EVALUATION OF CLINICAL AND RADIOGRAPHIC EFFECTS OF A GRAFT MATERIAL INCLUDING DEMINERALIZED BONE MATRIX AND CALCIUM SULFATE COMBINATION IN THE TREATMENT OF PERIODONTAL INTRABONY DEFECTS OF CHRONIC PERIODONTITIS PATIENTS: CASE SERIES

Year 2010, Volume: 44 Issue: 2, 125 - 132, 17.01.2011

Gökser Çakar , Ebru Özkan Şebnem Dirikan İpçi Ülkü Noyan Selçuk Yılmaz

Abstract

The present study aims to assess the clinical and radiographic effects of a graft material including demineralized bone matrix (DBM) and calcium sulfate (CS) combination in the treatment of the periodontal intrabony defects of chronic periodontitis patients. Thirty-one intrabony defects with an associated probing depth (PD) of ≥6 mm and an intrabony component of ≥4 mm were surgically treated in 13 patients with the mean age of 43.6 ± 3.18 after completion of non-surgical periodontal therapy. Prior to surgical treatment and at 12 months, plaque index, sulcus bleeding index, marginal recession, PD, relative attachment level, relative bone level and radiographic bone level were assessed. At 12 months postoperatively, favourable clinic outcomes in soft and hard tissue measurements were achieved when compared to baseline (p<0,001). Considering the deepest site of the defects, 3.84 ± 1.19 mm of PD reduction, 1.06 ± 0.51 mm of recession, 2.81 ± 0.98 mm of attachment gain, 2.58 ± 0.76 mm of clinical bone gain and 2.35 ± 1.05 mm of radiographic bone gain were obtained. These results suggest that this combination is promising for clinical and radiographic improvements and may be an alternative in the periodontal regenerative treatment of intrabony defects in chronic periodontitis patients. 

Keywords

Demineralized bone matrix, Calcium sulfate, Intrabony defect, Chronic periodontitis

DEMİNERALİZE KEMİK MATRİKSİ VE KALSİYUM SÜLFAT KOMBİNASYONUNUN KRONİK PERİODONTİTİSLİ HASTALARDAKİ KEMİK İÇİ DEFEKTLERİN TEDAVİSİNDE KULLANIMININ KLİNİK VE RADYOGRAFİK OLARAK İNCELENMESİ: OLGU SERİSİ

Abstract

Bu çalışmada demineralize kemik matriksi (DKM) ve kalsiyum sülfat (KS) içeren bir greft materyalinin kronik periodontitisli
bireylerdeki kemik içi defektlerin tedavisinde kullanımının klinik ve radyografik olarak incelenmesi amaçlanmıştır.
Çalışmaya, başlangıç periodontal tedavisi tamamlanmış, yaş ortalaması 43.6 ± 3.18 olan 13 hastaya ait sondalanabilir cep
derinliği (SCD) ≥ 6 mm ve kemik içi defekt derinliği ≥ 4 mm olan toplam 31 kemik içi defekt dahil edildi. Defektlere DKM
ve KS karışımı içeren macun kıvamında bir greft materyali uygulandı. Operasyondan önce ve operasyondan 12 ay sonra plak
indeksi, dişeti oluğu kanama indeksi, rölatif dişeti kenarı konum seviyesi, SCD rölatif kemik seviyesi ve radyografik kemik
seviyesi ölçümleri yapıldı. Onikinci ayda yapılan değerlendirmelerde defektin en derin noktası gözönüne alındığında, 3.84 ±
1.19 mm SCD azalması, 1.06 ± 0.51 mm dişeti çekilmesi, 2.81 ± 0.98 mm ataşman kazancı, 2.58 ± 0.76 mm klinik kemik
kazancı ve 2.35 ± 1.05 mm radyografik kemik kazancı ile başlangıca göre anlamlı klinik iyileşme saptandı (p < 0,001). Bu
bulgular uygulanan greft materyalinin klinik ve radyografik olarak anlamlı düzeyde ataşman ve kemik kazancı sağladığını ve
kronik periodontitisli bireylerdeki kemik içi defektlerin tedavisinde kullanılabileceğini düşündürmektedir.

Keywords

Demineralize kemik matriksi, Kalsiyum sülfat, Kemik içi defekt, Kronik periodontitis

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