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Bioactive glass particulate has been applied to dentistry in the treatment of bone defects, ridge preservation and periodontal bone defects including the furcation defects. The aim of this study was to compare the clinical attachment gain and vertical and horizontal bone fill obtained with open flap debridement (OFD) alone and OFD with bioactive glass particulate in the treatment of mandibular Class II furcation defects. Twenty mandibular class II furcation defects were selected in 16 systemically healthy patients out of which 10 defects were treated with OFD alone (Group I) and other 10 defects were treated with OFD and bioactive glass particulate (Group II). Each defect was randomly assigned to Group I and Group II. The soft tissue and hard tissue measurements including vertical probing depth, horizontal probing depth, clinical attachment level, gingival recession, vertical depth of the furcation defects, and horizontal depth of the furcation defects were recorded at baseline and six months post surgery. At 6 months evaluation, both treatment procedures resulted in significant improvement in soft tissue and hard tissue parameters when compared to the baseline. There was no significant difference between the two groups with respect to soft tissue changes (p>0.05) like probing depth reduction (3.30 mm versus 2.90 mm), clinical attachment level gain (2.90 mm Vs 2.80 mm) and gingival recession. Vertical defect fill were significantly greater in the bioactive glass sites (1.50 mm) compared to control sites (0.80 mm). There was highly significant reduction in horizontal probing depth of the defect (1.80 mm Vs 1.10 mm, p< 0.05) after 6 months post surgery. In conclusion, bioactive glass showed significant improvement in clinical parameters like vertical and horizontal defect fill in mandibular class II furcation defects when compared to OFD.References
Kalkwarf KL, Reinhardt RA. The Furcation Problem. Current Controversies and Future Directions. Dent Clin North Am. 1988; 32: 243-66.
Reidy MEA, Yukna RA. Bone Replacement Grafts: The Bone Substitutes. Dent Clin North Am. 1998; 42: 3: 491 – 504.
Evans GH, Yukna RA, Cambre KM, Gardiner DL. Clinical regeneration with guided tissue barriers. Curr Opin Periodontol. 1997; 4: 75-81.
Garret S. Periodontal regeneration around natural teeth. Ann Periodontol. 1997; 11: 621-66.
Sanz M, Giovannoli JL. Focus on furcation defects: guided tissue regeneration. Periodontology 2000. 2000; 22: 168-89.
Jepsen S, Eberhard J, David H, Needleman I. A systematic review of guided tissue regeneration for periodontal furcation defects. What is the effect of guided tissue regeneration compared with surgical debridement in the treatment of furcation defects? J Clin Periodontol. 2002; 29(Suppl 3): 103-16.
Ulpee DR. Bioactive glass in the treatment of periodontal bone defects. Dent Pract. 2001; 2: 16-21.
Froum SJ, Weinberg MA, Tarnow D. Comparison of bioactive glass synthetic bone graft particles and open flap debridement in the treatment of human periodontal defects. A clinical study. J Periodontol. 1998; 69: 698-709.
Mengel R, Soffner M, Jacoby FL. Bioabsorbable membrane and bioactive glass in the treatment of intrabony defects in patients with generalized aggressive periodontitis: results of 12 month clinical and radiological study. J Periodontol. 2003; 74: 899- 908.
Carnevale G, Pontoriero R, Lindhe J. Treatment of furcation involved teeth. In: Lindhe J, Karring T, Lang NP, editors. Clinical periodontology and implant dentistry. 3rd ed. Copenhagen: Munksgaard; 1997. p. 682-710.
Carranza FA, Takei HH, Cochran DL. Resconstructive periodontal surgery. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 10th ed. Philadelphia: Saunders; 2006. p-971.
Park JS, Suh JJ, Choi SH, Moon I, Cho KS, Kim CK et al. Effects of pretreatment clinical parameters on bioactive glass implantation in intrabony periodontal defects. J Periodontol. 2001; 72: 730-40.
Schepers EJG, Ducheyne P, Barbler L. Clinical application of bioactive glass granules of narrow size range on dental osseous lesions. Bioceramics. 1993; 6: 361-4.
Andregg CR, Alexandar DC, Friedman MA. Bioactive glass particulate in the treatment of molar furcation invasions. J Periodontol. 1999; 70: 384- 7.
Ong MA, Robert ME, Maria IK, R. Lamont N, Gerald N. Glickman GN et al. Evaluation of a bioactive glass alloplast in treating periodontal intrabony defects. J Periodontol. 1998; 69 : 1346-54.
Zamet JS, Darbar UR, Griffiths GS, Bulman JS, Braggar U, Burgin W et al. Particulate bioglass as a grafting material in the treatment of periodontal intrabony defects. J Clin Periodontol. 1997; 24: 410-8.
Suh YI, Lundgren T, Sigurdsson T, Riggs M , Crigger M. Probing bone level measurements for determination of the depths of Class II furcation defects. J Periodontol. 2002; 73: 637-42.
Kim HY, Yi SW, Choi SH, Kim CK. Bone Probing Measurement as a Reliable Evaluation of the Bone Level in Periodontal Defects. J Periodontol. 2000; 71: 729-35.
Renvert S, Egleberg J. Healing after treatment of periodontal intraosseous defects. II. Effect of citric acid conditioning of the root surface. J Clin Periodontol. 1981; 8: 458-73.
Renvert S. Garrett S, Schallohorn R, Egelberg J. Healing after treatment of periodontal intraosseous defects. III. Effects of osseous grafting and citric acid conditioning. J Clin Periodontol. 1985; 12: 441-55.
Meffert R, Thomas J, Hamilton K, Brownstein C. Hydroxyapatite as an alloplastic graft in the treatment of human periodontal osseous defects. J Periodontol. 1985; 56: 63-73.
Yukna RA, Evans GH, Aichelmann-Reidy MB, Mayer ET. Clinical comparison of bioactive glass bone replacement material and expanded polytetrafluoroethylene barrier membrane in treating human mandibular molar class II furcations. J Periodontol. 2001; 72: 125-33.
Laurell L, Gottlow J, Zybutz M, Persson R. Treatment of infrabony defects by different surgical procedures. A literature review. J Periodontol. 1998; 69: 303-13.
Kenney EB. Lekovic V. Han T, Carranza FA Jr. The use of a porous hydroxyapatite implant in periodontal defects. I. Clinical results after six months. J Periodontol. 1985:56: 82-8.
Garrett S. Periodontal regeneration around natural teeth. Ann Periodoniol. 1994: 1:638-9.
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