Healing response of apicomarginal defects to two guided tissue regeneration techniques in periradicular surgery: a double-blind, randomized-clinical trial

International Endodontic Journal
M L Marín-BoteroS I Tobón-Arroyave

Abstract

To compare healing responses to periosteal sliding grafts and polyglactin 910 periodontal mesh used as guided tissue regeneration (GTR) materials/techniques when both periapical and periradicular bone loss are present. Thirty patients with suppurative chronic apical periodontitis with apicomarginal communication were selected and allocated randomly into two groups according to the barrier technique to be used during periradicular surgery: periosteal graft group (n = 15) and bioabsorbable membrane group (n = 15). Clinical and radiological evaluations were completed prior to surgery, a week later and every 3 months after surgery up to 12 months to measure the periodontal pocket depth (PD), clinical attachment level (CAL), gingival margin position (GMP), size of periapical lesion, percentage reduction of the periapical rarefaction, and periapical healing. Both groups showed highly significant (P < 0.001) reductions in periodontal PD, CAL and size of periapical lesion at 12 months whilst GMP was unaltered. No significant difference between the experimental groups was evident for these parameters, or for the percentage reduction of size of the periapical lesion and clinical-radiographic healing. Guided tissue regeneration applied to...Continue Reading

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Citations

Jul 30, 2014·Journal of Endodontics·Jeen-Nee LuiNah-Nah Chen
Dec 17, 2014·Journal of Conservative Dentistry : JCD·Ritu SharmaPratul Agarwal
Nov 8, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Yang DengPing Yan
Mar 5, 2016·Journal of Indian Society of Periodontology·Abhijit Ningappa GuravRitam Naiktari
Mar 3, 2009·Journal of Endodontics·Jill D Bashutski, Hom-Lay Wang
Apr 9, 2013·International Endodontic Journal·P A Villa-MachadoS I Tobón-Arroyave
Jan 18, 2015·Clinical Oral Investigations·Minji KangEuiseong Kim
Jul 1, 2011·The Saudi Dental Journal·Thomas von Arx, Mohammed Alsaeed
Jul 14, 2018·Case Reports in Dentistry·Hind AlquthamiLana Badawi
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Massimo Del FabbroSilvio Taschieri
Jul 28, 2009·Journal of Endodontics

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