combination of these materials is believed to aid in guided tissue regeneration owing to their properties. Thirty nine intrabony defects in 21 patients were treated with Fortoss® Vital (Biocomposites, Staffordshire, UK). Clinical parameters were evaluated including changes in probing depth, clinical attachment level/loss and gingival recession at baseline and one year postoperatively. The mean differences in measurements between the baseline and one year postoperatively are a reduction of 1.98±1.16 mm (p=0.000) in case of probing depth and a gain of 1.68±1.12 mm (p=0.000) in clinical attachment level and an increase of 0.31±0.67 mm (p=0.009) in gingival recession measurements. The study results show that the treatment with a combination of beta tricalcium phosphate and calcium sulphate led to a significantly favorable clinical improvement in periodontal intrabony defects one year postoperatively.

scholarly journals Surgical Treatment of Periodontal Intrabony Defects with Calcium Sulphate in Combination with Beta-Tricalcium Phosphate: Clinical Observations Two Years Post-Surgery

2011 ◽  
Vol 54 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Sujith Sukumar ◽  
Ivo Dřízhal ◽  
Vladimíra Paulusová ◽  
Josef Bukač
Keyword(s):  
Tricalcium Phosphate ◽  
Gingival Recession ◽  
Calcium Sulphate ◽  
Intrabony Defects ◽  
Clinical Attachment Level ◽  
Post Surgery ◽  
Beta Tricalcium Phosphate ◽  
Probing Depth ◽  
Study Results ◽  
Attachment Level

The study was designed to evaluate the clinical outcome of a composite material, beta-tricalcium phosphate in combination with calcium sulphate, in the treatment of periodontal intrabony defects. The combination of these materials is believed to aid in guided tissue regeneration owing to their properties. A total of 47 teeth with intrabony defects in 26 periodontitis patients were treated with Fortoss® Vital (Biocomposites, Staffordshire, UK). Clinical parameters were evaluated which included changes in probing depth, clinical attachment level/loss and gingival recession at the baseline and 2 years postoperatively. The mean differences in measurements between the baseline and 2 years postoperatively were a reduction of 2.07±1.14 mm (p=0.000) in case of probing depth and a gain of 1.93±1.36 mm (p=0.000) in clinical attachment level; but an increase of 0.14±0.73 mm (p=0.571) in gingival recession. The study results show that the treatment with a combination of beta tricalcium phosphate and calcium sulphate led to a significantly favorable clinical improvement in periodontal intrabony defects 2 years after the surgery.

scholarly journals Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral

Materials ◽  
2021 ◽  
Vol 14 (22) ◽  
pp. 6795
Author(s):  
Darko Božić ◽  
Ivan Ćatović ◽  
Ana Badovinac ◽  
Larisa Musić ◽  
Matej Par ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Bone Mineral ◽  
Gingival Recession ◽  
Intrabony Defects ◽  
Clinical Attachment Level ◽  
New Approach ◽  
Novel Approach ◽  
Probing Depth ◽  
Baseline Values ◽  
Attachment Level

Background: this study evaluates the clinical outcomes of a novel approach in treating deep intrabony defects utilizing papilla preservation techniques with a combination of hyaluronic acid (HA) and deproteinized porcine bone mineral. Methods: 23 patients with 27 intrabony defects were treated with a combination of HA and deproteinized porcine bone mineral. Clinical attachment level (CAL), pocket probing depth (PPD), gingival recession (REC) were recorded at baseline and 6 months after the surgery. Results: At 6 months, there was a significant CAL gain of 3.65 ± 1.67 mm (p < 0.001) with a PPD reduction of 4.54 ± 1.65 mm (p < 0.001), which was associated with an increase in gingival recession (0.89 ± 0.59 mm, p < 0.001). The percentage of pocket resolution based on a PPD ≤4 mm was 92.6% and the failure rate based on a PPD of 5 mm was 7.4%. Conclusions: the present findings indicate that applying a combined HA and xenograft approach in deep intrabony defects provides clinically relevant CAL gains and PPD reductions compared to baseline values and is a valid new approach in treating intrabony defects.

