scholarly journals Clinical Management of Endo-Perio Lesion Through Guided Tissue Regeneration: a 5 Year Follow-Up

2021 ◽  
pp. 151-156
Author(s):  
Munis Mukhtar ◽  
Maaz Asad ◽  
Asaad Javaid Mirza
Keyword(s):  
Tissue Regeneration ◽  
Bone Allograft ◽  
Clinical Findings ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Pocket Depth ◽  
Radiographic Findings ◽  
Freeze Dried ◽  
Distal Surface

Progressive periodontal disease causes loss of supporting structures of teeth resulting in deep bony defects. In this case a report of 22-year old female patient is being presented with clinical findings of vertical bone loss in two adjacent teeth, on distal surface of  2nd  upper right premolar and mesial surface of upper right 1st molar. Root canal treatment, non-surgical periodontal therapy followed by guided tissue regeneration was carried out using decalcified freeze-dried bone allograft (DFDBA) and collagen membrane. Analysis of clinical and radiographic findings showed marked reduction in pocket depth up to 12mm with hard tissue repair on 3-month, 2-year and 5- year follow ups.

Treatment of Endodontic Perforations Using Guided Tissue Regeneration and Freeze-Dried Bone Allograft: Two Case Reports with 2-4 Year Post-Surgical Evaluations

2004 ◽  
Vol 5 (3) ◽  
pp. 131-141 ◽  
Author(s):  
Elton Golçalves Zenobio ◽  
Jamil Awad Shibli
Keyword(s):  
Tissue Regeneration ◽  
Case Reports ◽  
Correct Diagnosis ◽  
Combined Treatment ◽  
Bone Allograft ◽  
Guided Tissue Regeneration ◽  
Radiographic Evidence ◽  
Freeze Dried ◽  
Bone Gain

Abstract Clinicians often have difficulty with the diagnosis and treatment of root perforation. This paper reports two patients with root perforation treated with periodontal surgery associated with guided tissue regeneration (GTR) and demineralized freeze-dried bone allograft (DFDBA). This combined treatment resulted in minimal probing depths, minimal attachment loss, and radiographic evidence of bone gain after follow-up evaluations that ranged from 2 to 4 years. These case reports show a correct diagnosis and removal of etiologic factors can restore both periodontal and endodontic health. Citation Zenobio EG, Shibli JA. Treatment of Endodontic Perforations Using Guided Tissue Regeneration and Freeze-Dried Bone Allograft: Two Case Reports with 2-4 Year Post-Surgical Evaluations. J Contemp Dent Pract 2004 August;(5)3:131-141.

scholarly journals Adjunctive Systemic Antimicrobial Therapy vs Asepsis in Conjunction with Guided Tissue Regeneration: A Randomized, Controlled Clinical Trial

2016 ◽  
Vol 17 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Mahmoud Abu-Ta'a
Keyword(s):  
Clinical Trial ◽  
Tissue Regeneration ◽  
Bone Allograft ◽  
Guided Tissue Regeneration ◽  
Controlled Clinical Trial ◽  
Pocket Depth ◽  
Freeze Dried ◽  
Attachment Level ◽  
Preservation Technique ◽  
Postoperative Discomfort

ABSTRACT Aim This randomized clinical trial compares the usefulness of adjunctive antibiotics, while strict asepsis was followed during periodontal surgery involving guided tissue regeneration. Materials and methods Two groups of 20 consecutive patients each with advanced periodontal disease were randomly assigned to treatment. They displayed one angular defect each with an intrabony component ≥3 mm, probing pocket depth and probing attachment level (PAL) ≥7 mm. Test group included 13 males, mean age 60 years, treated with enamel matrix derivative (EMD) and demineralized freeze-dried bone allograft with modified papilla preservation technique, received oral amoxicillin 1 gm, 1 hour preoperatively and 2 gm for 2 days postoperatively. Control group included 10 males, mean age 57 years, treated with EMD and demineralized freeze-dried bone allograft with modified papilla preservation technique, received no antibiotics. Outcome measures were clinical attachment level (CAL) gain, residual periodontal pocket depth (res. PD), gingival recession (GR), bleeding on probing (BOP), adverse events and postoperative complications. Patients were followed up to 12 months after periodontal surgery involving guided tissue regeneration. Results There were no significant differences between both groups for CAL gain, res. PD, GR, BOP nor other clinical parameters, though patients’ subjective perception of postoperative discomfort was significantly smaller in the group receiving antibiotics. Conclusion Antibiotics do not provide significant advantages concerning clinical periodontal parameters nor concerning postoperative infections in case of proper asepsis. It does, on the contrary, reduce postoperative discomfort. Clinical significance Regarding the results of this study, adjunctive systemic antibiotics in combination with guided tissue regeneration may be useful in reducing postoperative discomfort but may not be helpful for improving periodontal regeneration outcomes. How to cite this article Abu-Ta'a M. Adjunctive Systemic Antimicrobial Therapy vs Asepsis in Conjunction with Guided Tissue Regeneration: A Randomized, Controlled Clinical Trial. J Contemp Dent Pract 2016;17(1):3-6.

