Guided tissue regeneration in Class II furcation involved maxillary molars: a controlled study of 8 split-mouth cases.
The purpose of this study was to clinically evaluate the effectiveness of polytetrafluoroethylene membranes in the healing of interproximal Class II furcation defects in maxillary molars using a surgical treatment technique based on the principles of guided tissue regeneration. Eight subjects with similar bilateral Class II furcation lesions on the mesial aspect of maxillary first molars participated in this study. Patients received initial therapy consisting of oral hygiene instructions, scaling and root planing, and occlusal adjustment if necessary. Clinical parameters evaluated included plaque index, sulcular bleeding index, probing depth, attachment level, gingival recession, and open horizontal and vertical furcation fill. An acrylic occlusal stent was used to assure reproducibility of measurements. Experimental sites received a polytetrafluoroethylene membrane following surgical exposure of the furcation. Control sites were treated in the exact same manner but without a membrane. Membranes were removed at 6 weeks after the first surgery. Reentry surgeries were performed at 9 months. Postsurgical results showed a significant improvement in probing depth, attachment level, and open horizontal furcation fill for both groups when compared to baseline values, with experimental sites performing significantly better than controls. Control sites showed a slight loss in open vertical furcation fill while experimental sites remained unchanged. This study suggests that guided tissue regeneration using polytetrafluoroethylene membranes is of some but limited value in the treatment of maxillary molar interpoximal Class II furcation lesions.
University of California, Los Angeles, School of Dentistry, Section of Periodontics, 90095, USA.
J B
JB
Avera
P M
PM
Camargo
P R
PR
Klokkevold
E B
EB
Kenney
V
V
Lekovic
D000328:Adult; D000539:Alveolar Process / Q000473:pathology; D000543:Alveoloplasty; D003774:Dental Plaque Index; D012534:Dental Scaling; D005260:Female; D017823:Furcation Defects / Q000145:classification / Q000473:pathology / Q000601:surgery*; D005884:Gingival Hemorrhage / Q000473:pathology / Q000601:surgery; D005889:Gingival Recession / Q000473:pathology / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D008567:Membranes, Artificial; D008963:Molar / Q000473:pathology / Q000601:surgery*; D019558:Occlusal Adjustment; D009910:Oral Hygiene; D017622:Periodontal Attachment Loss / Q000473:pathology / Q000601:surgery; D010514:Periodontal Pocket / Q000473:pathology / Q000601:surgery; D011138:Polytetrafluoroethylene; D015203:Reproducibility of Results; D016745:Root Planing; D014945:Wound Healing
D008567:Membranes, Artificial; D011138:Polytetrafluoroethylene