Js. Zamet et al., PARTICULATE BIOGLASS(R) AS A GRAFTING MATERIAL IN THE TREATMENT OF PERIODONTAL INTRABONY DEFECTS (CORRECTED VERSION OF XE471), Journal of clinical periodontology, 24(6), 1997, pp. 410-418
The present clinical trial was designed to evaluate the effects of a b
ioactive glass, Perioglas(R), in the treatment of periodontal intrabon
y defects. 20 patients, 23-55 years of age (44 sites), with intrabony
defects completed the 1-year study. Teeth with furcation involvement w
ere excluded. After completion of initial therapy, defects were random
ly assigned to either a test or control procedure. Following flap refl
ection, root planing and removal of chronic inflammatory tissue in bot
h groups, the test defects were restored with the bioactive glass part
iculate material. Mucoperiosteal flaps were replaced, sutured and a pe
riodontal dressing was used. All the patients received postoperative a
ntibiotics and analgesics and were seen at 1 week for suture removal.
Follow-up was then carried out weekly and at 3 months, 6 months, 9 mon
ths and 1 year post-surgery. Plaque score, bleeding score, probing poc
ket depth (PPD), probing attachment level (PAL) and gingival recession
were recorded at baseline, 3 months and 1 year. Standardised radiogra
phs for computer-assisted densitometric image analysis (CADIA) were ta
ken at baseline, immediately post-operatively and at 1 year. The CADIA
data showed a significant increase (F-ratio: 15.67, p<0.001) in radio
graphic density and volume between the defects treated with the Periog
las(R) when compared to those treated with surgical debridement only.
PPD and PAL showed significant improvements in both experimental and c
ontrol sites, with a greater trend to improvement in the experimental
sites. It was concluded that this bioactive glass is effective as an a
djunct to conventional surgery in the treatment of intrabony defects.