J Periodontal Implant Sci.  2012 Dec;42(6):237-242.

Evaluation of calcium sulphate barrier to collagen membrane in intrabony defects

Affiliations
  • 1Department of Periodontology, Karnavati School of Dentistry, Gandhinagar, India. drsantoshkumar2004@gmail.com
  • 2Department of Periodontology, Government Dental College, Asarwa, India.
  • 3Department of Prosthodontics, Karnavati School of Dentistry, Gandhinagar, India.

Abstract

PURPOSE
The aim of this study was to clinically and radiographically evaluate and compare treatment of intrabony defects with the use of decalcified freeze-dried bone allograft in combination with a calcium sulphate barrier to collagen membrane.
METHODS
Twelve patients having chronic periodontal disease aged 20 to 50 years and with a probing depth >6 mm were selected. Classification of patient defects into experimental and control groups was made randomly. In the test group, a calcium sulphate barrier membrane, and in control group, a collagen membrane, was used in conjunction with decalcified freeze-dried bone graft in both sides. Ancillary parameters as well as soft tissue parameters along with radiographs were taken at baseline and after 6 months of surgery. Parameters assessed were plaque index, modified gingival index, probing depth, relative attachment level, and location of the gingival margin. A Student's t-test was done for intragroup and a paired t-test for intergroup analysis.
RESULTS
Intragroup analysis revealed statistically significant improvement in all the ancillary parameters and soft tissue parameters with no statistically significant difference in intergroup analysis.
CONCLUSIONS
The study concluded that a calcium sulphate barrier was comparable to collagen membrane in achieving clinical benefits and hence it can be used as an economical alternative to collagen membrane.

Keyword

Bone substitute; Calcium sulphate; Collagen; Guided tissue regeneration

MeSH Terms

Aged
Bone Substitutes
Calcium
Calcium Sulfate
Collagen
Guided Tissue Regeneration
Humans
Membranes
Periodontal Diseases
Periodontal Index
Transplantation, Homologous
Transplants
Bone Substitutes
Calcium
Calcium Sulfate
Collagen

Figure

  • Figure 1 Preoperative radiograph showing defect site prior to treatment with calcium sulphate barrier and decalcified freeze-dried bone allograft.

  • Figure 2 Postoperative radiograph showing defect fill after undergoing treatment with calcium sulphate barrier and decalcified freeze-dried bone allograft.

  • Figure 3 Preoperative radiograph showing defect site prior to treatment with collagen and decalcified freeze-dried bone allograft.

  • Figure 4 Postoperative radiograph showing defect fill after undergoing treatment with collagen membrane and decalcified freeze-dried bone allograft.


Reference

1. Bunyaratavej P, Wang HL. Collagen membranes: a review. J Periodontol. 2001. 72:215–229.
2. Shaffer CD, App GR. The use of plaster of paris in treating infrabony periodontal defects in humans. J Periodontol. 1971. 42:685–690.
3. Frame JW. Porous calcium sulphate dihydrate as a biodegradable implant in bone. J Dent. 1975. 3:177–187.
Article
4. Turesky S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol. 1970. 41:41–43.
Article
5. Lobene RR, Weatherford T, Ross NM, Lamm RA, Menaker L. A modified gingival index for use in clinical trials. Clin Prev Dent. 1986. 8:3–6.
Article
6. Reddy MS. Radiographic methods in the evaluation of periodontal therapy. J Periodontol. 1992. 63:12 Suppl. 1078–1084.
Article
7. Sottosanti J. Calcium sulfate: a biodegradable and biocompatible barrier for guided tissue regeneration. Compendium. 1992. 13:226–228. 230232–234.
Article
8. Anson D. Calcium sulfate: a 4-year observation of its use as a resorbable barrier in guided tissue regeneration of periodontal defects. Compend Contin Educ Dent. 1996. 17:895–899.
Article
9. Sukumar S, Drizhal I, Paulusova V, Bukac J. Surgical treatment of periodontal intrabony defects with calcium sulphate in combination with beta-tricalcium phosphate: clinical observations two years post-surgery. Acta Medica (Hradec Kralove). 2011. 54:13–20.
Article
10. Blumenthal N, Steinberg J. The use of collagen membrane barriers in conjunction with combined demineralized bone-collagen gel implants in human infrabony defects. J Periodontol. 1990. 61:319–327.
Article
11. Urist MR, Strates BS. Bone formation in implants of partially and wholly demineralized bone matrix. Including observations on acetone-fixed intra and extracellular proteins. Clin Orthop Relat Res. 1970. 71:271–278.
Article
12. Clark DC, Chin Quee T, Bergeron MJ, Chan EC, Lautar-Lemay C, de Gruchy K. Reliability of attachment level measurements using the cementoenamel junction and a plastic stent. J Periodontol. 1987. 58:115–118.
Article
13. Orsini M, Orsini G, Benlloch D, Aranda JJ, Lazaro P, Sanz M, et al. Comparison of calcium sulfate and autogenous bone graft to bioabsorbable membranes plus autogenous bone graft in the treatment of intrabony periodontal defects: a split-mouth study. J Periodontol. 2001. 72:296–302.
Article
14. Paolantonio M, Perinetti G, Dolci M, Perfetti G, Tete S, Sammartino G, et al. Surgical treatment of periodontal intrabony defects with calcium sulfate implant and barrier versus collagen barrier or open flap debridement alone: a 12-month randomized controlled clinical trial. J Periodontol. 2008. 79:1886–1893.
Article
15. Trejo PM, Weltman R, Caffesse R. Treatment of intraosseous defects with bioabsorbable barriers alone or in combination with decalcified freeze-dried bone allograft: a randomized clinical trial. J Periodontol. 2000. 71:1852–1861.
Article
16. Aichelmann-Reidy ME, Heath CD, Reynolds MA. Clinical evaluation of calcium sulfate in combination with demineralized freeze-dried bone allograft for the treatment of human intraosseous defects. J Periodontol. 2004. 75:340–347.
Article
17. Vouros I, Aristodimou E, Konstantinidis A. Guided tissue regeneration in intrabony periodontal defects following treatment with two bioabsorbable membranes in combination with bovine bone mineral graft. A clinical and radiographic study. J Clin Periodontol. 2004. 31:908–917.
Article
18. Caton JG, Greenstein G. Factors related to periodontal regeneration. Periodontol 2000. 1993. 1:9–15.
Article
19. Zybutz MD, Laurell L, Rapoport DA, Persson GR. Treatment of intrabony defects with resorbable materials, non-resorbable materials and flap debridement. J Clin Periodontol. 2000. 27:169–178.
Article
20. Zitzmann NU, Rateitschak-Pluss E, Marinello CP. Treatment of angular bone defects with a composite bone grafting material in combination with a collagen membrane. J Periodontol. 2003. 74:687–694.
Article
Full Text Links
  • JPIS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr