Comparison of bioabsorbable laminar bone membrane and non-resorbable ePTFE membrane in mandibular furcations.
The purpose of the study was to compare clinical parameter changes and osseous regeneration in 12 pairs of comparable Class II mandibular molar furcation invasion defects using either a bioabsorbable demineralized laminar bone allograft membrane or a non-resorbable expanded polytetrafluoroethylene (ePTFE) membrane as a barrier in guided tissue regeneration. Measurements with calibrated periodontal probes were made to determine soft tissue recession, probing depth, and attachment levels. Defects within each pair were randomly selected for treatment with either bioabsorbable demineralized bone allograft membrane or ePTFE membrane. All defects were concurrently grafted with particulate demineralized freeze-dried bone allograft (DFDBA). Additional measurements were made at surgery to determine crestal resorption and the vertical and horizontal dimensions of the osseous defects. The temporal course and extent of membrane exposures were also recorded. The non-resorbable membrane was retrieved 6 weeks following placement. Six months following initial surgical treatment, each site was surgically re-entered and all soft and hard tissue measurements repeated. Descriptive statistical analysis revealed that both treatments resulted in significant within-group mean vertical and horizontal osseous fill, but no statistical difference emerged between the groups. As based on this pilot study, laminar bone membrane may be as effective as ePTFE when used in conjunction with DFDBA for treatment of Class II mandibular molar furcation bone defects. This pilot study of low power suggests that these two materials may be equivalent when used in conjunction with DFDBA. Further studies of much higher power and of the laminar bone alone as compared to positive and negative controls are required. Laminar bone does not require a secondary surgical procedure for removal and may undergo less frequent instances and degrees of exposure during healing.
Scott
T A
TA
Periodontics Department, Naval Dental School, National Naval Dental Center, Bethesda, MD, USA.
Towle
H J
HJ
Assad
D A
DA
Nicoll
B K
BK
D000042:Absorption; D000328:Adult; D016301:Alveolar Bone Loss / Q000473:pathology / Q000601:surgery; D000539:Alveolar Process / Q000473:pathology; D001861:Bone Regeneration; D016025:Bone Transplantation; D003648:Decalcification Technique; D005260:Female; D005500:Follow-Up Studies; D005612:Freeze Drying; D017823:Furcation Defects / Q000145:classification / Q000473:pathology / Q000601:surgery*; D005889:Gingival Recession / Q000473:pathology / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008567:Membranes, Artificial; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000473:pathology / Q000601:surgery; D010514:Periodontal Pocket / Q000473:pathology / Q000601:surgery; D010517:Periodontics / Q000295:instrumentation; D010865:Pilot Projects; D011138:Polytetrafluoroethylene; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome
D008567:Membranes, Artificial; D011138:Polytetrafluoroethylene