A clinical investigation of demineralized bone matrix putty for treatment of periodontal bony defects in humans

Int J Periodontics Restorative Dent. 2013 Sep-Oct;33(5):567-73. doi: 10.11607/prd.1745.

Abstract

The goal of this study was to evaluate the effectiveness of demineralized bone matrix (DBM) putty, consisting of demineralized human bone allograft matrix in a carrier of bovine collagen and alginate, for the treatment of periodontal defects in humans. Twenty subjects with at least one site having a probing depth ≥ 6 mm and radiographic evidence of bony defect depth > 3 mm were included. The infrabony defects were grafted with DBM putty bone graft. The following clinical parameters were assessed at baseline and 6 months posttreatment: probing depth (PD), gingival recession (GR), and clinical attachment level (CAL). Bone fill was evaluated using transgingival probing and standardized radiographs taken at baseline and 6 months posttreatment. The 6-month evaluation showed a significant PD reduction of 3.27 ± 1.67 mm and clinical attachment gain of 2.27 ± 1.74 mm. Bone sounding measurements showed a mean clinical bone defect fill of 2.93 ± 1.87 mm and a mean radiographic bone fill of 2.55 ± 2.31 mm. The use of DBM putty was effective for treatment of periodontal bony defects in humans. Significant improvement in CAL, PD, and bone fill was observed at 6 months compared to baseline.

MeSH terms

  • Adult
  • Aged
  • Alginates
  • Allografts
  • Animals
  • Bone Regeneration
  • Bone Substitutes
  • Bone Transplantation
  • Cattle
  • Collagen
  • Dentin*
  • Female
  • Gingival Recession / diagnostic imaging
  • Gingival Recession / surgery
  • Glucuronic Acid
  • Hexuronic Acids
  • Humans
  • Male
  • Middle Aged
  • Periodontal Attachment Loss / diagnostic imaging
  • Periodontal Attachment Loss / surgery
  • Periodontal Pocket / diagnostic imaging
  • Periodontal Pocket / surgery
  • Periodontitis / diagnostic imaging
  • Periodontitis / surgery*
  • Prospective Studies
  • Radiography
  • Surgical Flaps
  • Treatment Outcome

Substances

  • Alginates
  • Bone Substitutes
  • Demineralized Dentin Matrix
  • Hexuronic Acids
  • Glucuronic Acid
  • Collagen