Effects of Mixture of Fibrin-Fibronectin Sealant System and Calcium Carbonate in Periodontal Intrabony Defects

2006 ◽  
Vol 309-311 ◽  
pp. 1397-1400
Author(s):  
Ui Won Jung ◽  
S.J. Chang ◽  
Seong Ho Choi ◽  
C.S. Kim ◽  
Jung Kiu Chai
Keyword(s):  
Calcium Carbonate ◽  
Gingival Recession ◽  
Control Group ◽  
Intrabony Defects ◽  
Clinical Attachment Level ◽  
Intrabony Defect ◽  
Probing Depth ◽  
Group 2 ◽  
Attachment Level ◽  
Experimental Group

This study evaluated the effects of mixture of fibrin-fibronectin sealant system(FFSS) and calcium carbonate(CC) in periodontal intrabony defects. Thirty six sites with two or three wall intrabony defect were used. 14 defects treated with periodontal flap surgery were assigned as the control group. 11 defects treated with CC implantation were designed as experimental group 1 and 11 defects, treated with CC and FFSS implantation as experimental group 2. The control and experimental groups all achieved statistically significant improvements in probing depth and clinical attachment level from the baseline (P<0.01). In mean postsurgery probing depth and gingival recession reduction, there were no statiscally significant differences between the experimental groups and the controls. However, mean postsurgery clinical attachment levels of both experimental groups improved significantly more than that of the controls. As a result, we suggest that mixture of FFSS and CC can be used effectively in intrabony defect as osteoconductive materials.

scholarly journals Long-Term Assessment of Periodontal Tissues after Corticotomy-Assisted Orthodontic Arch Expansion

2021 ◽  
Vol 10 (23) ◽  
pp. 5588
Author(s):  
Magdalena Ewa Sulewska ◽  
Amelia Baczewska ◽  
Beata Bugała-Musiatowicz ◽  
Emilia Waszkiewicz-Sewastianik ◽  
Jan Krzysztof Pietruski ◽  
...  
Keyword(s):  
Gingival Recession ◽  
Post Treatment ◽  
Clinical Attachment Level ◽  
Periodontal Tissues ◽  
Probing Depth ◽  
Negative Effect ◽  
One Year ◽  
Attachment Level ◽  
Maxillary Deficiency

Objectives: The aim of the study was the long-term assessment of the condition of periodontal tissues after corticotomy-assisted orthodontic expansion in patients with transverse maxillary deficiency. Materials and Methods: The study included a group of 18 adults (9 women, 9 men) aged between 24 and 40 years who were at least 5 years post treatment. The following parameters were assessed: the full mouth plaque index (FMPI), full mouth bleeding on probing (FMBOP), probing depth (PD), clinical attachment level (CAL), gingival recession height (GR), recession width (RW), papilla height (PH), papilla width (PW), bone sounding (BS), phenotype, and KT. Results: During examination performed at least 5 years after the completion of orthodontic treatment, the values of PD and CAL were found to be considerably decreased compared to the examination one year post treatment (PD: −0.23; 95% Cl: −0.29, −0.16) (CAL: −0.04; 95% Cl: −0.17, 0.10). The other parameters—FMPI, FMBOP, GR, RW, PH, PW, BS, phenotype, and KT—did not change significantly. Conclusions: Corticotomy-assisted orthodontic arch expansion does not have a negative effect on the periodontium in long-term observations. Clinical Relevance: Orthodontic arch expansion can lead to bone dehiscence and gingival recession. Long-term observations revealed that corticotomy-assisted orthodontic expansion of the upper arch is not followed by negative changes in periodontal status.

scholarly journals Aspectos clínicos, microbiológicos e tratamento periodontal em pacientes fumantes portadores de doença periodontal crônica: revisão da literatura

2016 ◽  
Vol 73 (4) ◽  
pp. 325
Author(s):  
Gabriela Alessandra Da C. Galhardo Camargo ◽  
Mariana Gouvea Latini Abreu ◽  
Renata Dos Santos ◽  
Marcio Alves Crespo ◽  
Leticia De Faria Wenderoscky
Keyword(s):  
Gingival Recession ◽  
Periodontal Therapy ◽  
Clinical Aspects ◽  
Gingival Index ◽  
Periodontal Pathogens ◽  
Clinical Attachment Level ◽  
Qualitative And Quantitative ◽  
Probing Depth ◽  
Microbiological Parameters ◽  
Attachment Level

