Nevins Marc L, Camelo Marcelo, Lynch Samuel E, Schenk Robert K, Nevins Myron
Department of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Int J Periodontics Restorative Dent. 2003 Feb;23(1):9-17.
This study evaluated the clinical, radiographic, and histologic response to Bio-Oss Collagen when used alone or in combination with Bio-Gide bilayer collagen membrane for the treatment of four intrabony defects (5 to 7 mm) around single-rooted teeth. After reflecting a full-thickness flap, thorough degranulation and root planing were accomplished. In all cases, Bio-Oss Collagen was then used to fill the defects, and in two cases, a Bio-Gide membrane was placed over the filled defect. Radiographs, clinical probing depths, and attachment levels were obtained before treatment and immediately preceding en bloc resection of teeth and surrounding tissues 9 months later. Reduction in pocket depth and gain in clinical attachment level were observed for both treatment protocols. The histologic evaluation demonstrated the formation of a complete new attachment apparatus, evidencing periodontal regeneration that varied with defect morphology. This human histologic study demonstrated that Bio-Oss Collagen has the capacity to induce regeneration of the periodontal attachment apparatus when placed in intrabony defects.
本研究评估了单独使用Bio-Oss骨胶原或与Bio-Gide双层胶原膜联合使用时,对单根牙周围四个骨内缺损(5至7毫米)的临床、影像学和组织学反应。在翻起全厚瓣后,进行了彻底的清创和根面平整。在所有病例中,随后使用Bio-Oss骨胶原填充缺损,在两例病例中,在填充后的缺损上放置了Bio-Gide膜。在治疗前以及9个月后即将对牙齿和周围组织进行整块切除之前,获取了X线片、临床探诊深度和附着水平。两种治疗方案均观察到牙周袋深度减小和临床附着水平增加。组织学评估显示形成了完整的新附着装置,证明牙周再生随缺损形态而异。这项人体组织学研究表明,Bio-Oss骨胶原置于骨内缺损时具有诱导牙周附着装置再生的能力。