Surgical Treatment of Periodontal Intrabony Defects with Calcium Sulphate in Combination with Beta Tricalcium Phosphate – A 12-Month Retrospective Clinical Evaluation

Abstract

Summary: Alloplastic bone graft materials are widely been used in combination with barrier membranes to achieve guided tissue regeneration in the treatment of periodontal intrabony defects. This study was designed to evaluate the clinical outcome of a composite material, beta tricalcium phosphate in combination with calcium sulphate in the treatment of periodontal intrabony defects. The combination of these materials is believed to aid in guided tissue regeneration owing to their properties. Thirty nine intrabony defects in 21 patients were treated with Fortoss ® Vital (Biocomposites, Staffordshire, UK). Clinical parameters were evaluated including changes in probing depth, clinical attachment level/loss and gingival recession at baseline and one year postoperatively. The mean differences in measurements between the baseline and one year postoperatively are a reduction of 1.98±1.16 mm (p=0.000) in case of probing depth and a gain of 1.68±1.12 mm (p=0.000) in clinical attachment level and an increase of 0.31±0.67 mm (p=0.009) in gingival recession measurements. The study results show that the treatment with a combination of beta tricalcium phosphate and calcium sulphate led to a significantly favorable clinical improvement in periodontal intrabony defects one year postoperatively.

A clinical and radiographic evaluation of the management of periodontal osseous defects with alloplast and platelet rich plasma

“…This suggests that there was a statistically significant attachment gain from baseline to 9 months within both test and control sites. The results of the test sites compare favorably with earlier studies of Hanna R et al, (2004) [28] and [22] whereas the results at control sites where in accordance to the studies of Drizhal et al, (2010) [37] and Sukumar et al, (2011) [38]. Comparison between the two groups revealed no statistically significant difference in the reduction of clinical attachment level when measured at different points of time during the study, in contrast to the study of [22] and Saini et al, (2011) [35] where a statistically significant gain in clinical attachment was reported with PRP in combination with other alloplastic materials, when compared to bone grafts alone [12].…”

Use of the Novabone® Augmentation Material in the Treatment of Chronic Periodontitis. Preliminary Communication

“…Nevertheless, we tried to compare the findings of this truly preliminary study with the results of domestic work from the same workplace. By using synthetic augmentation material based on a mixture of calcium sulphate and beta tricalcium phosphate, Sukumar et al achieved an average reduction in periodontal pocket depth of 2 mm and a similar attachment gain (21,22). These were retrospective studies with groups of patients treated for chronic periodontitis as well.…”

What is the Efficacy of Beta-tricalcium Phosphate as Graft Material in Periodontal Infra-bony Defects? Systematic Review and Meta-Analysis

“…The studies published between 1979-2010, in the following countries Switzerland, USA, German, India, and Czech Republic. Four of them were prospective studies [9,[19][20][21] while one was retrospective [22]. One study used split mouth design compared between β-TCP vs allograft [19].…”

“…One study used split mouth design compared between β-TCP vs allograft [19]. 171 was the total number of participants included in the studies [9,[19][20][21][22]. Age of participant ranged from 20 to 71 years old.…”