Intrusion of teeth with class III furcation: a clinical, histologic and histometric study in dogs

J Clin Periodontol. 2008 Sep;35(9):807-16. doi: 10.1111/j.1600-051X.2008.01293.x. Epub 2008 Jul 25.

Abstract

Aim: To assess orthodontic intrusion effects on periodontal tissues in dogs' pre-molars with class III furcations treated with open flap debridement (OFD) or with guided tissue regeneration (GTR) associated to bone autograft (BA).

Material and methods: Class III furcations were created in the pre-molars of seven mongrel dogs. After 75 days, teeth were randomly treated with OFD or GTR/BA. After 1 month, metallic crowns were assembled on pre-molars and connected apically to mini-implants by nickel-titanium springs. Teeth were randomly assigned to orthodontic intrusion (OFD+I and GTR/BA+I) groups or no movement (OFD and GTR/BA) groups. Dogs were sacrificed after 3 months of movement and 1 month retention.

Results: All class III furcations were closed or reduced to class II or I in the intrusion groups, while 50% of the lesions in non-moved teeth remained unchanged. Intruded teeth presented higher probing depth and lower gingival marginal level than non-moved teeth (p<0.01). Clinical attachment gain was reduced in the intrusion groups by the end of retention (p<0.05). OFD+I presented smaller soft tissue area and larger bone tissue area than other groups (p<0.05).

Conclusion: Orthodontic intrusion with anchorage via mini-implants improved the healing of class III furcation defects after OFD in dogs. GTR/BA impaired those results.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveolar Process / pathology
  • Alveolar Process / physiopathology
  • Animals
  • Bicuspid / physiopathology
  • Bicuspid / surgery*
  • Bone Transplantation / methods*
  • Debridement
  • Dental Cementum / pathology
  • Dental Cementum / physiopathology
  • Dogs
  • Furcation Defects / pathology
  • Furcation Defects / physiopathology
  • Furcation Defects / surgery*
  • Gingival Recession / physiopathology
  • Gingival Recession / surgery
  • Guided Tissue Regeneration, Periodontal / methods*
  • Orthodontic Anchorage Procedures / instrumentation
  • Orthodontic Appliances
  • Orthodontic Retainers
  • Orthodontic Wires
  • Periodontal Attachment Loss / physiopathology
  • Periodontal Attachment Loss / surgery
  • Periodontal Ligament / pathology
  • Periodontal Ligament / physiopathology
  • Periodontal Pocket / physiopathology
  • Periodontal Pocket / surgery
  • Random Allocation
  • Stress, Mechanical
  • Surgical Flaps*
  • Time Factors
  • Tooth Movement Techniques / instrumentation
  • Tooth Movement Techniques / methods*
  • Transplantation, Autologous
  • Treatment Outcome