Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
1998-12-17
pubmed:abstractText
The purpose of this study was to compare the use of bioactive glass to demineralized freeze-dried bone allograft (DFDBA) in the treatment of human periodontal osseous defects. Fifteen systemically healthy patients (6 males and 9 females, aged 30 to 63) with moderate to advanced adult periodontitis were selected for the study. All patients underwent initial therapy, which included scaling and root planing, oral hygiene instruction, and an occlusal adjustment when indicated, followed by re-evaluation 4 to 6 weeks later. Paired osseous defects in each subject were randomly selected to receive grafts of bioactive glass or DFDBA. Both soft and hard tissue measurements were taken the day of surgery (baseline) and at the 6-month re-entry surgery. The clinical examiner was calibrated and blinded to the surgical procedures, while the surgeon was masked to the clinical measurements. Statistical analysis was performed by using the paired Student's t test. The results indicated that probing depths were reduced by 3.07 +/- 0.80 mm with the bioactive glass and 2.60 +/- 1.40 mm with DFDBA. Sites grafted with bioactive glass resulted in 2.27 +/- 0.88 mm attachment level gain, while sites grafted with DFDBA had a 1.93 +/- 1.33 mm gain in attachment. Bioactive glass sites displayed 0.53 +/- 0.64 mm of crestal resorption and 2.73 mm bone fill. DFDBA-grafted sites experienced 0.80 +/- 0.56 mm of crestal resorption and 2.80 mm defect fill. The use of bioactive glass resulted in 61.8% bone fill and 73.33% defect resolution. DFDBA-grafted defects showed similar results, with 62.5% bone fill and 80.87% defect resolution. Both treatments provided soft and hard tissue improvements when compared to baseline (P < or = 0.0001). No statistical difference was found when comparing bioactive glass to DFDBA; however, studies with larger sample sizes may reveal true differences between the materials. This study suggests that bioactive glass is capable of producing results in the short term (6 months) similar to that of DFDBA when used in moderate to deep intrabony periodontal defects.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0022-3492
pubmed:author
pubmed:issnType
Print
pubmed:volume
69
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1027-35
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9776031-Adult, pubmed-meshheading:9776031-Alveolar Bone Loss, pubmed-meshheading:9776031-Alveolar Process, pubmed-meshheading:9776031-Biocompatible Materials, pubmed-meshheading:9776031-Bone Substitutes, pubmed-meshheading:9776031-Bone Transplantation, pubmed-meshheading:9776031-Ceramics, pubmed-meshheading:9776031-Decalcification Technique, pubmed-meshheading:9776031-Dental Scaling, pubmed-meshheading:9776031-Female, pubmed-meshheading:9776031-Follow-Up Studies, pubmed-meshheading:9776031-Freeze Drying, pubmed-meshheading:9776031-Humans, pubmed-meshheading:9776031-Male, pubmed-meshheading:9776031-Middle Aged, pubmed-meshheading:9776031-Occlusal Adjustment, pubmed-meshheading:9776031-Oral Hygiene, pubmed-meshheading:9776031-Periodontal Attachment Loss, pubmed-meshheading:9776031-Periodontal Pocket, pubmed-meshheading:9776031-Periodontitis, pubmed-meshheading:9776031-Root Planing, pubmed-meshheading:9776031-Single-Blind Method, pubmed-meshheading:9776031-Transplantation, Homologous
pubmed:year
1998
pubmed:articleTitle
Clinical evaluation of bioactive glass in the treatment of periodontal osseous defects in humans.
pubmed:affiliation
Department of Periodontics, The University of Texas Health Science Center at San Antonio, 78284-7894, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't