Background: Periodontal invasion of furcation area in multirooted teeth represents one of the most demanding therapeutic challenges in periodontics. Furcation therapy includes various treatment modalities like either maintenance or elimination of furcation or increased access to furcation area. Recent treatment modalities include regenerative procedures like placement of different type of bone grafts with nonabsorbable or absorbable barrier membranes, through guided tissue regeneration. This study compared the clinical efficacy of nonabsorbable barrier membrane with absorbable membrane when used with hydroxyapatite bone graft (G-Graft) in grade II buccal furcation defects in mandibular 1st molars.
Materials and methods: Fourteen subjects with bilateral grade II buccal furcation defects in lower 1st molars were selected and treated in a split-mouth design. After phase I therapy, molars were divided randomly into two groups for the treatment with either resorbable or nonresorbable membrane in conjunction with G-Graft in both groups.
Results: All the clinical parameters recorded showed statistically significant improvement in both the groups but no significant difference between two groups was observed.
Conclusion: Both nonabsorbable and absorbable barrier membranes were equally effective in treating grade II buccal furcation defects in lower molars when used in conjunction with G-Graft except with respect to horizontal bone fill in which absorbable barrier membrane showed better results.
Keywords: Barrier membrane; Furcation; Guided tissue regeneration.
Clinical Evaluation of Porous Hydroxyapatite Bone Graft (Periobone G) With and Without Collagen Membrane (Periocol) in the Treatment of Bilateral Grade II Furcation Defects in Mandibular First Permanent MolarsS Prathap et al. J Indian Soc Periodontol 17 (2), 228-34. PMID 23869132.The use of combination technique yielded superior results compared to sites treated with bone graft alone. However, the difference was not statistically significant.
Efficacy of Combination Therapy Using Anorganic Bovine Bone Graft With Resorbable GTR Membrane vs. Open Flap Debridement Alone in the Management of Grade II Furcation Defects in Mandibular Molars - A Comparative StudyAL Kannan et al. J Int Soc Prev Community Dent 4 (Suppl 1), S38-43. PMID 25452926.The results of this study demonstrated that the combined use of anorganic bovine bone graft and resorbable GTR membrane is effective than open flap debridement alone in t …
A Comparative Evaluation of Freeze-Dried Bone Allograft With and Without Bioabsorbable Guided Tissue Regeneration Membrane Healiguide(®) in the Treatment of Grade II Furcation Defects: A Clinical StudyD Jain et al. J Indian Soc Periodontol 19 (6), 645-50. PMID 26941515.Both the arms demonstrated a significant improvement in the probing depth, horizontal furcation depth, and RAL at 6 months postsurgery in the treatment of Grade II furcat …
Treatment of Class II Molar Furcation Involvement: Meta-Analyses of Reentry ResultsBM Kinaia et al. J Periodontol 82 (3), 413-28. PMID 21091347. - ReviewGuided tissue regeneration with the use of resorbable membranes was superior to non-resorbable membranes in vertical bone fill. Both types of membranes were more effectiv …
Regenerative Materials: An OverviewRH Heard et al. Alpha Omegan 93 (4), 51-8. PMID 11212411. - ReviewPeriodontal reconstructive therapies have demonstrated the ability to reverse the destruction due to periodontitis provided that they are implemented according to their i …
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On the Search of the Ideal Barrier Membrane for Guided Bone RegenerationJ Caballé-Serrano et al. J Clin Exp Dent 10 (5), e477-e483. PMID 29849973. - ReviewIt has been clearly described that biocompatibility is the most important requirement to take into account when choosing a membrane, but other factors such as space maint …