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치조골 결손부 치료시 calcium carbonate와 calcium sulfate 혼합물의 임상적 효과

The clinical effects of Calcium Sulfate combined with Calcium Carbonate in treating intrabony defects

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Purpose: If bone grafts and guided tissue regeneration are effective individually in treating osseous defects, then the question is, what would happen when they are combined. Bone grafts using Calcium Carbonate(Biocoral) and Guided Tissue Regeneration using Calcium Sulfate(CALMATRIX) will maximize their advantages and show the best clinical results in intrabony defects. This study was to compare the effects of a combination of CS and CC with control treated only with modified widman flap in a periodontal repair of intrabony defects. Materials and Methods: 30 patients with chronic periodontitis were used in this study. 10 patients were treated with a combination of CS and CC as the experimental groupⅡ and another 10 patients were treated with CC as the experimental groupⅠ, and the remaining 10 patients, the control group were treated only with modified widman flap. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded 6 months later. Results: The probing depth changes were 3.30±1.34mm in the control group, 4.2±1.55mm in the experimental groupⅠ(CC) and 5.00±1.33mm in the experimental groupⅡ(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there were no significant difference(p<0.05) between the experimental groupⅠand Ⅱ. The gingival recession changes w -1.30±1.25mm in the control group, This is a significant difference(p<0.01). However, there was a -0.50±0.53mm change in the experimental groupⅠ(CC) and -0.60±0.97mm in the experimental groupⅡ(CS+CC). In addition, in terms of gingival recession, there was a no significance difference(p<0.05) among the groups. The clinical attachment level changes were 2.00±1.33mm in the control group, 3.60±1.58mm in the experimental groupⅠ(CC) and 4.40±1.17mm in the experimental groupⅡ(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there was a no significance difference(p<0.05) between the experimental groupⅠandⅡ. The bone probing depth changes were 0.60±0.52mm in the control group, 3.20±1.48 mm in the experimental groupⅠ(CC) and 4.60±1.43mm in the experimental groupⅡ(CS+CC). All of them showed a significant decrease 6 months after surgery(p<0.01), there was a significance difference(p<0.05) among the groups. Conclusion: Treatment using a combination of CS and CC have a potential to improve periodontal parameters in intrabony defects and More efficient clinical results can be expected in intrabony defects less than 2 walls grafted with CS and CC. (J Korean Acad Periodontol 2008;38:237-246)

Abstract

Purpose: If bone grafts and guided tissue regeneration are effective individually in treating osseous defects, then the question is, what would happen when they are combined. Bone grafts using Calcium Carbonate(Biocoral) and Guided Tissue Regeneration using Calcium Sulfate(CALMATRIX) will maximize their advantages and show the best clinical results in intrabony defects. This study was to compare the effects of a combination of CS and CC with control treated only with modified widman flap in a periodontal repair of intrabony defects. Materials and Methods: 30 patients with chronic periodontitis were used in this study. 10 patients were treated with a combination of CS and CC as the experimental groupⅡ and another 10 patients were treated with CC as the experimental groupⅠ, and the remaining 10 patients, the control group were treated only with modified widman flap. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded 6 months later. Results: The probing depth changes were 3.30±1.34mm in the control group, 4.2±1.55mm in the experimental groupⅠ(CC) and 5.00±1.33mm in the experimental groupⅡ(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there were no significant difference(p<0.05) between the experimental groupⅠand Ⅱ. The gingival recession changes w -1.30±1.25mm in the control group, This is a significant difference(p<0.01). However, there was a -0.50±0.53mm change in the experimental groupⅠ(CC) and -0.60±0.97mm in the experimental groupⅡ(CS+CC). In addition, in terms of gingival recession, there was a no significance difference(p<0.05) among the groups. The clinical attachment level changes were 2.00±1.33mm in the control group, 3.60±1.58mm in the experimental groupⅠ(CC) and 4.40±1.17mm in the experimental groupⅡ(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there was a no significance difference(p<0.05) between the experimental groupⅠandⅡ. The bone probing depth changes were 0.60±0.52mm in the control group, 3.20±1.48 mm in the experimental groupⅠ(CC) and 4.60±1.43mm in the experimental groupⅡ(CS+CC). All of them showed a significant decrease 6 months after surgery(p<0.01), there was a significance difference(p<0.05) among the groups. Conclusion: Treatment using a combination of CS and CC have a potential to improve periodontal parameters in intrabony defects and More efficient clinical results can be expected in intrabony defects less than 2 walls grafted with CS and CC. (J Korean Acad Periodontol 2008;38:237-246)

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