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다양한 골 이식재의 임상 효과에 대한 고찰

A study of the clinical effects of various bone graft materials

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Purpose: Various bone graft materials are being used for periodontal tissue regeneration.Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decrease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen P-15®) and the autogenous bone and absorbable membrane, d,l-alctide/glycolide copolymer(GC: Biomesh®). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone powder(BBP®), ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

Abstract

Purpose: Various bone graft materials are being used for periodontal tissue regeneration.Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decrease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen P-15®) and the autogenous bone and absorbable membrane, d,l-alctide/glycolide copolymer(GC: Biomesh®). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone powder(BBP®), ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

참고문헌 (46)

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관련 논문AI추천

Bovine-derived Xenograft가 치주 골내낭 치유에 미치는 영향김영택, 김종관, 이용근, 정의원, 조규성, 채경준, 채중규, 최성호대한치주과학회 · Journal of Periodontal & Implant Science2007 · 제37권 제3호성인 치조골 내 결손부에서 Silicon contained Coralline Hydroxyapatite와 Beta Tricalcium Phosphate 합성제재의 효과에 대한 임상적 고찰김용태, 김종관, 김창성, 박정철, 장용주, 최성호대한치과의사협회 · 대한치과의사협회지2009 · 제47권 제9호치주 골내낭에서 anorganic bovine-derived hydroxyapatite matrix(ABM)/cell binding peptide(P-15)의 임상적효과김종관, 김창성, 백정원, 원미숙, 조규성, 채중규, 최성호대한치주과학회 · Journal of Periodontal & Implant Science2002 · 제32권 제3호다양한 치주 골내낭과 이개부 병변의 처치를 위한 BBP? 이식재의 임상적 효과김명진, 김성조, 이주연, 최점일대한치주과학회 · Journal of Periodontal & Implant Science2008 · 제38권 제1호Clinical evaluation of a biphasic calcium phosphate grafting material in the treatment of human periodontal intrabony defects김병옥, 유상준, 이민재대한치주과학회 · Journal of Periodontal & Implant Science2012 · 제42권 제4호치조골 결손부 치료시 calcium carbonate와 calcium sulfate 혼합물의 임상적 효과김종관, 김창성, 이승범, 정의원, 조규성, 채경준, 채중규, 최성호대한치주과학회 · Journal of Periodontal & Implant Science2008 · 제38권 제2호

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