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

CASE REPORT

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: 01-12-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

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

Introduction

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.

Technique

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.

Conclusion

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.


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