Wound healing of dehiscence defects following different root conditioning modalities: an experimental study in dogs

Clin Oral Investig. 2013 Jul;17(6):1585-93. doi: 10.1007/s00784-012-0848-4. Epub 2012 Sep 29.

Abstract

Objective: The purpose of this study was to investigate the periodontal healing pattern of dehiscence-type defects following different chemical root conditioning modalities.

Materials and methods: Buccal osseous dehiscence defects were created on six teeth of seven dogs. After dental plaque accumulation, defects were treated with sterile saline solution (control group) or one chemical conditioning modality: citric acid (CA group), ethylenediaminetetraacetic acid (EDTA group), tetracycline (TTC group), citric acid + tetracycline (CA + TTC group), or tetracycline + citric acid (TTC + CA group). After 3 months of healing, clinical parameters were evaluated, and the animals were killed. Histological sections were processed, and a computer-assisted histometric analysis was used to evaluate the formation of new cementum, new bone, and epithelial apical migration.

Results: All treatments yielded significant improvements in terms of probing depth decrease and clinical attachment level gain compared to baseline values; however, without significant differences among the groups (p > 0.05; one-way ANOVA). The highest amount of new cementum was noted in the EDTA group (3.72 ± 0.83 mm, 77.6 %), while the lowest amount of new bone was observed in the TTC group (0.7 ± 0.94 mm, 14.3 %). However, no statistically significant differences could be observed among the groups regarding epithelial apical migration, new cementum, and alveolar bone formation (p > 0.05).

Conclusion: Chemical root surface conditioning did not promote any significant improvement in periodontal healing pattern of dehiscence-type defects in dogs.

Clinical relevance: Chemical root surface conditioning after surgical debridement did not promote positive or negative effects on periodontal healing pattern of dehiscence-type defects.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveolar Bone Loss / drug therapy*
  • Alveolar Bone Loss / surgery
  • Animals
  • Cementogenesis / drug effects
  • Citric Acid / administration & dosage
  • Citric Acid / therapeutic use
  • Dental Disinfectants / administration & dosage
  • Dental Disinfectants / therapeutic use
  • Dogs
  • Drug Combinations
  • Edetic Acid / administration & dosage
  • Edetic Acid / therapeutic use
  • Epithelial Attachment / drug effects
  • Image Processing, Computer-Assisted / methods
  • Osteogenesis / drug effects
  • Periodontal Attachment Loss / drug therapy
  • Periodontal Attachment Loss / surgery
  • Periodontal Pocket / drug therapy
  • Periodontal Pocket / surgery
  • Subgingival Curettage / methods
  • Surgical Flaps / surgery
  • Tetracycline / administration & dosage
  • Tetracycline / therapeutic use
  • Tooth Root / drug effects*
  • Tooth Root / surgery
  • Wound Healing / drug effects

Substances

  • Dental Disinfectants
  • Drug Combinations
  • Citric Acid
  • Edetic Acid
  • Tetracycline