The comparative efficacy of decalcified allogenic bone matrix and intra-oral free osseous autografts in the treatment of periodontal intrabony defects
Identifieur interne : 001740 ( Pmc/Checkpoint ); précédent : 001739; suivant : 001741The comparative efficacy of decalcified allogenic bone matrix and intra-oral free osseous autografts in the treatment of periodontal intrabony defects
Auteurs : Vikas Jindal ; Amarjit Singh Gill ; Daljit Kapoor ; Harinder GuptaSource :
- Journal of Indian Society of Periodontology [ 0972-124X ] ; 2013.
Abstract
The primary goal of periodontal treatment is the maintenance of the natural dentition in health and comfortable function. The shift in therapeutic concepts from resection to regeneration has significantly impacted the practice of periodontology. The objective of the present study is to compare the relative efficacy of intra-oral autogenous graft and decalcified allogenic bone matrix (DABM) in the treatment of periodontal intrabony defects.
In the present study, 30 patients in the age group of 30-50 years with two almost identical intrabony defects, on either side of the mouth/upper and lower jaw, based upon the radiographic observations were selected from amongst the patients visiting the Department of Periodontology and Oral Medicine, Punjab Government Dental College and Hospital, Amritsar. One of the defect was selected randomly and filled with autogenous cancellous graft and the other with DABM. Post-operative assessment was done by taking radiographs, 12 weeks and 24 weeks post-operatively.
Definite bone fill was achieved both with intra-oral free osseous autograft and with DABM at 12 weeks observation, which further increased significantly at 24 weeks observation. The bone fill obtained with intra-oral free osseous autograft was found to be significantly higher than that with DABM both at 12 weeks and 24 weeks post-operative observation.
Within the limitations of this study, it establishes the superiority of the intra-oral free osseous autograft over that of DABM graft in correcting the intrabony defects.
Url:
DOI: 10.4103/0972-124X.107482
PubMed: 23633781
PubMed Central: 3636953
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<author><name sortKey="Gill, Amarjit Singh" sort="Gill, Amarjit Singh" uniqKey="Gill A" first="Amarjit Singh" last="Gill">Amarjit Singh Gill</name>
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<author><name sortKey="Kapoor, Daljit" sort="Kapoor, Daljit" uniqKey="Kapoor D" first="Daljit" last="Kapoor">Daljit Kapoor</name>
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<author><name sortKey="Gupta, Harinder" sort="Gupta, Harinder" uniqKey="Gupta H" first="Harinder" last="Gupta">Harinder Gupta</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The comparative efficacy of decalcified allogenic bone matrix and intra-oral free osseous autografts in the treatment of periodontal intrabony defects</title>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background and Objectives:</title>
<p>The primary goal of periodontal treatment is the maintenance of the natural dentition in health and comfortable function. The shift in therapeutic concepts from resection to regeneration has significantly impacted the practice of periodontology. The objective of the present study is to compare the relative efficacy of intra-oral autogenous graft and decalcified allogenic bone matrix (DABM) in the treatment of periodontal intrabony defects.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>In the present study, 30 patients in the age group of 30-50 years with two almost identical intrabony defects, on either side of the mouth/upper and lower jaw, based upon the radiographic observations were selected from amongst the patients visiting the Department of Periodontology and Oral Medicine, Punjab Government Dental College and Hospital, Amritsar. One of the defect was selected randomly and filled with autogenous cancellous graft and the other with DABM. Post-operative assessment was done by taking radiographs, 12 weeks and 24 weeks post-operatively.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Definite bone fill was achieved both with intra-oral free osseous autograft and with DABM at 12 weeks observation, which further increased significantly at 24 weeks observation. The bone fill obtained with intra-oral free osseous autograft was found to be significantly higher than that with DABM both at 12 weeks and 24 weeks post-operative observation.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>Within the limitations of this study, it establishes the superiority of the intra-oral free osseous autograft over that of DABM graft in correcting the intrabony defects.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Indian Soc Periodontol</journal-id>
<journal-id journal-id-type="publisher-id">JISP</journal-id>
