| Periodontal repair in intrabony defects treated with a calcium carbonate implant and guided tissue regeneration. | |
| | |
MedLine Citation:
|
PMID: 8997677 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Clinical outcome following the concurrent use of a porous resorbable calcium carbonate (CC) implant and guided tissue regeneration (GTR) in intrabony periodontal defects was evaluated in a randomized four-treatment parallel arm study. Eighty (80) patients, each contributing one interproximal intrabony defect, were assigned to the four treatments (20 patients per treatment) including the CC implant and GTR (CC + GTR), GTR alone (GTR control), CC implant alone (CC control), and gingival flap surgery alone (GFS control). Fourteen patients treated with CC + GTR, 19 patients treated with the GTR control, 13 patients treated with the CC control, and 18 patients treated with the GFS control completed the study. Clinical healing was evaluated 6 months postsurgery and included changes in probing depth, clinical attachment level, probing bone level, and gingival recession. Postsurgery probing depth reduction was 4.5 +/- 1.7 mm (CC + GTR; P < 0.01), 4.8 +/- 1.8 mm (GTR; P < 0.01), 3.7 +/- 2.2 mm (CC; P < 0.01), and 3.3 +/- 1.6 mm (GFS; P < 0.01). Clinical attachment gain amounted to 3.3 +/- 1.4 mm (CC + GTR; P < 0.01), 4.0 +/- 2.1 mm (GTR; P < 0.01), 3.0 +/- 2.4 mm (CC; P < 0.01), and 2.0 +/- 1.7 mm (GFS; P < 0.01). The CC + GTR and GTR treatments exhibited significantly greater improvements compared to GFS (P < 0.05). Postsurgery probing bone level gain amounted to 4.0 +/- 1.7 mm (CC + GTR; P < 0.01), 4.1 +/- 1.5 mm (GTR; P < 0.01), 4.0 +/- 2.2 mm (CC; P < 0.01), and 0.5 +/- 2.0 mm (GFS; P > 0.05). The CC + GTR, GTR, and CC treatments exhibited significantly greater improvements compared to GFS (P < 0.05). Gingival recession increased significantly compared to presurgery for GTR, CC, and GFS treatments (-0.9 +/- 1.2, -0.7 +/- 0.7, and -1.2 +/- 1.4 mm, respectively; P < 0.01). The results suggest that the concurrent use of a porous resorbable CC implant and GTR has limited adjunctive effect in the treatment of intrabony periodontal defects. |
| | |
Authors:
|
C K Kim; E J Choi; K S Cho; J K Chai; U M Wikesjö |
Related Documents
:
|
12400727 - Regeneration of an osseous peri-implantitis lesion. 1054447 - Osteogenesis within polyethylene implants at fracture gaps. 10960017 - A comparison between enamel matrix proteins used alone or in combination with bovine po... 19485827 - Influence of residual bone on recombinant human bone morphogenetic protein-2-induced pe... 12400727 - Regeneration of an osseous peri-implantitis lesion. 17332037 - A review of the functional and esthetic requirements for dental implants. |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Journal of periodontology Volume: 67 ISSN: 0022-3492 ISO Abbreviation: J. Periodontol. Publication Date: 1996 Dec |
Date Detail:
|
Created Date: 1997-03-06 Completed Date: 1997-03-06 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8000345 Medline TA: J Periodontol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1301-6 Citation Subset: D; IM |
Affiliation:
|
Department of Periodontology, College of Dentistry, Yonsei University, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Alveolar Bone Loss / surgery* Analysis of Variance Biodegradation, Environmental Bone Substitutes* Calcium Carbonate* Female Guided Tissue Regeneration, Periodontal / methods* Humans Male Middle Aged Periodontal Pocket / surgery* Prostheses and Implants* Statistics, Nonparametric Surgical Flaps Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Bone Substitutes; 471-34-1/Calcium Carbonate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reproducibility of attachment level recordings using an electronic and a conventional probe.
Next Document: Effect of a non-steroidal anti-inflammatory drug on tissue levels of immunoreactive prostaglandin E2...