title: Autogenous bone block in the treatment of teeth with hopeless prognosis.
abstract: BACKGROUND
  Autogenous bone graft, although considered as a gold standard, has been relegated to background because of limited quantity and donor site morbidity. Revival of interest in its use has been reflected by its tremendous capacity for regeneration in less than ideal situation. Bone blocks have been used for implant site augmentation, with varied success.
  
  
  OBJECTIVE
  Aim of the study was to evaluate the efficacy of autogenous bone block in the regeneration of bone, for saving teeth with a hopeless prognosis.
  
  
  METHODS
  A total of six patients and 12 sites with grade II and III mobile teeth were treated with autogenous bone blocks and fiber splinting.
  
  
  METHODS
  Attachment loss, probing depths, and radiographic bone loss were recorded at baseline and at 12 months interval.
  
  
  METHODS
  The Student paired t test was used for evaluation of the changes from baseline to 12 months.
  
  
  RESULTS
  At 12 months post-operatively, there was a highly significant amount of bone gain as compared to the baseline. The mean amount of bone loss reduced from 9.41 ± 1.16 to 5.41 ± 1.01. The clinical attachment loss reduced from 7.37 ± 1.24 mm to 3.79 ± 0.89 mm and probing depth reduced from 7 ± 1.67 mm to 5.5 ± 0.63 mm. The grafted bone was observed to have been incorporated with the host bone in most of the sites as evidenced by radiographs.
  
  
  CONCLUSIONS
  For teeth with hopeless prognosis, this method can be considered to be a very viable alternative to extraction and replacement by costly implants.
authors: Department of Periodontology and Oral Implantology, D.A.V. (C) Dental College and Hospital, Yamunanagar, Haryana, India.
authors: Nymphea
authors: N
authors: Pandit
authors: I K
authors: IK
authors: Pandit
authors: Rajvir
authors: R
authors: Malik
authors: Deepika
authors: D
authors: Bali
authors: Shaifi
authors: S
authors: Jindal
keywords: Bone grafts; hopeless teeth; osseous defects; osseous surgery; periodontal regeneration; prognosis
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