Periosteum as a barrier in treating intrabony defects: A new technique

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Periosteum as a barrier membrane in the treatment of intrabony defect: A new technique
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Charanjeet Singh Saimbi, Anju Gautam, Mohd. Akhlak Khan, Nandlal


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Periosteum as a barrier membrane in the treatment of intrabony defect: A new technique

Year: 2014 | Doi: 10.4103/0972-124X.134571

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

The objective of the study was to assess the clinical efficacy of using periosteum as a barrier membrane for treating intrabony defects, which are challenging to manage in periodontal therapy. Traditional surgical treatments for periodontal diseases often result in minimal regeneration despite improving clinical parameters. Guided tissue regeneration (GTR) has emerged as a promising technique that employs barrier membranes to selectively promote the migration of periodontal ligament cells conducive to regeneration. This study evaluates the potential of autogenous periosteum as an effective alternative to conventional barrier membranes in periodontal surgery.

Improvement in Clinical Outcomes through Periosteal Membrane

The research involved 10 patients with bilateral intrabony defects, who underwent treatment with either a periosteal barrier membrane or conventional open flap debridement. The results indicated a statistically significant gain in clinical attachment level (CAL) of 2.00 ± 0.26 mm in the test group treated with the periosteal membrane, compared to 0.60 ± 0.22 mm in the control group. Although both treatment modalities showed a decrease in probing pocket depth, the difference was not statistically significant. Importantly, the periosteal membrane provided better bone fill (1.40 ± 0.16 mm) compared to the control group (0.90 ± 0.18 mm), suggesting that the periosteum may be advantageous for enhancing periodontal regeneration.

Conclusion

The findings of the study demonstrate that using autogenous periosteal membrane as a GTR barrier provides significant improvement in key clinical parameters such as pocket depth reduction, CAL gain, and bone defect fill when treating intrabony defects. These outcomes suggest that periosteum can serve as an effective barrier membrane alternative, minimizing the need for a secondary surgical procedure associated with traditional non-absorbable membranes. Overall, this study highlights the potential of autogenous periosteal membranes in achieving more favorable periodontal treatment outcomes, warranting further research with larger sample sizes and extended follow-up periods to validate these findings.

FAQ section (important questions/answers):

What was the objective of the study on periosteum?

The study aimed to evaluate the clinical effectiveness of using periosteum as a barrier membrane for treating intrabony defects in periodontal therapy.

How many patients were involved in the periosteum study?

A total of 10 patients with bilateral intrabony defects were treated in the study, resulting in 20 defects being evaluated.

What were the main results of using the periosteal barrier?

The test group showed a significant gain in clinical attachment level, with 2.00 mm improvement compared to 0.60 mm in the control group, indicating potential advantages of the periosteal barrier.

What treatment methods were compared in the study?

The study compared the effectiveness of a periosteal barrier membrane against conventional open flap debridement procedures in treating intrabony defects.

What conclusion was drawn from the periosteal membrane study?

The study concluded that the autogenous periosteal membrane is an effective alternative barrier membrane for guided tissue regeneration in treating intrabony defects.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Periosteum as a barrier in treating intrabony defects: A new technique”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
[see source text or glossary: #Table#]

2) Study (Studying):
The relevance of 'study' in the text refers to the clinical evaluation conducted to assess the effectiveness of periosteum as a barrier membrane in treating intrabony defects. The study provides valuable data about the treatment outcomes, comparing the periosteal barrier to conventional methods. Such studies are critical in advancing dental science and improving treatment protocols.

3) Disease:
Disease relates to periodontal health, specifically periodontal disease, which causes the degradation of periodontal tissues. The study addresses techniques to regenerate lost tissue and improve clinical parameters affected by disease, underscoring the significance of effective treatment in managing periodontal diseases.

4) Animal:
[see source text or glossary: #Animal#]

5) Incision:
The term 'incision' is relevant in describing the surgical procedure where intracrevicular incisions were made to create access for treatment. Accurate incisions are vital for effective surgical management in periodontal therapy, ensuring optimal healing and treatment outcomes by allowing access to diseased areas.