Objective: the aim of this study was to evaluate, through literature review, clinical aspects (plaque index, gingival index, probing depth, gingival recession and clinical attachment level) and microbiological (qualitative and quantitative presence of periodontal pathogens) in smokers patients and the response to periodontal therapy. Material and Methods: it was selected scientific articles published between the years 1978 and 2014. We were selected scientific articles from MEDLINE, PUBMED and LILACS databases. Results: there are controversies between tobacco and clinical and microbiological parameters. Conclusion: based on the evaluated studies we can conclude that there are significant clinical and microbiological differences in smoking patients and impaired response to periodontal therapy.

scholarly journals Possibilities of modern procedures in gingival recession therapy

2003 ◽  
Vol 50 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Sasa Jankovic ◽  
Bozidar Dimitrijevic
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Clinical Attachment Level ◽  
Treatment Groups ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
Attachment Level

This study was designed to compare the effectiveness and predictability of GTR and connective tissue graft in the treatment of gingival recession. 15 recessions Miller class II and III were treated with bioabsorbable barrier and coronally advanced flap. The same number of defects was treated with connective tissue graft in combination with coronally advanced flap. Clinical recordings included hygiene standards and recession depth (RD) probing depth (PD), clinical attachment level (CAL) and keratinized tissue width (KT) Mean (RD) was statistically significant decreased from 5,47mm presurgery to 0.73mm with GTR (87,76%) and from 5,93mm to 0.60 with CTG (89.9%). Prevalence of complete root coverage was 40% for the GTR and 46,66% for CTG group. No statistically significant differences between treatment groups were observed in this study Treatment of gingival recessions with CTG and GTR present effective and highly predictable mucogingival plastic surgical procedures.

scholarly journals Clinical Evaluation of Intrabony Defects in Localized Aggressive Periodontitis Patients with and without Bioglass- An In-vivo Study

2012 ◽  
Vol 10 (1) ◽  
pp. 7-10
Author(s):  
KV Satyanarayana ◽  
BR Anuradha ◽  
G Srikanth ◽  
P Mohan Chandra ◽  
T Anupama ◽  
...  
Keyword(s):  
Bioactive Glass ◽  
Test Group ◽  
Gingival Recession ◽  
Aggressive Periodontitis ◽  
Control Group ◽  
Defect Depth ◽  
Clinical Attachment Level ◽  
Probing Depth ◽  
Localized Aggressive Periodontitis ◽  
Attachment Level

Background Aggressive periodontitis is a specific type of periodontitis with clearly identifiable clinical characteristics such as “rapid attachment loss, bone destruction” and “familial aggregation”. Regeneration of mineralized tissues affected by aggressive periodontitis comprises a major scientific and clinical challenge. In recent years some evidence has been provided that bioactive glass is also capable of supporting the regenerative healing of periodontal lesions. Objective The aim of this clinical and radiological prospective study was to evaluate the efficacy of bioactive glass in the treatment of intra-bony defects in patients with localized aggressive periodontitis. Methods Twelve localized aggressive periodontitis patients with bilaterally located three-walled intra-bony defect depth ? 2 mm, preoperative probing depths ? 5 mm were randomly treated either with the bioactive glass or without the bioactive glass. The clinical parameters plaque index, gingival index, probing depth, gingival recession, clinical attachment level, and mobility were recorded prior to surgery as well as 12 months after surgery. Intraoral radiographs were digitized to evaluate the bone defect depth at baseline and 12 months after the surgery. Results After 12 months, a reduction in probing depth of 3.92 + 0.313 mm (P <0.001) and a gain in clinical attachment level of 4.42+0358mm (P <0.001) were registered in the test group. In the control group, a reduction in probing depth of 2.5 +0.230mm (P <0.001) and a gain in clinical attachment level of 2.58 + 0.149 mm (P<0.001) was recorded. Radiographically, the defects were found to be filled by 2.587 + 0.218 mm (P <0.001) in the test group and by 0.1792 + 0.031mm (P <0.001) in the control group. Changes in gingival recession showed no significant differences. . Conclusion Highly significant improvements in the parameters Probing depth, Clinical attachment level, and Bone defect depth were recorded after 12 months, with regenerative material. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 11-15 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6906

scholarly journals CONE BEAM COMPUTED TOMOGRAPHY AS A TOOL FOR THE ANALYSIS OF BONE FILL IN INTRABONY DEFECTS WITH USE OF NANOGENTM BONE GRAFT

