Gupta Vivek, Bains Vivek Kumar, Singh G P, Jhingran Rajesh
Department of Periodontology, Saraswati Dental College and Hospital, Lucknow, Uttar Pradesh, India.
Indian J Dent Res. 2014 Mar-Apr;25(2):166-73. doi: 10.4103/0970-9290.135912.
The objective of this study is to compare the putty form of bioactive glass (NovaBone Dental Putty) and particulate form (PerioGlas) in the resolution of Class II furcation defects.
Use of bone regeneration materials is becoming common in periodontal surgeries including furcation defects and the promising role of bioactive allograft materials has encouraged their presentation in different morphologic forms with their own advantages and disadvantages giving the operator ample of choices in his/her periodontal armamentarium.
A total of 28 patients with 40 Class II furcation defects were enrolled in the study and were randomly allocated to two groups with 20 sites in each group. Measurement of defects was done using clinical and cone beam computed tomography (CBCT) methods. The patients were followed-up at 6 months. Intergroup comparisons were done using Mann-Whitney U-test.
There was no significance between group differences in clinical parameters and defect size at the baseline. After 6 months, particulate form showed a mean resolution of 50.48 ± 16.47% and 51.11 ± 9.48%, respectively for vertical defect and horizontal defect while putty form showed a mean resolution of 43.48 ± 9.33% and 42.88 ± 11.09%, respectively. Mean resolution in furcation width was 40.15 ± 13.00% for particulate form as compared with 36.27 ± 11.41% in putty form. Statistically, there was no significant difference between two groups except for the horizontal defect fill where PerioGlas showed statistically better results.
Putty form was comparable to particulate form for resolution of Class II furcation defects.
本研究的目的是比较生物活性玻璃的油灰状(NovaBone Dental Putty)和颗粒状(PerioGlas)在Ⅱ度根分叉病变愈合中的效果。
骨再生材料在包括根分叉病变在内的牙周手术中应用日益普遍,生物活性同种异体移植材料的良好前景促使其以不同形态呈现,各有优缺点,为临床医生在牙周治疗手段上提供了丰富选择。
本研究共纳入28例患有40处Ⅱ度根分叉病变的患者,随机分为两组,每组20个位点。采用临床和锥形束计算机断层扫描(CBCT)方法测量病变。对患者进行6个月的随访。组间比较采用曼-惠特尼U检验。
基线时,两组在临床参数和病变大小方面无显著差异。6个月后,颗粒状材料在垂直病变和水平病变中的平均愈合率分别为50.48±16.47%和51.11±9.48%,而油灰状材料的平均愈合率分别为43.48±9.33%和42.88±11.09%。颗粒状材料在根分叉宽度上的平均愈合率为40.15±13.00%,油灰状材料为36.27±11.41%。统计学上,两组之间除水平病变填充外无显著差异,其中PerioGlas显示出统计学上更好的结果。
在Ⅱ度根分叉病变的愈合方面,油灰状材料与颗粒状材料效果相当。