Evaluation of calcium sulphate barrier to collagen membrane in intrabony defects
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Purpose: The aim of this study was to clinically and radiographically evaluate and compare treatment of intrabony defects with the use of decalcified freeze-dried bone allograft in combination with a calcium sulphate barrier to collagen membrane. Methods: Twelve patients having chronic periodontal disease aged 20 to 50 years and with a probing depth >6 mm were selected. Classification of patient defects into experimental and control groups was made randomly. In the test group, a calcium sulphate barrier membrane, and in control group, a collagen membrane, was used in conjunction with decalcified freezedried bone graft in both sides. Ancillary parameters as well as soft tissue parameters along with radiographs were taken at baseline and after 6 months of surgery. Parameters assessed were plaque index, modified gingival index, probing depth, relative attachment level, and location of the gingival margin. A Student’s t-test was done for intragroup and a paired t-test for intergroup analysis. Results: Intragroup analysis revealed statistically significant improvement in all the ancillary parameters and soft tissue parameters with no statistically significant difference in intergroup analysis. Conclusions: The study concluded that a calcium sulphate barrier was comparable to collagen membrane in achieving clinical benefits and hence it can be used as an economical alternative to collagen membrane.
Abstract
Purpose: The aim of this study was to clinically and radiographically evaluate and compare treatment of intrabony defects with the use of decalcified freeze-dried bone allograft in combination with a calcium sulphate barrier to collagen membrane. Methods: Twelve patients having chronic periodontal disease aged 20 to 50 years and with a probing depth >6 mm were selected. Classification of patient defects into experimental and control groups was made randomly. In the test group, a calcium sulphate barrier membrane, and in control group, a collagen membrane, was used in conjunction with decalcified freezedried bone graft in both sides. Ancillary parameters as well as soft tissue parameters along with radiographs were taken at baseline and after 6 months of surgery. Parameters assessed were plaque index, modified gingival index, probing depth, relative attachment level, and location of the gingival margin. A Student’s t-test was done for intragroup and a paired t-test for intergroup analysis. Results: Intragroup analysis revealed statistically significant improvement in all the ancillary parameters and soft tissue parameters with no statistically significant difference in intergroup analysis. Conclusions: The study concluded that a calcium sulphate barrier was comparable to collagen membrane in achieving clinical benefits and hence it can be used as an economical alternative to collagen membrane.
참고문헌 (20)
- Bunyaratavej P, "Collagen membranes: a review", J Periodontol, 72, pp.215~229 (2001)
- Shaffer CD, "The use of plaster of paris in treating infrabony periodontal defects in humans", J Periodontol, 42, pp.685~690 (1971)
- Frame JW, "Porous calcium sulphate dihydrate as a biodegradable implant in bone", J Dent, 3, pp.177~187 (1975)
- Turesky S, "Reduced plaque formation by the chloromethyl analogue of victamine C", J Periodontol, 41, pp.41~43 (1970)
- Lobene RR, "A modified gingival index for use in clinical trials", Clin Prev Dent, 8, pp.3~6 (1986)
- Reddy MS, "Radiographic methods in the evaluation of periodontal therapy", J Periodontol, 63(12), pp.1078~1084 (1992)
- Sottosanti J, "Calcium sulfate: a biodegradable and biocompatible barrier for guided tissue regeneration", Compendium, 13, pp.226~228 (1992)
- Anson D, "Calcium sulfate: a 4-year observation of its use as a resorbable barrier in guided tissue regeneration of periodontal defects", Compend Contin Educ Dent, 17, pp.895~899 (1996)
- Sukumar S, "Surgical treatment of periodontal intrabony defects with calcium sulphate in combination with beta-tricalcium phosphate: clinical observations two years post-surgery", Acta Medica (Hradec Kralove), 54, pp.13~20 (2011)
- Blumenthal N, "The use of collagen membrane barriers in conjunction with combined demineralized bone-collagen gel implants in human infrabony defects", J Periodontol, 61, pp.319~327 (1990)
- Urist MR, "Bone formation in implants of partially and wholly demineralized bone matrix. Including observations on acetone-fixed intra and extracellular proteins", Clin Orthop Relat Res, 71, pp.271~278 (1970)
- Clark DC, "Reliability of attachment level measurements using the cementoenamel junction and a plastic stent", J Periodontol, 58, pp.115~118 (1987)
- Orsini M, "Comparison of calcium sulfate and autogenous bone graft to bioabsorbable membranes plus autogenous bone graft in the treatment of intrabony periodontal defects: a split-mouth study", J Periodontol, 72, pp.296~302 (2001)
- Paolantonio M, "Surgical treatment of periodontal intrabony defects with calcium sulfate implant and barrier versus collagen barrier or open flap debridement alone: a 12-month randomized controlled clinical trial", J Periodontol, 79, pp.1886~1893 (2008)
- Trejo PM, "Treatment of intraosseous defects with bioabsorbable barriers alone or in combination with decalcified freeze-dried bone allograft: a randomized clinical trial", J Periodontol, 71, pp.1852~1861 (2000)
- Aichelmann-Reidy ME, "Clinical evaluation of calcium sulfate in combination with demineralized freeze-dried bone allograft for the treatment of human intraosseous defects", J Periodontol, 75, pp.340~347 (2004)
- Vouros I, "Guided tissue regeneration in intrabony periodontal defects following treatment with two bioabsorbable membranes in combination with bovine bone mineral graft. A clinical and radiographic study", J Clin Periodontol, 31, pp.908~917 (2004)
- Caton JG, "Factors related to periodontal regeneration", Periodontol 2000, 1, pp.9~15 (1993)
- Zybutz MD, "Treatment of intrabony defects with resorbable materials, non-resorbable materials and flap debridement", J Clin Periodontol, 27, pp.169~178 (2000)
- Zitzmann NU, "Treatment of angular bone defects with a composite bone grafting material in combination with a collagen membrane", J Periodontol, 74, pp.687~694 (2003)
