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评估一种生物活性合成移植材料治疗骨内牙周缺损的疗效。

Evaluation of the efficacy of a bioactive synthetic graft material in the treatment of intrabony periodontal defects.

作者信息

Grover Vishakha, Kapoor Anoop, Malhotra Ranjan, Uppal Ranjit Singh

机构信息

Department of Periodontology and Oral Implantology, National Dental College and Hospital, Derabassi, Punjab, India.

出版信息

J Indian Soc Periodontol. 2013 Jan;17(1):104-10. doi: 10.4103/0972-124X.107484.

Abstract

BACKGROUND

Bioactive ceramic fillers are synthetic materials which have shown the potential to enhance bone formation. The purpose of this study was to evaluate the efficacy of a bioactive synthetic graft material in the treatment of intrabony periodontal defects.

MATERIALS AND METHODS

Fourteen intrabony defects in twelve systemically healthy subjects having moderate to severe chronic periodontitis were evaluated after bone grafting with bioactive ceramic filler for a period of 6 months. Clinical and radiographic evaluations were made at baseline, at 3 and 6 months following surgery.

RESULTS

Mean radiographic defect fill of 64.76% (2.49±0.5 mm) was observed in 6 months, which was statistically significant. A statistically significant relative attachment level gain of 2.71±1.13 mm and probing pocket depth reduction of 4.21±1.18 mm was recorded at the end of the study. A significant decrease in mobility and gingival index was observed.

CONCLUSIONS

Bioactive glass is an efficacious treatment option for the reconstruction of intrabony periodontal defects as it led to statistically significant improvements in the clinical and radiographic parameters.

摘要

背景

生物活性陶瓷填料是已显示出增强骨形成潜力的合成材料。本研究的目的是评估一种生物活性合成移植材料治疗骨内牙周缺损的疗效。

材料与方法

对12名患有中度至重度慢性牙周炎的全身健康受试者的14处骨内缺损在使用生物活性陶瓷填料进行骨移植6个月后进行评估。在基线、术后3个月和6个月进行临床和影像学评估。

结果

6个月时观察到平均影像学缺损填充率为64.76%(2.49±0.5毫米),具有统计学意义。在研究结束时记录到相对附着水平有统计学意义的增加,为2.71±1.13毫米,探诊袋深度减少4.21±1.18毫米。观察到松动度和牙龈指数显著降低。

结论

生物活性玻璃是骨内牙周缺损重建的有效治疗选择,因为它在临床和影像学参数方面带来了统计学上的显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5758/3636927/0a6065d7585f/JISP-17-104-g001.jpg

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