Evaluation of the relative efficacy of copolymerized polylactic-polyglycolic acids alone and in conjunction with polyglactin 910 membrane in the treatment of human periodontal infrabony defects: a clinical and radiological study

Indian J Dent Res. 2011 Jan-Feb;22(1):83-9. doi: 10.4103/0970-9290.80003.

Abstract

Background: Absorbable synthetic biopolymers have been used as bone filler in Periodontology, proving effective stimulants to bone regeneration.

Aim: Copolymerized polylactic and polyglycolic acid is used as a bone filler and polyglactin 910 as a guided tissue regeneration (GTR) membrane to achieve regeneration in periodontal infrabony defects.

Materials and methods: Forty patients with two- or three-walled infrabony defects were selected and randomly divided into two groups. Group A included patients treated with polylactic-polyglycolic acids 50:50 (Fisiograft ,Ghimsa SPA,Via Fucini, Italy) alone and Group B included patients treated with polylactic-polyglycolic acids (PLA-PGA)50:50 in conjunction with polyglactin acid 910 (Vicryl Mesh Johnson&Johnson , U.S.A ). Evaluation of clinical parameters probing depth and attachment level and radiographs was done preoperatively and 12 and 24 weeks postoperatively.

Results: Both the groups showed statistically significant mean reduction in probing depth and gain in clinical attachment level and linear bone fill.

Conclusions: Within the limit of this study, both the treatment modalities are beneficial for the treatment of infrabony defects.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Absorbable Implants
  • Alveolar Bone Loss / complications
  • Alveolar Bone Loss / diagnostic imaging
  • Alveolar Bone Loss / surgery*
  • Biocompatible Materials / therapeutic use
  • Bone Regeneration / drug effects
  • Bone Substitutes / therapeutic use*
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Lactic Acid / therapeutic use*
  • Membranes, Artificial
  • Periodontal Diseases / complications
  • Periodontal Diseases / diagnostic imaging
  • Periodontal Diseases / surgery*
  • Polyglactin 910 / therapeutic use*
  • Polyglycolic Acid / therapeutic use*
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Radiography
  • Treatment Outcome

Substances

  • Biocompatible Materials
  • Bone Substitutes
  • Membranes, Artificial
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polyglycolic Acid
  • Lactic Acid
  • Polyglactin 910