REGENERATIVE TREATMENT USING PERIODONTAL FLAP SURGERY COMBINED Ti-OSS®, PERICARDIUM MEMBRANE AND PLATELET-RICH FIBRIN IN CHRONIC PERIODONTITIS

Authors

  • Abyan Teguh Saputro Program Pendidikan Dokter Gigi Spesialis Periodonsia, Fakultas Kedokteran Gigi, Universitas Gadjah Mada
  • Vincensia Maria Karina Periodontia Department, Faculty of Dentistry, Universitas Gadjah Mada

DOI:

https://doi.org/10.46862/interdental.v19i2.7865

Keywords:

Bone graft, Ti-OSS®, chronic periodontitis, periodontal regenerative treatment, platelet-rich fibrin

Abstract

Introduction: Periodontal regenerative treatment with periodontal flap surgery followed by application of bone graft combined with platelet-rich fibrin (PRF) is a treatment using the concept of guided bone regeneration which is required to stimulate bone and periodontal tissue regeneration in chronic periodontitis with radiographic sign of alveolar bone vertical defect. This case report will describe the flap surgery with bone graft (Ti-OSS®, South Korea) and PRF treatment for correction of alveolar bone vertical defect in tooth with chronic periodontitis.

Case: A 45-years old female complained of swollen and suppurated gingiva in the upper right area. Clinical finding showed deep periodontal pockets in tooth 13 and 15 and radiographic finding showed apical third alveolar bone loss in tooth 13 and 15.

Case Treatment: Initial treatments included scaling and root planing, occlusal adjustment, and antibiotic prescription. Treatments were followed by periodontal flap surgery for debridement and elimination of granulation tissue on the root and alveolar bone surface of tooth 13 to 15, application of Ti-OSS® combined with PRF and pericardium membrane.

Discussion: The follow-up evaluation 2 months after treatment showed clinical finding of decreased Clincial Attachment Level (CAL) and radiographic finding showed increased alveolar bone height around defect area of tooth 13 and 15. Conclusion and Suggestions: Periodontal flap surgery combined with application of Ti-OSS® and PRF may able to stimulate regeneration of alveolar bone and periodontal tissue in chronic periodontitis

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References

Carrasquer CP, del Amo FSP. Periodontics The Complete Summary: Gingivitis and Periodontitis. 1st ed. Illinois: Quintessence Publishing; 2021. h. 25.

Sculean A, Windisch P, Stavropoulos A. Role of grafting materials in regenerative periodontal therapy. In: Sculean A’s Periodontal Regenerative Therapy. Surrey: Quintessence Publishing; 2010. h. 136-143.

Sculean A, Nikolidakis D, Chiantella GC, Schwarz F, Stavropoulos A. Combinations strategies to enhance regenerative periodontal surgery. In: Sculean A’s Periodontal Regenerative Therapy. Surrey: Quintessence Publishing; 2010. h. 148-156.

Bilichodmath S, Geetha K, Nazrine S, Janardhanan N. Prediction of Gingival Recession after Flap Surgery in Patients with Chronic and Aggressive Periodontitis with Horizontal or Vertical Bone Loss. J Evolution Med Dent Sci: 2022; 10(01): 194-198.

Wikesjo UME, Polimeni G, Xiropaidis AV, Stavropulos A. Periodontal wound healing/regeneration. In: Sculean A’s Periodontal Regenerative Therapy. Surrey: Quintessence Publishing; 2010. h. 25-28.

Peng W, Kim IK, Cho HY, Seo JH, Lee DH, Jang JM, Park SH. The healing effect of platelet-rich plasma on xenograft in peri-implant bone defects in rabbits. Maxillofacial Plastic and Reconstructive Surgery 2016; 38(16): 1-9.

Al Qabbani A, Al Kawas S, Razak NHA, Al Bayatti SW, Enezei HH, Samsudin AR, Abu Hamid SS. Three-Dimensional Radiological Assessment of Alveolar Bone Volume Preservation Using Bovine Bone Xenograft. The Journal of Craniofacial Surgery March 2018; 29(2): e203-209.

Ahn YS, Kim SG, Kim CS, Oh JS, Lim SC. Effect of guided bone regeneration with or without pericardium bioabsorbable membrane on bone formation. OOOO 2012; 114(5S): S126-131.

Setyawati EM, Klana NAP. Concise review: Periodontal tissue regeneration using pericardium membrane as guided bone regeneration. AIP Conference Proceedings 2314, 050015 (2020).

Bianchi S, Bernardi S, Simeone D, Torge D, Macchiarelli G, Marchetti E. Proliferation and Morphological Assessment of Human Periodontal Ligament Fibroblast towards Bovine Pericardium Membranes: An In Vitro Study. Materials 2022; 15(23): 8284.

de Almeida Malzoni CM, Pichotano EC, Freitas de Paula LG, de Souza RV, Okamoto R, Austin RS, Marcantonio Jr E, de Molon RS, Zandim-Barcelos DL. Combination of leukocyte and platelet–rich fibrin and demineralized bovine bone graft enhanced bone formation and healing after maxillary sinus augmentation: a randomized clinical trial. Clin Oral Invest 2023; 27: 5485–5498.

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Published

2023-12-23

How to Cite

1.
Saputro AT, Karina VM. REGENERATIVE TREATMENT USING PERIODONTAL FLAP SURGERY COMBINED Ti-OSS®, PERICARDIUM MEMBRANE AND PLATELET-RICH FIBRIN IN CHRONIC PERIODONTITIS. interdental [Internet]. 2023 Dec. 23 [cited 2024 Nov. 23];19(2):86-93. Available from: https://e-journal.unmas.ac.id/index.php/interdental/article/view/7865

Issue

Vol. 19 No. 2 (2023): Interdental Jurnal Kedokteran Gigi (IJKG)

Section

Articles

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Copyright (c) 2023 Abyan Teguh Saputro, Vincensia Maria Karina

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