Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique
Objective : To use the periosteum as a barrier in treatment of buccal Grade II furcation defects of lower molars. Materials and Methods : This technique was performed on 12 patients with bilateral buccal Grade II furcation defects of lower molars. On a random basis, one furcation defect of each pai...
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Wolters Kluwer Medknow Publications
2011-01-01
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doaj-31346b1ac19745ada85537ec4b224e632020-11-24T23:39:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032011-01-0122451151610.4103/0970-9290.90280Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel techniqueVikas VermaC S SaimbiM A KhanAmit GoelObjective : To use the periosteum as a barrier in treatment of buccal Grade II furcation defects of lower molars. Materials and Methods : This technique was performed on 12 patients with bilateral buccal Grade II furcation defects of lower molars. On a random basis, one furcation defect of each pair was selected for the control group and other for the experimental group. Debridement was done in the defect area in both groups. In the control group, after debridement, mucoperiosteal flap was sutured back. In the experimental group, after reflection of the mucoperiosteal flap, a portion of the periosteum along with a layer of connective tissue (periosteal membrane) was incised and mobilized in the defect area for defect coverage as a barrier, and then the periosteal membrane and mucoperiosteal flap were fixed with suture, respectively. Horizontal dimension of the furcation defect was the primary outcome measure. Gingival index, probing attachment level (PAL), and vertical dimension of furcation defect were the secondary outcome measures. Clinical parameters were registered at baseline and at 6 months. Results : Every clinical parameter was improved by surgery. Significant gain in PAL as well as horizontal and vertical dimensions of the furcation defects was found. Conclusion: This periosteum displacement technique is effective for the treatment of buccal Grade II furcation defects of lower molars.http://www.ijdr.in/article.asp?issn=0970-9290;year=2011;volume=22;issue=4;spage=511;epage=516;aulast=VermaBarrier membranegrade II furcation involvementguided tissue regenerationperiosteal membraneperiosteum |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vikas Verma C S Saimbi M A Khan Amit Goel |
spellingShingle |
Vikas Verma C S Saimbi M A Khan Amit Goel Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique Indian Journal of Dental Research Barrier membrane grade II furcation involvement guided tissue regeneration periosteal membrane periosteum |
author_facet |
Vikas Verma C S Saimbi M A Khan Amit Goel |
author_sort |
Vikas Verma |
title |
Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique |
title_short |
Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique |
title_full |
Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique |
title_fullStr |
Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique |
title_full_unstemmed |
Use of periosteal membrane as a barrier membrane for the treatment of buccal Grade II furcation defects in lower molars: A novel technique |
title_sort |
use of periosteal membrane as a barrier membrane for the treatment of buccal grade ii furcation defects in lower molars: a novel technique |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Dental Research |
issn |
0970-9290 1998-3603 |
publishDate |
2011-01-01 |
description |
Objective : To use the periosteum as a barrier in treatment of buccal Grade II furcation defects of lower molars.
Materials and Methods : This technique was performed on 12 patients with bilateral buccal Grade II furcation defects of lower molars. On a random basis, one furcation defect of each pair was selected for the control group and other for the experimental group. Debridement was done in the defect area in both groups. In the control group, after debridement, mucoperiosteal flap was sutured back. In the experimental group, after reflection of the mucoperiosteal flap, a portion of the periosteum along with a layer of connective tissue (periosteal membrane) was incised and mobilized in the defect area for defect coverage as a barrier, and then the periosteal membrane and mucoperiosteal flap were fixed with suture, respectively. Horizontal dimension of the furcation defect was the primary outcome measure. Gingival index, probing attachment level (PAL), and vertical dimension of furcation defect were the secondary outcome measures. Clinical parameters were registered at baseline and at 6 months.
Results : Every clinical parameter was improved by surgery. Significant gain in PAL as well as horizontal and vertical dimensions of the furcation defects was found.
Conclusion: This periosteum displacement technique is effective for the treatment of buccal Grade II furcation defects of lower molars. |
topic |
Barrier membrane grade II furcation involvement guided tissue regeneration periosteal membrane periosteum |
url |
http://www.ijdr.in/article.asp?issn=0970-9290;year=2011;volume=22;issue=4;spage=511;epage=516;aulast=Verma |
work_keys_str_mv |
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