Clinical and radiographic healing pattern observations with combined regenerative techniques.
Clinical and radiographic healing observations were categorized into four patterns: rapid, typical, delayed, and adverse. While considerable overlap of characteristics was noted between the categories, singular factors or combinations of factors enabled pattern identification. The factor primarily associated with the rapid healing pattern was the appearance of bone in the former defect adjacent to the membrane at removal. In contrast, the adverse healing pattern depicted surface necrosis or loss of tissue height at membrane removal. One hundred random sites were evaluated, revealing 13% rapid healing patterns, 76% typical healing patterns, 8% delayed healing patterns, and 3% adverse healing patterns. With favorable patient compliance with oral hygiene and follow-up care, the rapid and typical healing patterns became clinically successful cases. The level of clinical success varied with the delayed healing pattern; the adverse pattern failed to achieve the therapeutic objective.
Schallhorn
R G
RG
Department of Surgical Dentistry, University of Colorado, School of Dentistry, Denver, USA.
McClain
P K
PK
D016301:Alveolar Bone Loss / Q000601:surgery; D017823:Furcation Defects / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008567:Membranes, Artificial; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011379:Prognosis; D011859:Radiography; D013524:Surgical Flaps / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
D008567:Membranes, Artificial; D011138:Polytetrafluoroethylene