Relationships Between Longitudinal Changes in Radiographic Alveolar Bone Height and Probing Depth Measurements: Data From Postmenopausal Women

Guide tissue regeneration (GTR) is the treatment of infrabony pockets for soft and hard tissue regeneration. Membrane is used as a barrier and prevents apical migration of the cells in epithelial tissues. Membrane fixation is one of the procedures in GTR treatment because resorbed membrane is less stable. Simple sling suture technique for membrane fixation has 1 anchorage, located in coronal flap, while periosteal vertical mattress suture technique has 2 anchorages in periosteum, making it more stable. This study aimed to study the differences in the effectiveness of membrane fixation using periosteal vertical mattress suture and simple sling suture techniques in terms of probing depth, relative attachment loss, and alveolar bone height in the treatment of infrabony pockets. The samples were divided into 2 groups. The first group was open flap debridement (OFD) with demineralized freeze dried bone allograft (DFDBA) application and membrane fixation with simple sling suture, while the second group was OFD with DFDBA application and membrane fixation with periosteal vertical mattress suture, observed on day 0, 30th day, and 90th day. The results of the study showed significant differences in the probing depth and relative attachment loss (except from the 30th day to the 90th day), and there were no significant differences in the alveolar bone height from the baseline to the 90th day, between the group of membrane fixation using simple sling suture and that of periosteal vertical mattress suture techniques on flap surgery. This study concluded that membrane fixation in the treatment of infrabony pocket with periosteal vertical mattress suture technique is more effective in reducing the probing depth and relative attachment loss, but there is no difference in increasing the alveolar bone height when compared to simple sling suture technique.

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Effect of advanced platelet-rich fibrin applications on periodontal regeneration in infrabony pocket treatment

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.37414 ◽

2019 ◽

Vol 4 (3) ◽

pp. 154

Author(s):

Christopher Imantaka Suwondo ◽

Dahlia Herawati ◽

Sudibyo Sudibyo

Keyword(s):

Tissue Regeneration ◽

Alveolar Bone ◽

Periodontal Regeneration ◽

X Rays ◽

Periodontal Tissue ◽

Platelet Rich Fibrin ◽

Attachment Loss ◽

Probing Depth ◽

Periodontal Tissue Regeneration ◽

Bone Height

One of the regenerative periodontal treatments for infrabony pocket is open flap debridement (OFD) with the addition of growth factor derived from platelet concentrate. Advanced platelet-rich fibrin (A-PRF) is a further development of plateletrich fibrin (PRF) with a lower centrifugation speed (1,500 rpm, 14 minutes). The purpose of this study was to examine the differences in periodontal tissue regeneration after the application of A-PRF and PRF in the treatment of infrabony pockets evaluated from probing depth (PD), relative attachment loss (RAL), and alveolar bone height. The samples were taken from 20 infrabony pockets divided into 2 groups: 10 subjects were treated with OFD+A-PRF and OFD+PRF on the remaining subjects. Probing depth (PD) and relative attachment loss (RAL) measurement were performed on days 0, 30, and 90. Bone height measurements were performed using CBCT X-rays on days 0 and 90. The results showed that PD and RAL reduction in the group of OFD+A-PRF was significantly greater than that in the OFD+PRF group. Bone height reduction in both groups showed no difference. The conclusion obtained from this study is A-PRF application enhances periodontal tissue regeneration by generating greater probing depth and relative attachment loss reduction compared toPRF, as well as an increase in bone height similar to in the treatment of infrabony pockets.

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Tulang alveolar pasca perawatan jembatan ditinjau dari radiografi periapikalAlveolar bone after bridge treatment in terms of periapical radiography

Padjadjaran Journal of Dental Researchers and Students ◽

10.24198/pjdrs.v4i1.24043 ◽

2020 ◽

Vol 4 (1) ◽

pp. 9

Author(s):

Celine Hestiana ◽

Ria Noerianingsih Firman ◽

Deddy Firman

Keyword(s):

