Treatment of an Infrabony Pocket in an American Eskimo Dog

Abstract

This case report describes the use synthetic bone graft particulate and 24% EDTA gel to treat an infrabony defect adjacent to the mandibular right first molar tooth in an American Eskimo dog. Postoperative examination 33-months following surgery showed osseous integration at the infrabony defect and restoration of the periodontal ligament space with a small refractory periodontal pocket.

Guided Tissue Regeneration for Infrabony Pocket Treatment in Dogs

“…11,12,20,24 Several veterinary publications have reported successful radiographic periodontal bone regeneration using the bioglass product b without a membrane although the results were not confirmed histologically. 1,[25][26][27] Results of a recent human clinical study suggest that there is increased inhibition of epithelial apical migration using membranes compared with bioactive glass alone. 28 Additionally, a human literature meta-analysis concluded that membranes in general, when combined with any type of bone graft, result in greater clinical attachment levels.…”

Guided Tissue Regeneration Therapy With Bone Augmentation in a Lingual, Infrabony Osseous Defect of a Mandibular Canine

“…In both reports, this bioactive bone graft was used to successfully treat interproximal periodontal defects. 21,22 Bioactive glass (Consil) w and DFDBA appear to be the most commonly used grafting materials in veterinary dentistry. Both products have been shown to clinical improve infrabony periodontal defects by increased attachment levels and bone reconstruction.…”

“…Both products have been shown to clinical improve infrabony periodontal defects by increased attachment levels and bone reconstruction. 9,[20][21][22] While bioactive glass has no risk of disease transmission and an unlimited supply, they are primarily osteoconductive and lack the bone inductive proteins of DFDBA. 15,23 In one study, DFDBA may statistically significantly improve the quality of bone reconstruction in infrabony periodontal defects.…”

Use of an Autogenous Cortical Graft in Combination with Guided Tissue Regeneration for Treatment of an Infrabony Defect

“…17 Another previously published report on the treatment of a similar defect in a dog using a bone graft revealed successful results without the use of a barrier membrane. 18 In this particular case, doxycycline impregnated in an absorbable polymeric carrier was the barrier membrane of choice based on accessibility of the product at our hospital as well as recent studies evaluating the effect of polylactic acid bioabsorbable membranes for treating infrabony defects in people. 19,20 Doxcycline has also been shown to have an anti-inflammatory effect through the inhibition of matrix metalloproteinases 8 and 12, which are collagen and elastin cleaving enzymes.…”