6) Surface:
[see source text or glossary: #Surface#]

7) Post:
In the context of the study, 'post' refers to the postoperative period where measurements and evaluations were taken at various intervals following the surgery. This post-surgical observation period is crucial for assessing the efficacy of the treatment method employed.

8) Hygiene (Hygienic):
Hygiene is emphasized in the text regarding the importance of maintaining oral hygiene during the treatment process. Patients were instructed on oral hygiene practices to minimize complications and ensure successful outcomes following the surgical procedure.

9) Measurement:
The 'measurement' of clinical parameters was an essential component of the study, as it helped quantify treatment outcomes. Precise measurement techniques were employed to evaluate clinical attachment level, pocket depth, and bone fill, providing objective data on the effectiveness of periosteal membranes.

10) Dressing:
The 'dressing' refers to the postoperative care provided to the surgical site, which was covered with a periodontal dressing to protect the area and promote healing. Proper dressing application minimizes the risk of infections and leads to better recovery.

11) Blood:
'Blood' is critical in the context of surgical procedures as it indicates the importance of maintaining a good vascular supply to the periosteum used as a barrier membrane. Sufficient blood flow supports healing and ensures the viability of tissues during and after surgery.

12) Silk:
[see source text or glossary: #Silk#]

13) Repopulation:
'Repopulation' pertains to the biological principle behind guided tissue regeneration. The study highlights how barrier membranes can facilitate the selective repopulation of periodontal ligament cells, which are crucial for the healing and regeneration process in periodontal defects.

14) Surrounding:
The term 'surrounding' is relevant when discussing how the periosteal membrane integrates with the surrounding tissues during the healing process. Successful integration is essential for effective periodontal regeneration and the overall success of the treatment.

15) Observation:
'Observation' relates to the follow-up assessments conducted post-surgery to determine the success of the treatment. Rigorous observation protocols were in place to evaluate the healing and regeneration of periodontal tissue over time.

16) Discussion:
'Discussion' in the context of the study refers to the section where the authors analyze and interpret the results, comparing them to previous research. This section is pivotal in establishing the relevance of their findings within the broader field of periodontal therapy.

17) Accumulation (Accumulating, Accumulate):
'Accumulate' is crucial in the regenerative process, where periodontal ligament cells must accumulate in the defect site to facilitate healing. The study underscores the role of barrier membranes in promoting this accumulation effectively.

18) Antibiotic (Antibacterial):
'Antibiotic' use is mentioned regarding the postoperative care of surgical patients to prevent infections. The administration of antibiotics is a standard practice in periodontal surgeries to ensure safer healing environments.

19) Lucknow:
'Lucknow' is the geographical context of the study, indicating the location where the research was conducted. This aspect is relevant for understanding the demographic and regional considerations of the patient population involved.

20) Allergy:
'Allergy' is mentioned in the context of patient selection criteria, ensuring that study participants were free from any allergies. This is critical in avoiding complications that could affect the study's outcomes.

21) Science (Scientific):
'Science' embodies the basis of the study, which utilizes scientific methods to explore innovations in periodontal treatments. The study contributes to the scientific understanding of effective surgical interventions in periodontal therapy.

22) Arrow:
[see source text or glossary: #Arrow#]

23) Visit:
'Visit' refers to the follow-up appointments that patients had after the surgical procedure. Regular visits are essential for monitoring healing, reinforcing oral hygiene, and ensuring the overall success of periodontal therapy.

24) Sign:
'Sign' in this context may refer to clinical signs observed during the study, such as improvements in clinical parameters or healing signs post-surgery. These signs are vital indicators of the treatment's success.

25) Male:
'Male' indicates the gender distribution of the study participants, highlighting that 4 out of the 10 subjects were male. Understanding the gender demographics can provide insights into the study's applicability and relevance across different populations.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Periosteum as a barrier in treating intrabony defects: A new technique’. Further sources in the context of Science might help you critically compare this page with similair documents:

Control group, Clinical effectiveness, Test group, Probing pocket depth, Clinical attachment level, Gingival Recession, Vascular Supply, Clinical parameter, Mucoperiosteal flap, Open flap debridement, Guided tissue regeneration, Intrabony defect.

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