2021 ◽  
Vol 9 (06) ◽  
pp. 549-558
Author(s):  
Bangaru Mounika ◽  
Ajay Reddy P. ◽  
Sanjay Vasudevan ◽  
Vaishnavi a ◽  
Sunny Rajoria ◽  
...  
Keyword(s):  
Bone Graft ◽  
Plaque Index ◽  
Base Line ◽  
Intrabony Defects ◽  
Clinical Attachment Level ◽  
Radiographic Parameters ◽  
Probing Depth ◽  
Defect Sites ◽  
The Mean ◽  
Attachment Level

Aims and Objectives-The aim of the present study was to evaluate the regenerative potential of synthetic nanocrystalline calcium sulphate bone graft (NANOGENTM) in treatment of intrabony defect both clinically and radiographically. Materials and Methods- Study was conducted in 10 patients with 10 defect sites with probing pocket depth >5mm with radiographs at base line were selected. All the sites with intrabony defects treated with NanogenTM bone graft and follow up was done for 3 months and 6 months respectively. Clinical parameters included in the study are of plaque index, probing depth (PD), clinical attachment level (CAL), Sulcus bleeding index (SBI). Radiographic parameters include bone fill. Results-In the present study, the mean clinical attachment loss, plaque index, probing depth index, sulcus bleeding index at baseline was 9.11±1.054, 1.5278±1.9543, 8.44±1.130, 3.7222±.77504 respectively, reduced to 5.7±1.093,.6389±.37731,3.67±.500,1.2222±.75462 respectively at the end of the 3 months.5.00±.707, .4167±.39528, 2.78±.667, .4167±.46771 respectively at the end of the 6 months. The mean bone fill baseline was 9.11 ± 1.054 mm which was reduced to 5.78 ± 1.093 mm at 3 months and reduced to 5.00 ± 0.707 mm at 6 months, showing a bone fill of 3.933 ± 0.3640 mm by the end of three months and 4.256 ± 0.3678 by the end of six months which were statistically significant (P=0.002). Conclusion- Present study, evidenced that reduction in probing depths, gain in clinical attachment level and bone fill. Improvement of clinical and radiographic parameters at sites treated with NanogenTM.

scholarly journals Coronally repositioned flap in gingival recession therapy

2003 ◽  
Vol 50 (3) ◽  
pp. 144-149 ◽  
Author(s):  
Ruzica Stevanovic ◽  
Obrad Zelic
Keyword(s):  
Dental Plaque ◽  
Gingival Recession ◽  
Gingival Inflammation ◽  
Clinical Attachment Level ◽  
Periodontal Tissues ◽  
One Year ◽  
Attachment Level ◽  
Root Surfaces ◽  
Positive Effect

The aim of this study was to evaluate surgical therapy of coronally repositioned flap (CRF) in solving the problem of gingival recession. Research involved 10 patients and CRP was used to cover denuded surfaces of 21 teeth. The success of the operation was evaluated through the measurement of the denuded root surfaces (DRS) and the estimation of the condition of the periodontal tissues measuring: clinical attachment level (CAL) clinical gingival level (CGL), keratinized gingival width (KGW), vestibulum depth (VD) and hygiene standards (PI and GI). The results obtained by this study indicate that on average 68% of denuded root surfaces are covered with CRF one year after the operation. Significantly more coronally dislocation of the CAL 2,68 mm and the CGL (2.02) mm were registered one year after the therapy. KGW has not significantly changed except at the first follow-up, when more narrow keratinized gingiva was registered (p<0,05). Measurement of the vestibulum depth (VD) ascertained a significant reduction of the value of this parametar at all follow-ups (p<0.001) and one year after the operation (p<0.05). The coverage of denuded teeth surfaces enables adequate maintenance of oral hygiene, which has a positive effect on the decrement of the amount of dental plaque (PI p<0.001) and mitigates gingival inflammation (GI p<0.001) in the postoperatiave period.

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