Karapataki S, Falk H, Hugoso A, Olsson G, Slotte C
Department of Periodontology, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
Swed Dent J. 1999;23(5-6):173-83.
The present study was performed to evaluate the therapeutic effect of a resorbable matrix barrier (test) compared to a non-resorbable barrier (control) on the healing of periodontal tissues in class II furcation defects. Eleven patients, each with two class II furcation defects, underwent guided tissue regeneration surgery. Random selection was used to decide in which of the two sites in each patient test barrier and in which control barrier would be placed. Clinical measurements of the Plaque Index, the Bleeding Index, the Position of the Gingival Margin, as well as Vertical and Horizontal Probing Attachment Levels were made. Whether the barriers were exposed and adverse events were also recorded. It was demonstrated that both procedures led to clinical improvement at the furcation sites. Nine out of eleven defects treated with the test barrier showed improvement while 7 out of 11 achieved the same goal with control barrier. None of the improved sites, though, was completely closed. The conclusion was that within the limits of this study, resorbable test barrier can be used for guided tissue regeneration (GTR) in class II furcation defects with at least as good results as those achieved with non-resorbable control barrier but with the additional benefit of only one operation.
本研究旨在评估可吸收基质屏障(试验组)与不可吸收屏障(对照组)对Ⅱ度根分叉病变牙周组织愈合的治疗效果。11名患者,每人有两个Ⅱ度根分叉病变,接受了引导组织再生手术。采用随机选择的方法来决定在每个患者的两个部位中,哪个部位放置试验屏障,哪个部位放置对照屏障。进行了菌斑指数、出血指数、牙龈边缘位置以及垂直和水平探诊附着水平的临床测量。还记录了屏障是否暴露以及不良事件。结果表明,两种方法均使根分叉部位的临床情况得到改善。使用试验屏障治疗的11个病变中有9个显示出改善,而使用对照屏障的11个病变中有7个达到了相同的效果。然而,所有改善的部位均未完全闭合。结论是,在本研究的范围内,可吸收试验屏障可用于Ⅱ度根分叉病变的引导组织再生(GTR),其效果至少与不可吸收对照屏障相同,但额外的好处是只需一次手术。