Bone Loss ◽

Alveolar Bone ◽

Alveolar Bone Loss ◽

Gingival Inflammation ◽

Probing Depth ◽

Before And After ◽

Dental Hospital ◽

Bone Height ◽

Periapical Radiography ◽

Denture Treatment

Pendahuluan: Radiografi periapikal dapat digunakan untuk mendeteksi tulang alveolar pada perawatan gigi tiruan jembatan. Pembuatan gigi tiruan jembatan harus memenuhi syarat-syarat biologis. Apabila adaptasi marginal buruk, penempatan margin intracrevicular terlalu dalam, permukaan restorasi yang kasar dan restorasi yang overkontur dapat menyebabkan peradangan lokal seperti inflamasi gingiva, peningkatan kedalaman probing dan kehilangan tulang alveolar. Tujuan penelitian ini untuk mengetahui bagaimana deskripsi tulang alveolar pasca perawatan jembatan di RSGM UNPAD ditinjau dari radiografi periapikal. Metode: Jenis penelitian deskriptif dengan populasi adalah seluruh hasil radiograf periapikal pada pasien sebelum dan sesudah perawatan jembatan posterior yang datang ke RSGM Unpad dan sampel adalah radiograf sebelum dan sesudah perawatan jembatan posterior sebanyak 17 pasien setelah insersi 1 minggu dan 2 pasien setelah insersi 4 minggu. Pengukuran ketinggian tulang alveolar menggunakan Metode Proksimal RABL (Radiographic Alveolar Bone Loss) yang dihitung memakai jangka sorong. Hasil : Kehilangan tulang alveolar setelah insersi 1 minggu pada mesial dan distal yaitu 0,003 mm, setelah insersi 2 minggu 0,007 mm pada mesial dan 0,025 pada distal,setelah insersi 3 minggu 0,025 mm pada mesial dan 0,019 mm pada distal, setelah insersi 4 minggu 0,075 mm mesial dan 0,063 mm distal. Simpulan: Pasca perawatan jembatan, ditinjau dari radiografi periapikal, terdapat kehilangan tulang alveolar ringan berdasarkan metode proksimal RABL.Kata kunci : Gigi tiruan jembatan, radiograf periapikal, tulang alveolar. ABSTRACTIntroduction: Periapical radiography can be used to detect alveolar bone in bridge denture treatment. The making of bridge denture must fulfil biological requirements. Poor marginal adaptation will lead to deeper intracrevicular margin placement, rough surfaces, over contour restoration can cause local inflammation such as gingival inflammation, increased probing depth and alveolar bone loss. The purpose of this research was to know the description of alveolar bone after bridge denture treatment reviewed through periapical radiography. Methods: This research was descriptive with the population of all radiograph periapical treatment of posterior bridge in Universitas Padjadjaran Dental Hospital and the sample was radiograph periapical before and after bridge treatment of as much as 17 patients after 1-week insertion and 2 patients after 4-weeks insertion. Alveolar bone height measurements was carried out using the RABL (Radiographic Alveolar Bone Loss) proximal method calculated using the Vernier callipers. Results: The results indicated that alveolar bone loss occurred after 1-week insertion on the mesial and distal was 0.003 mm; after 2-weeks insertion was 0.007 mm on the mesial and 0.025 mm on the distal; after 3-weeks insertion was 0.025 mm on the mesial and 0.019 mm on the distal; and after 4-weeks insertion was 0.075 mm on the mesial and 0.063 mm on the distal. Conclusion: Post bridge treatment, in terms of periapical radiography, found a mild alveolar bone loss based on the proximal RABL method. Keywords: Bridge denture, periapical radiograph, alveolar bone.

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Effect of sandwich bone augmentation using hydroxyapatite and demineralized freeze- dried bone on infrabony pocket treatment

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.37427 ◽

2020 ◽

Vol 5 (3) ◽

pp. 114

Author(s):

Eka Pramudita Ramadhany ◽

Al Sri Koes Soesilowati ◽

Sri Pramestri Lastianny

Keyword(s):

Bone Density ◽

Bone Graft ◽

Alveolar Bone ◽

Graft Material ◽

Bone Augmentation ◽

Attachment Loss ◽

Probing Depth ◽

Freeze Dried ◽

Open Flap Debridement ◽

Bone Height

Periodontitis is periodontal inflammation in response to plaque bacterial antigens, causing damage to periodontal ligament and alveolar bone resorption. Bone graft material combination i.e. demineralized freeze-dried bone allograft (DFDBA) and hydroxyapatite (HA) using sandwich bone augmentation (SBA) method will support each other and will be beneficial to be used as a scaffold. The body takes long time to resorb HA so this could complement DFDBA which is more easily dissolved. This study aimed to reveal the effect of bone graft addition using SBA method on the treatment of infrabony pocket with open flap debridement in terms of probing depth, relative attachment loss, alveolar bone height, and density. This study was carried out to 20 infrabony pockets, where 10 of them were treated using open flap debridement with HA addition, while the other 10 groups were treated using open flap debridement with DFDBA and HA using SBA method. Probing depth and relative attachment loss were measured on days 0, 30 and 90. Bone height and density were measured using cone-beam computed tomography (images on day 0 and 90). The study showed that probing depth reduction on SBA group was greater than HA group. There were significant differences in probing depth and relative attachment loss examinations. However, bone height and bone density reduction did not show any significant difference. The conclusion from this study is open flap debridement using SBA method yields better regeneration in terms of probing depth and relative attachment loss than open flap debridement with HA addition. There is no difference in bone height and bone density between the two groups.

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