scholarly journals Treatment of a Developmental Groove and Supernumerary Root Using Guided Tissue Regeneration Technique

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Zahra Alizadeh Tabari ◽  
Hamed Homayouni ◽  
Tahere Pourseyediyan ◽  
Armita Arvin ◽  
Derrick Eiland ◽  
...  
Keyword(s):  
Tissue Regeneration ◽  
Root Canal ◽  
Combined Treatment ◽  
Bone Allograft ◽  
Guided Tissue Regeneration ◽  
Maxillary Incisor ◽  
Treatment Procedure ◽  
Root Canal Therapy ◽  
Probing Depth ◽  
Freeze Dried

Introduction. The radicular groove is a developmental groove which is usually found on the palatal or lateral aspects of the maxillary incisor teeth. The present case is a maxillary lateral incisor with a small second root and a deep radicular groove. The developmental groove caused a combined periodontal-endodontic lesion. Methods. Case was managed using a combined treatment procedure involving nonsurgical root canal therapy and surgical periodontal treatment. After completion of root canal treatment, guided tissue regeneration (GTR) was carried out using decalcified freeze dried bone allograft (DFDBA) and a bioabsorbable collagenous membrane. Tooth also was splinted for two months. Results. After 12 months the tooth was asymptomatic. The periapical radiolucency disappeared and probing depth did not exceed 3 mm. Conclusion. Combined treatment procedure involving nonsurgical root canal therapy and surgical periodontal regenerative treatment can be a predictable technique in treating combined endodontic-periodontal lesions caused by radicular groove.

scholarly journals Endodontic Surgery Associated with Guided Tissue Regeneration Technique: Case Report

2019 ◽  
Vol 21 (4) ◽  
pp. 336
Author(s):  
Danielle Alves Pinto Baia ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Lucas Da Fonseca Roberti Garcia ◽  
Mariana Travi Pandolfo ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Tissue Regeneration ◽  
Clinical Case ◽  
Mineral Trioxide Aggregate ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Endodontic Surgery ◽  
Endodontic Retreatment

AbstractNon-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.

Clinical Evaluation of the Use of Decalcified Freeze-Dried Bone Allograft With Guided Tissue Regeneration in the Treatment of Molar Furcation Invasions

1991 ◽  
Vol 62 (4) ◽  
pp. 264-268 ◽  
Author(s):  
Charles R. Anderegg ◽  
Steven J. Martin ◽  
Jonathan L. Gray ◽  
James T. Mellonig ◽  
Marlin E. Gher
Keyword(s):  
Clinical Evaluation ◽  
Tissue Regeneration ◽  
Bone Allograft ◽  
Guided Tissue Regeneration ◽  
Freeze Dried

scholarly journals Comparative Evaluation of Guided Tissue Regeneration with use of Collagen-based Barrier Freeze-Dried Dura Mater Allograft for Mandibular Class 2 Furcation Defects (A Comparative Controlled Clinical Study)

2012 ◽  
Vol 13 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Arvind Agarwal ◽  
Brijesh Ruparelia ◽  
Sandeep Patel ◽  
Ajay Kubavat
Keyword(s):  
Dura Mater ◽  
Tissue Regeneration ◽  
Control Site ◽  
Guided Tissue Regeneration ◽  
Hard Tissue ◽  
Pocket Depth ◽  
Freeze Dried ◽  
Furcation Defects ◽  
Tissue Changes ◽  
Controlled Clinical Study

ABSTRACT Aim The aim of periodontal surgery is complete regeneration. The present study was designed to evaluate and compare clinically soft tissue changes in form of probing pocket depth, gingival shrinkage, attachment level and hard tissue changes in form of horizontal and vertical bone level using resorbable membranes. Materials and methods Twelve subjects with bilateral class 2 furcation defects were selected. After initial phase one treatment, open debridement was performed in control site while freezedried dura mater allograft was used in experimental site. Soft and hard tissue parameters were registered intrasurgically. Nine months reentry ensured better understanding and evaluation of the final outcome of the study. Results Guided tissue regeneration is a predictable treatment modality for class 2 furcation defect. There was statistically significant reduction in pocket depth as compared to control (p < 0.01). There is statistically significant increase in periodontal attachment level within control and experimental sites showed better results (p < 0.01). For hard tissue parameter, significant defect fill resulted in experimental group, while in control group, less significant defect fill was found in horizontal direction and nonsignificant defect fill was found in vertical direction. Conclusion The results showed statistically significant improvement in soft and hard tissue parameters and less gingival shrinkage in experimental sites compared to control site. Clinical significance The use of FDDMA in furcation defects helps us to achieve predictable results. This cross-linked collagen membrane has better handling properties and ease of procurement as well as economic viability making it a logical material to be used in regenerative surgeries. How to cite this article Patel S, Kubavat A, Ruparelia B, Agarwal A, Panda A. Comparative Evaluation of Guided Tissue Regeneration with use of Collagen-based Barrier Freeze-Dried Dura Mater Allograft for Mandibular Class 2 Furcation Defects (A Comparative Controlled Clinical Study). J Contemp Dent Pract 2012;13(1):11-15.

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