Biomaterials in periodontal osseous defects

ABSTRACT: Introduction: Osseous defects in periodontal diseases require osseous grafts and guided tissue regeneration (GTR) using barrier membranes. The present study was undertaken with the objectives to clinically evaluate the osteogenic potential of hydroxyapatite (HA), cissus quadrangularis (CQ...

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Main Authors: Nand Lal, Jaya Dixit
Format: Article
Language:English
Published: Elsevier 2012-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426812600098
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author Nand Lal
Jaya Dixit
author_facet Nand Lal
Jaya Dixit
author_sort Nand Lal
collection DOAJ
description ABSTRACT: Introduction: Osseous defects in periodontal diseases require osseous grafts and guided tissue regeneration (GTR) using barrier membranes. The present study was undertaken with the objectives to clinically evaluate the osteogenic potential of hydroxyapatite (HA), cissus quadrangularis (CQ), and oxidized cellulose membrane (OCM) and compare with normal bone healing. Materials and Methods: Twenty subjects with periodontitis in the age group ranging from 20 years to 40 years were selected from our outpatient department on the basis of presence of deep periodontal pockets, clinical probing depth ≥5 mm, vertical osseous defects obvious on radiograph and two- or three-walled involvement seen on surgical exposure. Infrabony defects were randomly divided into four groups on the basis of treatment to be executed, such that each group comprised 5 defects. Group I was control, II received HA, III received CQ and IV received OCM. Probing depth and attachment level were measured at regular months after surgery. Defects were re-exposed using crevicular incisions at 6 months. Results: There was gradual reduction in the mean probing pocket depth in all groups, but highly significant in the site treated with HA. Gain in attachment level was higher in sites treated with HA, 3.2 mm at 6 months. Conclusion: Hydroxyapatite and OCM showed good reduction in pocket depth, attachment level gain and osseous defect fill. Further study should be conducted by using a combination of HA and OCM in periodontal osseous defects with growth factors and stem cells.
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spelling doaj-art-2c2ecd48286340ed9a4ad02e48f3d8e72024-11-23T06:26:11ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682012-01-01213640Biomaterials in periodontal osseous defectsNand Lal0Jaya Dixit1Associate Professor, Department of Periodontology, Faculty of Dental Sciences, CSM Medical University, Lucknow, Uttar Pradesh – 226003, India; Correspondence: Dr. Nand LalProfessor, Department of Periodontology, Faculty of Dental Sciences, CSM Medical University, Lucknow, Uttar Pradesh – 226003, IndiaABSTRACT: Introduction: Osseous defects in periodontal diseases require osseous grafts and guided tissue regeneration (GTR) using barrier membranes. The present study was undertaken with the objectives to clinically evaluate the osteogenic potential of hydroxyapatite (HA), cissus quadrangularis (CQ), and oxidized cellulose membrane (OCM) and compare with normal bone healing. Materials and Methods: Twenty subjects with periodontitis in the age group ranging from 20 years to 40 years were selected from our outpatient department on the basis of presence of deep periodontal pockets, clinical probing depth ≥5 mm, vertical osseous defects obvious on radiograph and two- or three-walled involvement seen on surgical exposure. Infrabony defects were randomly divided into four groups on the basis of treatment to be executed, such that each group comprised 5 defects. Group I was control, II received HA, III received CQ and IV received OCM. Probing depth and attachment level were measured at regular months after surgery. Defects were re-exposed using crevicular incisions at 6 months. Results: There was gradual reduction in the mean probing pocket depth in all groups, but highly significant in the site treated with HA. Gain in attachment level was higher in sites treated with HA, 3.2 mm at 6 months. Conclusion: Hydroxyapatite and OCM showed good reduction in pocket depth, attachment level gain and osseous defect fill. Further study should be conducted by using a combination of HA and OCM in periodontal osseous defects with growth factors and stem cells.http://www.sciencedirect.com/science/article/pii/S2212426812600098Cissus quadrangularishydroxyapatiteoxidized celluloseperiodontal osseous defects
spellingShingle Nand Lal
Jaya Dixit
Biomaterials in periodontal osseous defects
Journal of Oral Biology and Craniofacial Research
Cissus quadrangularis
hydroxyapatite
oxidized cellulose
periodontal osseous defects
title Biomaterials in periodontal osseous defects
title_full Biomaterials in periodontal osseous defects
title_fullStr Biomaterials in periodontal osseous defects
title_full_unstemmed Biomaterials in periodontal osseous defects
title_short Biomaterials in periodontal osseous defects
title_sort biomaterials in periodontal osseous defects
topic Cissus quadrangularis
hydroxyapatite
oxidized cellulose
periodontal osseous defects
url http://www.sciencedirect.com/science/article/pii/S2212426812600098
work_keys_str_mv AT nandlal biomaterialsinperiodontalosseousdefects
AT jayadixit biomaterialsinperiodontalosseousdefects