Journal of Scientific Dentistry

Register      Login

VOLUME 11 , ISSUE 1 ( January-June, 2021 ) > List of Articles

Original Article

Comparative Radiographic Study of Hydroxyapatite/Beta-tricalcium Phosphate with Bioabsorbable Membrane in the Management of Mandibular Class II Furcation Defects

J Jenish Manohar, Jaishree Tukaram Kshirsagar, A Selvam, A Mahalakshmi, T Nirmmal Maria

Keywords : Beta-tricalcium phosphate, Bioabsorbable membrane, Bony defects, Furcation, Furcation involvement, Guided tissue regeneration, Hydroxyapatite

Citation Information : Manohar JJ, Kshirsagar JT, Selvam A, Mahalakshmi A, Maria TN. Comparative Radiographic Study of Hydroxyapatite/Beta-tricalcium Phosphate with Bioabsorbable Membrane in the Management of Mandibular Class II Furcation Defects. 2021; 11 (1):2-7.

DOI: 10.5005/jp-journals-10083-0935

License: CC BY-NC 4.0

Published Online: 01-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Management of moderate to advanced furcation defects presents a major challenge in periodontal therapy. Conventional treatments like root resection have led to limited success which led to attempts of regenerative therapy which can result in bone fill and closure of defects. Aim and objective: To compare the outcomes of hydroxyapatite (HA)/beta-tricalcium phosphate (BTCP) with bioabsorbable collagen membrane (test group) to open flap debridement (OFD) (control) in the management of human mandibular class II furcation defects radiographically. Materials and methods: A total of 20 furcation involvement sites (10 tests and 10 controls) were treated in this randomized clinical trial. Test groups were treated with OSSIFI (HA/BTCP) and HEALIGUIDE (collagen membrane). Control groups were treated with OFD alone. Defect depth, defect fill, and defect fill percentage were measured radiographically. p value <0.05 was considered significant. Results: After 6 months, radiographic measurements showed a significant defect fill of 1.69 ± 0.55 and 1.18 ± 0.32 in test and control groups, respectively. The test group showed statistically significant improvements. Conclusion: The combined use of HA/BTCP with collagen membrane demonstrated clinically better results and statistically significant improvement in defect fill in intraoral periapical radiograph (IOPA) compared with open debridement.


PDF Share
  1. Garrett S. Periodontal regeneration around natural teeth. Ann Periodontol 1996;1(1):620–670. DOI: 10.1902/annals.1996. 1.1.621.
  2. Martin M, Gantes B, Garrett S, Egelberg J. Treatment of periodontal furcation defects. Review of the literature and description of a regenerative surgical technique. J Clin Periodontot 1988;15(4): 227–231. DOI: 10.1111/j.1600-051X.1988.tb01575.x.
  3. Hirsehfeld L, Wasserman BA. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 1978;49(10):495–512. DOI: 10.1902/jop.1978.49.10.495.
  4. Glickman I. Clinical Periodontology. 1st ed., Philadelphia: Saunders; 1953.
  5. Matia JI, Bissada NF, Maybury JE, Ricchetti P. Efficiency of scaling of the molar furcation area with and without surgical access. Int J Periodontics Restorative Dent 1986;6:25–35.
  6. Mellonig JT, Bowers GM, Bright RW, Lawrence JJ. Clinical evaluation of freeze-dried bone allografts in periodontal osseous defects. J Periodontol 1976;47(3):125–131. DOI: 10.1902/jop.1976.47.3.125.
  7. Sepe WW, Bowers GM, Lawrence JJ, Friedlaender GE, Koch RW. Critical evaluation of freeze-dried bone allografts iti periodontal osseous defects. Part II. J Periodontol 1978;49(1):9–14. DOI: 10.1902/jop.1978.49.1.9.
  8. Gottlow J, Nyman S, Lindhe J, Karring T, Wennström J. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontot 1986;13(6):604–616. DOI: 10.1111/j.1600-051X.1986.tb00854.x.
  9. Wang HL, Boyapati L. “PASS” principles for predictable bone regeneration. Implant Dent 2006;15(1):8–17. DOI: 10.1097/01.id.0000204762.39826.0f J Periodontol 1971;42:685–690.
  10. Prapayasatok S, Janhom A, Verochana K, Pramojanee S, et al. Digital camera resolution and proximal caries detection. J Dentomaxillofacial Radiology 2006;35(4):253–257. DOI: 10.1259/dmfr/32165678.
  11. Scaf G, Sakakura CE, Kalil PFD. Comparison of simulated periodontal bone defect depth measured in digital radiographs in dedicated and non-dedicated software systems. Dentomaxillofac Radiol 2006;35(6):422–425. DOI: 10.1259/dmfr/61300663.
  12. Bjorn H, Halling A, Thyberg H. Radiographic assessment of marginal bone loss. Odontol Revy 1969;20:165–179.
  13. Schei O, Waerhaug J, Lovdal A, Arno A. Alveolar bone loss as related to oral hygiene and age. J Periodontol 1959;30(1):7–16. DOI: 10.1902/jop.1959.30.1.7.
  14. Linares A, Cortellini P, Lang NP, Suvan J, Tonetti MS, On behalf of the European Research Group on Periodontology (ErgoPerio) Guided tissue regeneration/deproteinized bovine bone mineral or papilla preservation flaps alone for treatment of intrabony defects. II: radiographic predictors and outcomes. J Clin Periodontol 2006;33(5):351–358. DOI: 10.1111/j.1600-051X.2006.00911.x.
  15. Rajendran M, Mahalakshmi A, Selvam A, Usha R. Interplay of occlusal forces and the periodontium. J Stomat Occ Med 2016;8(S1):17–24. DOI: 10.1007/s12548-016-0146-x.
  16. Maheaswari R, Selvam A, Jeeva Rekha M, Mahalakshmi A, Jaishree TK. A guide to management of various endodontic periodontal lesions - a case series. Int J Cur Res Rev 2015;7(20):22–29.
  17. Haney JM, Nilvéus RE, McMillan PJ, Wikesjö UM. Periodontal repair in dogs. Expanded polytetrafluoroethylene barrier membranes support wound stabilization and enhance bone regeneration. J Periodontol 1993;64(9):883–890. DOI: 10.1902/jop.1993.64.9.883.
  18. Wikesjo UM, Nilveus RE, Selvig KA. Significance of early healing events on periodontal repair. A review. J Periodontol 1992;63(3):158–165. DOI: 10.1902/jop.1992.63.3.158.
  19. Quteisch D, Dolby AE. The use of irradiated – crosslinked human collagen membrane in guided tissue regeneration. J Clin Periodontol 1992;19(7):476–484. DOI: 10.1111/j.1600-051X.1992.tb01160.x.
  20. Meffert RM, Thomas JR, Hamilton KM, Brownstein CN. Hydroxylapatite as an alloplastic graft in the treatment of human periodontal osseous defects. J Periodontol 1985;56(2):63–73. DOI: 10.1902/jop.1985.56.2.63.
  21. Horwitz J, Machtei EE, Reitmeir P, Holle R, Kim T-S, Eickholz P. Radiographic parameters as prognostic indicators for healing of class II furcation defects. J Clin Periodontol 2004;31(2):105–111. DOI: 10.1111/j.0303-6979.2004.00455.x.
  22. Pruthi VK, Gelskey SC, Mirbod SM. Furcation therapy with bioabsorbable collagen membrane. A clinical trial. J Can Dent Assoc 2002;68:610–615.
  23. Kenney EB, Lekovic V, Elbaz JJ, Kovacvic K, Carranza FA, Takei HH. The use of a porous hydroxylapatite implant in periodontal defects II. Treatment of class II furcation lesions in lower molars. J Periodontol 1988;59(2):67–72. DOI: 10.1902/jop.1988.59.2.67.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.