The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 15 , ISSUE 6 ( November-December, 2014 ) > List of Articles


Calcium Phosphate Barrier for Augmentation of Bone in noncontained Periodontal Osseous Defects: A Novel Approach

Aditi Chopra, Karthik Sivaraman, Tarun K Awataramaney

Citation Information : Chopra A, Sivaraman K, Awataramaney TK. Calcium Phosphate Barrier for Augmentation of Bone in noncontained Periodontal Osseous Defects: A Novel Approach. J Contemp Dent Pract 2014; 15 (6):779-783.

DOI: 10.5005/jp-journals-10024-1617

Published Online: 01-05-2015

Copyright Statement:  Copyright © 2014; The Author(s).



The aim of this technique is to augment bone in noncontained osseous deformities using a unique self-sustaining calcium phosphate barrier.


Bone has the inherent ability to regenerate completely if it is provided with a fracture space or an undisturbed enclosed scaffold. A secluded environment is essential as it provides a secured, sterile and stable wound system that regenerates lost bone by a process of osteopromotion. Reconstructive techniques using bone grafts and barrier membranes utilize this principle for augmentation of deficient bony sites by providing a closed environment that promotes clot stability, graft retention, and facilitates correct cell repopulation. However, in noncontained bone defects like one walled infrabony periodontal defect or sites with horizontal bone loss, regeneration of bone still remains an unrealistic situation since osseous topography at such sites does not favor membrane stability or bone grafts retention. This case report presents a promising technique to augment bone in areas with horizontal loss.


Augmentation of bone in the interdental area with horizontal bone loss was accomplished by building a contained defect using a unique self sustaining calcium phosphate cement formulation. The calcium phosphate barrier stimulates the lost cortical plates and promotes graft retention and clot stability. At 6 months, there was a significant bone fill and trabecular formation in the interdental area and reduction in tooth mobility.


This promising technique could prove to be a good alternative to the conventional approaches for treating osseous deformities.

Clinical significance

Calcium phosphate is a promising barrier graft for repair of noncontained periodontal osseous defect. This technique cues both the clinicians and manufacturers to develop moldable tissue engineered constructs for osseous repair.

How to cite this article

Chopra A, Sivaraman K, Awataramaney TK. Calcium Phosphate Barrier for Augmentation of Bone in noncontained Periodontal Osseous Defects: A Novel Approach. J Contemp Dent Pract 2014;15(6):779-783.

PDF Share
  1. Physiological bases of bone regeneration II -The remodeling process. Med Oral Pathol Oral Cir Bucal 2006;11(2):151-157.
  2. Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg 1988;81(2):672-676.
  3. Periodontal regeneration. Periodontol 2000, 1993;1(2):9-12.
  4. Fundamental principles affecting the outcomes of therapy for osseous lesions. Periodontol 2000;22(1):22-43.
  5. Regeneration of periodontal tissues: combinations of barrier membranes and grafting materials: biological foundation and preclinical evidence: a systematic review. J Clin Periodontol 2008;35(2):106-116.
  6. Periodontal repair in dogs: space-provision supports alveolar bone and cementum formation. J Clin Periodontol 2013;40(4):358-363.
  7. A new calcium phosphate setting cements. J Dent Res 1983;62(Suppl 1):672-675.
  8. Development of degradable cement of calcium phosphate and calcium sulfate composites for bone reconstruction. Biomed Mater 2006;1(4):193-197.
  9. Reconstruction of bone using calcium phosphate bone cements: a critical review. J Oral Maxillofac Surg 1999;57(9):1122-1126.
  10. Biocompatibility and resorption of brushite calcium phosphate cement. Biomaterials 2005;26(1):4383-4394.
  11. Bonding mechanisms at the interface of ceramic prosthetic materials. J Biomed Mater Res 1971;5(1):117-141.
  12. Signi.cance of porosity and physical chemistry of calcium phosphate ceramics. Ann NY Acad Sci 1988;523(1):268-271.
  13. Calcium phosphate cement with biofunctional agents and stem cell seeding for dental and craniofacial bone repair. Dental Material 2012;s28(10):1059-1070.
  14. Calcium phosphate cement in orbital reconstructions. J Craniofac Surg 2012;23(1):145-148.
  15. Effect of bone swaging with calcium phosphate bone cement on periodontal regeneration in dogs. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(1):35-42.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.