Item type:Thesis, Open Access

Klinischer Vergleich einer resorbierbaren Membran und eines bioaktiven Glases zur Behandlung von Furkationsbefällen Grad II/III bei Patienten mit einer aggressiven generalisierten Parodontitis

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Date

2004-07-21

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Philipps-Universität Marburg
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Abstract

The aim of this study was to compare the effectivity of two different materials: the bioresorbable membrane Resolut ® XT (RXT) (W.L.Gore & Associates, Flagstaff, AZ, USA) and the bioactive synthetic glass Perioglas (PG) (USBiomaterials, Alachua, FL, USA) in the treatment of furcation defects. 11 patients with class II and -III furcations were treated. 21 lesions were treated using bioactive glass (10 with class II-furcations, 11 with class III-furcations) and 16 using resorbable membrane (9 with class II-furcations, 7 with class III-furcations). The clinical parameters plaque index, gingival index, pocket probing depth, gingival recession, attachment level, bleeding of probing, furcation involvement and tooth mobility were evaluated immediately prior to, as well as 24 months after surgery. Before surgery all patients were received initial treatment. After 24 months both materials showed an uneventful healing and provided a significant reduction of furcation involvement. The reduction of furcation lesions class II was more than one degree and showed a significantly reduction (p = 0,000). The class III-furcation showed a significantly reduction (p = 0,001) too, with more than one degree reduction. There was no significant difference between the two materials with regard to the furcation defects. Pocket probing depth (p = 0,000) and the attachment level (p = 0,001) were significantly reduced. Pocket probing depth with class II-defects was reducted by 2,84 mm, with class III-furcations by 2,4 mm. Gingival recession was decreased by 0,5 mm with class II-defects and there was an increase of 0,077 with class III furcations. The average attachment level was reduced by 2,53 mm in the class II-defects and 1,93 mm in the class III-defects. There was no significant difference between the two materials with regard to the furcation defects and the reduction of pocket probing depth. Both materials were effective in gaining new horizontal probing attachment. 24 months after therapy both treatments led to a significant improvement of the clinical situation. There were no statistically significant differences between the two materials found. Thus, both biodegradable materials can be recommended for treatment of furcation defects.

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Dates
Created: 2004Issued: 2004-07-21Updated: 2011-08-10
DOI
https://doi.org/10.17192/z2004.0396
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
PeriodontitisFurkationsbefallGTRBioglasRegenerationGTRResolutXTBioglasFurcationPerioglas
DFG-subjects
MembranKnochenregenerationBiomembranKnochenbildungFurkationParodontitis
DDC-Numbers
610
License
https://rightsstatements.org/vocab/InC-NC/1.0/
URI
https://open.uni-marburg.de/handle/10.17192/z2004.0396
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Gottschalk, Valeska Philine Natalie: Klinischer Vergleich einer resorbierbaren Membran und eines bioaktiven Glases zur Behandlung von Furkationsbefällen Grad II/III bei Patienten mit einer aggressiven generalisierten Parodontitis. : Philipps-Universität Marburg 2004-07-21. DOI: https://doi.org/10.17192/z2004.0396.

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