Periosteal grafts as barriers in periradicular surgery: report of two cases

Abstract

Periapical and periodontal lesions are closely related through pathways of communication. Disruption of the cortical plate and the presence of dentoalveolar sinus tracts can have a deleterious effect on the regeneration process after periradicular surgery. The adoption of supplementary periodontal surgical techniques may help to solve some of the difficulties in the healing process in periradicular surgery. Periosteal grafts have been shown to have the potential to stimulate bone formation when used as a graft material.

Periosteal pedicle graft for the treatment of gingival recession defects: a novel technique

“…Various research papers have been published explaining the osteogenic potential of human periosteal grafts. 7,[14][15][16] The use of periosteum as a barrier membrane for the treatment of periodontal defects was published by Lekovic et al in 1991 17 and again in 1998 by Lekovic et al 18 and Kwan et al 19 In their studies, they used connective tissue grafts obtained from the palate and covered the periodontal defect with donor tissue before suturing over the donor tissue with gingival flaps. This procedure produced results similar to improvements found with barrier membranes.…”

Healing response of apicomarginal defects to two guided tissue regeneration techniques in periradicular surgery: a double‐blind, randomized‐clinical trial

“…The periosteal graft group, had periradicular surgery with split‐thickness flap and periosteal sliding graft (Fig. 4a,b,c) following a previously described surgical technique (Tobón‐Arroyave et al. 2004).…”

Periosteum: A Highly Underrated Tool in Dentistry

“…Various research papers have been published explaining the osteogenic potential of human periosteal grafts [41, 42]. The use of periosteum as a GTR has been suggested by many studies [43–46], although long-term results are still awaited to establish the regular and the most effective use of periosteal grafts as barrier membranes.…”