Histological evaluation of repair using a bioresorbable membrane beneath aresin-modified glass ionomer after mechanical furcation perforation in dogs' teeth
Ma. Salman et al., Histological evaluation of repair using a bioresorbable membrane beneath aresin-modified glass ionomer after mechanical furcation perforation in dogs' teeth, J ENDODONT, 25(3), 1999, pp. 181-186
Resorbable barriers have been shown both clinically and histologically to p
roduce favorable periodontal regenerative outcomes. The purpose of the pres
ent study was to evaluate the histological response to one such resorbable
barrier (Atrisorb) when used as a matrix under a resin-modified glass ionom
er (RMGI) sealant in the repair of furcation perforations in experimental a
nimals. After anesthesia, pulp extirpation and filling of radicular canals
with zinc oxide-eugenol cement, furcal perforations were made in 30 lower p
remolar (P2, P3, and P4) teeth of labrador dogs with a 1 mm diameter round
bur in a conventional handpiece. The perforated teeth were randomly divided
into two groups of 15 teeth. Group 1 teeth were treated with RMGI alone an
d group 2 with the resorbable barrier under RMGI. Six teeth without perfora
tions served as negative controls. Pulp chambers of all teeth were filled w
ith RMGI cement. Animals were sacrificed after 3 months. The teeth and the
surrounding structures were processed for light microscopy. There were no d
ifferences found between results for glass ionomer alone and barrier with g
lass ionomer. The conclusion of this study is that placement of a resorbabl
e barrier at the pulp chamber aspect of a furcation perforation did not res
ult in superior healing, compared with the use of resin-modified glass iono
mer alone.