The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  24 (2023)
Volume  23 (2022)
Volume  22 (2021)
Volume  21 (2020)
Volume  20 (2019)
Volume  19 (2018)
Volume  18 (2017)
Volume  17 (2016)
Volume  16 (2015)
Volume  15 (2014)
Volume  14 (2013)
Volume  13 (2012)
Volume  12 (2011)
Volume  11 (2010)
Volume  10 (2009)
Volume  9 (2008)
Volume  8 (2007)
Volume  7 (2006)
Volume  6 (2005)
Volume  5 (2004)
Volume  4 (2003)
Volume  3 (2002)
Volume  2 (2001)
Volume  1 (1999)
Related articles

VOLUME 13 , ISSUE 1 ( January-February, 2012 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Guided Tissue Regeneration with use of Collagen-based Barrier Freeze-Dried Dura Mater Allograft for Mandibular Class 2 Furcation Defects (A Comparative Controlled Clinical Study)

Arvind Agarwal, Brijesh Ruparelia, Sandeep Patel, Ajay Kubavat

Citation Information : Agarwal A, Ruparelia B, Patel S, Kubavat A. Comparative Evaluation of Guided Tissue Regeneration with use of Collagen-based Barrier Freeze-Dried Dura Mater Allograft for Mandibular Class 2 Furcation Defects (A Comparative Controlled Clinical Study). J Contemp Dent Pract 2012; 13 (1):11-15.

DOI: 10.5005/jp-journals-10024-1088

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

Aim

The aim of periodontal surgery is complete regeneration. The present study was designed to evaluate and compare clinically soft tissue changes in form of probing pocket depth, gingival shrinkage, attachment level and hard tissue changes in form of horizontal and vertical bone level using resorbable membranes.

Materials and methods

Twelve subjects with bilateral class 2 furcation defects were selected. After initial phase one treatment, open debridement was performed in control site while freezedried dura mater allograft was used in experimental site. Soft and hard tissue parameters were registered intrasurgically. Nine months reentry ensured better understanding and evaluation of the final outcome of the study.

Results

Guided tissue regeneration is a predictable treatment modality for class 2 furcation defect. There was statistically significant reduction in pocket depth as compared to control (p < 0.01). There is statistically significant increase in periodontal attachment level within control and experimental sites showed better results (p < 0.01). For hard tissue parameter, significant defect fill resulted in experimental group, while in control group, less significant defect fill was found in horizontal direction and nonsignificant defect fill was found in vertical direction.

Conclusion

The results showed statistically significant improvement in soft and hard tissue parameters and less gingival shrinkage in experimental sites compared to control site.

Clinical significance

The use of FDDMA in furcation defects helps us to achieve predictable results. This cross-linked collagen membrane has better handling properties and ease of procurement as well as economic viability making it a logical material to be used in regenerative surgeries.

How to cite this article

Patel S, Kubavat A, Ruparelia B, Agarwal A, Panda A. Comparative Evaluation of Guided Tissue Regeneration with use of Collagen-based Barrier Freeze-Dried Dura Mater Allograft for Mandibular Class 2 Furcation Defects (A Comparative Controlled Clinical Study). J Contemp Dent Pract 2012;13(1):11-15.

PDF Share
  1. Periodontal therapy, prospects for future. Journal of Periodonotology 1993;64:744-53.
  2. Guided tissue regeneration in treatement of furcation detects in man. Journal of Clinical Periodontology 1987;14:618-20.
  3. New periodontal attachment procedure based on retardation of epithelia's migration. Journal of clinical periodontology 1974;1:75-88.
  4. Clinical periodontology classification of furcation involvement. WB Saunders Co 595-98.
  5. New attachment following surgical treatment of human periodontal disease. Journal of clinical periodontology 1982;7:394-401.
  6. Early wound healing stability and its importance in periodontal regeneration in periodontal regeneration. Periodontal regeneration current status and Direction 1995 (1st ed). Quintessence Publishing Co Inc.
  7. Treatment of furcation degree II involving human with bioresorbable and nonresorbable GTR devices. J Dent Res 1993;72:825.
  8. GTR using bioresorbable and nonresorbable devices initial healing and long-term results. Journal of Periodontology 1993;64:1157-65.
  9. Periodontal regeneration: Current status and direction (1st ed). Quintessence Publishing Co Inc 1995.
  10. Current status of the management of teeth with furcation invasions. Journal of Periodontology 1981;52:559-68.
  11. New attachment after treatment with root isolation procedure. Report of treated class III and class II farcation and vertical osseous defects. Int J Perio Res Dent 1988;8(3):9-23.
  12. GTR biological rationale, surgical technique and clinical results. Compendium Conti Edu Dent 1992;13:168.
  13. Root isolation for new attachment procedure a surgical and suturing method three case reports. Journal of Periodontology 1987;58:819-26.
  14. A clinical evaluation of a bioresorbable barrier with or without DFBA in treatment of molar furcations. JCP 1997;24:440-46.
  15. Evaluation of an absolute collagen membrane in treating class II furcation defects. Journal of Periodontology 1994;65:1029-36.
  16. Evaluation of guided tissue regeneration in class 2 furcation defects: A clinical reentry study. JOP 1989;60:694-98.
  17. Methods of evaluation of regenerative procedures.
  18. Clinical evaluation of GTR in the treatment of maxillary class 2 molar furcation invasions. JOP 1991;62:352-60.
  19. Collagen membranes: A review. Journal of Periodontology 2001;72:215-29.
  20. Collagen membrane barrier therapy of GTR in class II functions in humans. Journal of Periodontology 1993;64:622-29.
  21. Clinical and histological characteristics of lyophilized allegoric dura mater. Periodontal bony defects in humans. Journal of Clinical Periodontology 1983;10:399-411.
  22. A critical review of the biologic rationale of GTR. JOP 62:171-78.
  23. Clinical human comparison of ePTFE barrier membrane and freeze dried dura mater allograft for guided tissue regeneration of lost periodontology. 1992;63:431-41.
  24. Multicenter evaluation of bio-absorbable collagen membrane for guided tissue regeneration in human class II farcations. Journal of Periodontology 1996;67:650-57.
  25. A clinical comparison of collagen membrane with ePTFE in the treatment of human class II farcation defects. Journal of Periodontology 1993;64:925-33.
  26. New attachment formation in the human periodontium by guided tissue regeneration case reports. Journal of Clinical Periodontology 1986;13:604-16.
  27. Comparative study of collagen and ePTFE membrane in the treatment of human class II farcation defects. Journal of Periodontology 1994;65:598-604.
  28. ePTFE and connective tissue grafts support bone regeneration for closing mandibular class II furcation. Journal of Periodontology 1993;64:1193-98.
  29. Regenerating in clinical periodontal JADA 1990;121:497-502.
  30. Measurement of attachment levels in clinical trials probing methods. Journal of Periodontology 1992;63:1072-77.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.