Clinical evaluation of guided tissue regeneration combined with autogenous bone or autogenous bone mixed with bioactive glass in intrabony defects

J Oral Sci. 2011 Dec;53(4):481-8. doi: 10.2334/josnusd.53.481.

Abstract

Conflicting data exist on the combined use of grafting materials and barrier membranes in comparison to guided tissue regeneration (GTR) with membrane alone. The aim of the present study was to compare the clinical outcomes of GTR with collagen membrane (CM) alone (control group) or CM combined with autogenous bone graft (test group 1) or autogenous bone mixed with bioactive glass (test group 2) in intrabony defects. A total of 32 intraosseous defects in 22 subjects were treated randomly. After 6 months, significant probing depth reduction, clinical attachment level gain (CAL) and defect resolution were observed in all groups with significantly greater improvements in the test groups. There was no significant difference between the two test groups in any parameter. Results of the present study suggest that autogenous bone can be mixed with bioactive glass if the amount of the harvested bone is not sufficient.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Alveolar Bone Loss / diagnostic imaging
  • Alveolar Bone Loss / surgery*
  • Bone Regeneration*
  • Bone Substitutes*
  • Bone Transplantation*
  • Ceramics*
  • Chronic Periodontitis / surgery*
  • Collagen
  • Female
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Male
  • Membranes, Artificial
  • Middle Aged
  • Periodontal Index
  • Postoperative Care
  • Prospective Studies
  • Radiography
  • Statistics, Nonparametric
  • Young Adult

Substances

  • Bioglass
  • Bone Substitutes
  • Membranes, Artificial
  • Collagen