Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study Use of Bone Grafts for the Enhancement of a GTR-Based Root Coverage Procedure: A Pilot Case Study

Author(s):

Hom-Lay Wang, DDS, MSD, PhD;Kenneth Kimble, DDS, MS, Robert Eber, DDS, MS

Date Added:

12/8/2008


Summary:

The use of guided tissue regeneration (GTR) procedures for the treatment of gingival recession has shown encouraging results and is gaining clinical acceptance. However, attaining space maintenance beneath the membrane remains a problem for clinicians. Hence, the purpose of this pilot case study was to evaluate the effect of adjunctive demineralized freeze-dried bone allograft (DFDBA) placement during collagen membrane GTR-based root coverage procedures. Five patients with Miller Class I or II defects were treated with a combination of DFDBA and collagen membrane. Clinical parameters monitored include recession depth, probing attachment level, probing depth, width of keratinized gingiva, and recession width. Measurements were taken at baseline and 6 months. A statistically significant reduction in recession depth (3.1 ± 0.7 mm) was observed at 6 months, representing 93.4% total attainable root coverage. A significant reduction of recession width (3.5 ± 1.2 mm) after 6 months was also noted. Clinically, a statistically significant mean gain of 3.3 ± 0.6 mm in clinical attachment and 0.8 ± 0.9 mm in keratinized gingiva were obtained at 6 months. No statistically significant difference was found in probing depth between baseline and 6 months postoperative. Plaque and gingival indices remained low and showed no statistically significant change throughout the study period. Results from this pilot case study indicate that use of DFDBA during collagen membrane GTR-based root coverage could be beneficial. (Int J Periodontics Restorative Dent 2002;22:118–127.)

Related Articles
Maximizing Aesthetics in the Deficient Alveolar Ridge

Maximizing Aesthetics in the Deficient Alveolar Ridge
This article will present a predictable method for replacing the lost bone prior to implant placement through the ramus block graft technique.

Author(s): Steven L. Rasner, DMD, MAGD
View Article>>
A Novel Drilling Procedure

A Novel Drilling Procedure
Courtesy of JOMI

Author(s): Eduardo Anitua, MD, DDS, PhD;Carmen Carda, MD, Isabel Andia, PhD
View Article>>
Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies
As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration.

Author(s): Scott D. Ganz, DMD
View Article>>
Related Videos
Creative Next Generation Surgical Tools and Solutions for the Implant Practice Premium Member Content

Creative Next Generation Surgical Tools and Solutions for the Implant Practice
This lecture will highlight specifically New Age Tools which offer creative and effective solutions for space maintenance, autologous bone harvesting, atraumatic implant removal, and screw fixation. Creative mini-titanium mesh shapes(CTI), autologous bone harvesting drills (ACM Auto Chip Maker), counter torque implant removal systems as well as tenting and fixation screw systems will be discussed and featured.

Presented By: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Titanium Mesh Assisted 3-Dimensional Mandibular ridge Augmentation Premium Member Content

Titanium Mesh Assisted 3-Dimensional Mandibular ridge Augmentation
In this surgical clinical video, Dr. Dong Seok Sohn describes the utilization of Titanium Mesh to create and maintain a space in the 3-dimensional augmentation of a deficient posterior mandibular ridge. Demonstration of flap design and management, recipient site preparation in addition to the manipulation and fixation of the mesh is shown in great detail.

Presented By: Dong-Seok Sohn, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
The era of in-office Cone Beam Computed Tomography (CBCT) has unequivocally transformed interdisciplinary dentofacial therapy (IDT). While in-office CBCT imaging may be the latest technological breakthrough enhancing opportunities for treatment planning, it is diagnosis that has remained the constant variable critical for predictable patient outcomes.

Presented By: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products Premium Member Content

Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products
Detailed videos using 3D planning software as well as innovative products by a speaker with an extensive background in implant and regenerative surgical procedures.

Presented By: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.

Presented By: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By: Avi Schetritt, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free


Contact Us | Privacy Policy | Terms of Use
©2014

Preferred Language: English Flag
Contact Us · Login · Register