Treatment Strategy for Guided Tissue Regeneration in Combined Endodontic-Periodontal Lesions: Case Report and Review

Oh, Se‐Lim; Fouad, Ashraf F.; Park, Sang Hoon

doi:10.1016/j.joen.2009.06.004

Cited by 54 publications

(64 citation statements)

References 40 publications

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“…Bone grafts are widely used in surgical procedures in Dentistry, particularly in Periodontology [1][2][3][4][5], Implantology [2,6,7], Endodontics [3,5,[8][9][10] and Oral Surgery [11,12]. Although autogeneous bone continues to be the "gold standard" in bone substitution [13][14][15][16][17][18][19][20], its limited availability and the need for a second surgical site and procedure drove the quest to other alternatives, like allografts (from cadavers), xenografts (from animals) and numerous synthetic materials [15-17, 20, 21], all having merits and limitations [13,15].…”

Section: Introductionmentioning

confidence: 99%

Comparison of a xenogeneic and an alloplastic material used in dental implants in terms of physico-chemical characteristics and in vivo inflammatory response

Figueiredo

Coimbra

Cabrita

et al. 2013

Materials Science and Engineering: C

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Two commercial bone grafts used in dentistry (Osteobiol Gen-Os®, a xenograft of porcine origin, and Bonelike®, a hydroxyapatite based synthetic material), in the form of granules, were characterized and evaluated in vivo regarding the intensity of the tissue inflammatory response. These biomaterials were characterized in terms of morphology, particle size distribution, porosity and pore size, specific surface are and density. The chemical composition and structure of the materials were accessed by Fourier-Transform Infrared Spectroscopy (FTIR) and X-ray Diffraction (XRD). The graft materials were implanted in the gluteus maximus muscles of Wistar rats and the inflammatory response evaluated through histological analysis, after one week of implantation.The results showed that the two grafts have quite different characteristics in practically all the evaluated properties. While Osteobiol® exhibits a structure and composition similar to the natural bone, Bonelike® is constituted by a main crystalline phase of hydroxyapatite and two secondary phases of -and -tricalcium phosphate. Osteobiol® granules, besides being larger, are irregular, and exhibit sharp-edged tips, while those of Bonelike® are approximately cylindrical, with round contours, and more uniform in size. The in vivo response evaluated from the inflammatory infiltrates revealed that although both implants did not cause severe inflammation, Bonelike® granules elicit a consistently more intense inflammatory reaction than that triggered by the granules of Osteobiol®, particularly in terms of collagen production and formation of fibrous capsule. This reaction was partly explained in terms of the characteristics evaluated for the granules of this material.

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Section: Introductionmentioning

confidence: 99%

Comparison of a xenogeneic and an alloplastic material used in dental implants in terms of physico-chemical characteristics and in vivo inflammatory response

Figueiredo

Coimbra

Cabrita

et al. 2013

Materials Science and Engineering: C

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“…GTR is a viable treatment approach for gingival recession (21), intrabone defects (22), vertical ridge augmentation and furcation defects (23), circumferential periodontal and dental implant-associated defects (24), and in apical microsurgery (11,12). In this case, a bone defect involving 2 teeth was confirmed and GTR was used.…”

Section: Discussionmentioning

confidence: 95%

Root Reconstructed with Mineral Trioxide Aggregate and Guided Tissue Regeneration in Apical Surgery: A 5-year Follow-up

et al. 2013

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Apical surgery should be considered as the last treatment option and employed when conventional endodontic treatment does not provide the expected result. In teeth undergoing apical surgery, the type of retrograde filling material is one of the factors interfering with the repair of periapical tissues. The material in intimate contact with the periapical tissues plays a fundamental role in the repair process. Several materials have been studied and indicated for use in apical surgery procedures, but the mineral trioxide aggregate (MTA) is still the most frequently used one. Guided tissue regeneration (GTR) techniques have been proposed as an adjunct to apical surgery to enhance bone healing. Here is reported a clinical case in which apical surgery was performed in conjunction with MTA-based root reconstruction of the maxillary right second incisor. After the apical surgery, a root-end cavity was prepared at the vestibular face of the involved tooth and filled with MTA. A bovine bone graft and a cortical collagen membrane were placed on the bone defect. After 5 years, clinical and radiographic assessments showed that the treatment was successful. It may be concluded that MTA presents favorable characteristics in adverse conditions and can be used in conjunction with GTR in cases involving root reconstruction.

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“…A localized deep probing depth with minimal tooth mobility might have a favorable clinical outcome after the regenerative procedure. [10] Furthermore patient compliance in terms of maintaince of good oral hygiene also plays a pivotal role in the successful outcome of regenerative periodontal treatment.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Approach to the Conservative and Regenerative Management of Endo-Perio Lesion

Swaminathan¹,

Raghunathan²,

Subbiah³

2014

IJDSR

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This case report evaluates the clinical and radiographic response of biphasic calcium phosphate (ossify) when used in combination with bioresorbable membrane (sybograft -GBR) for the treatment of intrabony defect around multi-rooted teeth with an endodontic and periodontal lesion. A 47-year-old female patient with an endoperio lesion in the left mandibular first molar was initially treated with endodontic therapy. After endontic management of the teeth a full-thickness flap reflected, complete degranulation and root planing was performed. An allograft was then used to fill the defect and a GBR membrane was placed over the filled defect. Radiographs, clinical probing depths, and attachment levels were obtained before treatment, 3, 6, 9 and 24 months following treatment. Reduction in pocket depth and gain in clinical attachment level were observed during follow up. This case report demonstrates that proper diagnosis, followed by removal of etiological factors and utilizing the guided tissue regeneration technique combined with osseous grafting, will restore health and function of a tooth with severe bone loss caused by an endo-perio lesion. This report highlights a conservative and regenerative approach to the management of endo-perio lesion rather than a radical approach such as hemisection. Keywords: Endo-perio lesion, Guided tissue regeneration, Bone GraftCite This Article: R. Swaminathan, J. Raghunathan, and Sivaram Subbiah, "Multidisciplinary Approach to the Conservative and Regenerative Management of Endo-Perio Lesion

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Treatment Strategy for Guided Tissue Regeneration in Combined Endodontic-Periodontal Lesions: Case Report and Review

Cited by 54 publications

References 40 publications

Comparison of a xenogeneic and an alloplastic material used in dental implants in terms of physico-chemical characteristics and in vivo inflammatory response

Comparison of a xenogeneic and an alloplastic material used in dental implants in terms of physico-chemical characteristics and in vivo inflammatory response

Root Reconstructed with Mineral Trioxide Aggregate and Guided Tissue Regeneration in Apical Surgery: A 5-year Follow-up

Multidisciplinary Approach to the Conservative and Regenerative Management of Endo-Perio Lesion

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