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
Socket Augmentation: Rationale and Technique

Socket Augmentation: Rationale and Technique
This article presents the rationale behind socket augmentation for future implant placement and describes a technique that has shown to not only facilitate tooth extraction with minimal damage to the surrounding anatomic structures, but also to improve alveolar bone quality and quantity.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Koichi Kiyonobu, DDS, PhD; Rodrigo F. Neiva, DDS
View Article>>
Alloplastic Bone Substitutes Around Dental Implants

Alloplastic Bone Substitutes Around Dental Implants
The repair of osseous defects has been a goal in dentistry for many decades. Subsequently, within the last several years, there has been an emergence of a new class of materials in dentistry referred to as synthetic bone. Finding the ideal bone substitute material has been the goal of researchers for many years. In attempting to achieve this ideal material, dental practitioners have tried with varying degrees of success: autogenous and demineralized freeze-dried bone, allografts of plastic, carbon…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Lee M. Whitesides, DMD, MMSC
View Article>>
Peridontal Osseous Surgery and Root Resective Therapy

Peridontal Osseous Surgery and Root Resective Therapy
Historically, osseous surgery was performed to eliminate infected bone. Early in the 20th century clinicians realized that periodontally affected bone was not actually infected. Instead of an invasive bacterial infection, chronic inflammation was responsible for bone destruction. This finding changed the rationale for periodontal therapy and led to modern concepts of osseous surgery. Currently accepted approaches are based on guidelines, parameters, and definitions published by many highly respected…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;David Kurtzman, Sidney H. Stein, Marc E. Moskowitz, Jerry J. Garnick
View Article>>
Related Videos
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques Premium Member Content

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Presented By: Michael Sonick, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Bone Augmentation to Reconstruct a Complex Anterior Defect Premium Member Content

Bone Augmentation to Reconstruct a Complex Anterior Defect
Dr. Bassam Rabie shares with the DentalXP community his management of a severe anterior osseous defect in a complex periodontally compromised patient.

Presented By: Bassam F. Rabie, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Managing the Extraction Site - Optimal Preservation and Enhancement Techniques Premium Member Content

Managing the Extraction Site - Optimal Preservation and Enhancement Techniques
There is rarely a day that clinicians do not have to deal with an extraction site. If implant therapy is a consideration, then bone and soft tissue quantity and quality must be factored into treatment options. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost. Extraction techniques will be demonstrated that not only preserve but augment the amount of alveolar bone. The importance of piezosurgery, atraumatic surgical technique, the use of bone grafts, resorbable membranes and growth factors will be elucidated along with soft tissue enhancement.

Presented By: Michael Sonick, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
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
Modern Bone Grafting has become more predictable than ever before. Recent developments in CBCT 3D Diagnosis and the utilization of bioactive modifiers such as PRGF, PRF and BMP-2 have stimulated further advances in surgical techniques as well as a New Age Surgical Armamentarium to maximize the efficiencies and success of these sophisticated procedures.

Presented By: Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry Premium Member Content

Partners in Synergy - The Webinar Event; Augmentation Strategies in Implant Dentistry
This course will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy. Extraction site management, labial bone enhancement as well as current gingival augmentation techniques will be featured. These highly acclaimed clinicians and educators will team up to provide a glimpse of their upcoming LIVE Synergy VI conference June 27th - 30th, 2013 in Orlando, Florida

Presented By: Michael A Pikos, DDS;Maurice Salama, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Vertical Bone Augmentation: Current Concepts and Techniques Premium Member Content

Vertical Bone Augmentation: Current Concepts and Techniques
This lecture will review several approaches used for vertical bone augmentation and discuss the benefits and limitations of each. There will be special emphasis on the titanium mesh and interpositional osteotomy techniques.

Presented By: David Dara Yarmand, DDS, MD
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
©2013

Preferred Language: English Flag
Contact Us · Login · Register