<journal-title-group><journal-title>Journal of Indian Society of Periodontology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-124X</issn>
<issn pub-type="epub">0975-1580</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23633781</article-id>
<article-id pub-id-type="pmc">3636953</article-id>
<article-id pub-id-type="publisher-id">JISP-17-91</article-id>
<article-id pub-id-type="doi">10.4103/0972-124X.107482</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The comparative efficacy of decalcified allogenic bone matrix and intra-oral free osseous autografts in the treatment of periodontal intrabony defects</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jindal</surname>
<given-names>Vikas</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gill</surname>
<given-names>Amarjit Singh</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kapoor</surname>
<given-names>Daljit</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gupta</surname>
<given-names>Harinder</given-names>
</name>
<xref ref-type="aff" rid="aff4">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><italic>Department of Periodontics, Himachal Dental College, Sundernagar, Mandi, Himachal Pradesh, India</italic>
</aff>
<aff id="aff2"><label>1</label>
<italic>Department of Periodontics, Genesis Institute of Dental Sciences and Research, Ferozpur, Punjab, India</italic>
</aff>
<aff id="aff3"><label>2</label>
<italic>Department of Periodontics, GyanSagar Dental College and Hospital, Rajpura, Punjab, India</italic>
</aff>
<aff id="aff4"><label>3</label>
<italic>Department of Periodontics, Punjab Government Dental college and Hospital, Amritsar, Punjab, India</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Vikas Jindal, Department of Periodontics, Himachal Dental College, Sundernagar, Mandi, Himachal Pradesh. E-mail: <email xlink:href="drvikasjindal2002@yahoo.co.in">drvikasjindal2002@yahoo.co.in</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jan-Feb</season>
<year>2013</year>
</pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>91</fpage>
<lpage>95</lpage>
<history><date date-type="received"><day>26</day>
<month>7</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>12</day>
<month>9</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © Journal of Indian Society of Periodontology</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>Background and Objectives:</title>
<p>The primary goal of periodontal treatment is the maintenance of the natural dentition in health and comfortable function. The shift in therapeutic concepts from resection to regeneration has significantly impacted the practice of periodontology. The objective of the present study is to compare the relative efficacy of intra-oral autogenous graft and decalcified allogenic bone matrix (DABM) in the treatment of periodontal intrabony defects.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>In the present study, 30 patients in the age group of 30-50 years with two almost identical intrabony defects, on either side of the mouth/upper and lower jaw, based upon the radiographic observations were selected from amongst the patients visiting the Department of Periodontology and Oral Medicine, Punjab Government Dental College and Hospital, Amritsar. One of the defect was selected randomly and filled with autogenous cancellous graft and the other with DABM. Post-operative assessment was done by taking radiographs, 12 weeks and 24 weeks post-operatively.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Definite bone fill was achieved both with intra-oral free osseous autograft and with DABM at 12 weeks observation, which further increased significantly at 24 weeks observation. The bone fill obtained with intra-oral free osseous autograft was found to be significantly higher than that with DABM both at 12 weeks and 24 weeks post-operative observation.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>Within the limitations of this study, it establishes the superiority of the intra-oral free osseous autograft over that of DABM graft in correcting the intrabony defects.</p>
</sec>
</abstract>
<kwd-group><kwd>Decalcified allogenic bone matrix</kwd>
<kwd>intra-oral free osseous autograft</kwd>
<kwd>periodontal intrabony defects</kwd>
<kwd>radiographic bone fill</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Gill, Amarjit Singh" sort="Gill, Amarjit Singh" uniqKey="Gill A" first="Amarjit Singh" last="Gill">Amarjit Singh Gill</name>
<name sortKey="Gupta, Harinder" sort="Gupta, Harinder" uniqKey="Gupta H" first="Harinder" last="Gupta">Harinder Gupta</name>
<name sortKey="Jindal, Vikas" sort="Jindal, Vikas" uniqKey="Jindal V" first="Vikas" last="Jindal">Vikas Jindal</name>
<name sortKey="Kapoor, Daljit" sort="Kapoor, Daljit" uniqKey="Kapoor D" first="Daljit" last="Kapoor">Daljit Kapoor</name>
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