"Connective tissue graft and xenograft for periodontal regeneration"

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Periodontal regeneration using connective tissue graft wall and xenograft with coronally advanced flap in noncontained intrabony defects: A novel combination 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:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Ahmed Mohamed Elfana, Mohamed Talaat Elbehwashy


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Periodontal regeneration using connective tissue graft wall and xenograft with coronally advanced flap in noncontained intrabony defects: A novel combination technique

Year: 2022 | Doi: 10.4103/jisp.jisp_347

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

The case report discussed a novel approach for periodontal regeneration of significant intrabony defects in an aesthetic region utilizing a combination of connective tissue graft (CTG) wall technique and xenograft. A 24-year-old female patient with gingival recession and deep bony defects around the upper lateral incisor underwent surgical intervention. The procedure integrated split-thickness buccal flap elevation, bone grafting with xenograft, and the placement of a CTG to enhance healing and stability, particularly emphasizing the importance of achieving both functional and aesthetic results.

Importance of Combined Techniques in Periodontal Regeneration

The innovative use of the CTG wall technique along with xenograft serves to maintain space and provide mechanical support during the healing of intrabony defects. The CTG acts as a protective barrier, promoting tissue stability and enhancing aesthetic outcomes, while the xenograft facilitates osteoconduction and supports blood clot formation within the defects. This combination not only helps in achieving pronounced bone fill and reducing probing depths but also ensures improved clinical attachment levels over time, demonstrating the synergistic benefits of integrating these techniques in complex periodontal cases.

Conclusion

The successful outcome after one year post-surgery indicates that the combination of CTG walls and xenograft is a promising strategy for managing deep, noncontained intrabony defects, particularly in areas where aesthetics are paramount. The case shows significant clinical and radiographic improvements, suggesting that this method can effectively enhance periodontal regeneration. Further studies are encouraged to quantify the benefits of this combined approach compared to traditional methodologies, fostering advancements in periodontal therapy for optimal patient outcomes.

FAQ section (important questions/answers):

What is the purpose of the connective tissue graft wall technique?

The connective tissue graft (CTG) wall technique aims to reduce recession incidence and support healing in intrabony defects, particularly in esthetic areas. It provides a barrier and stability to enhance regenerative and aesthetic outcomes.

What materials were used in this periodontal regeneration case?

The case utilized a combination of xenograft bone substitute and connective tissue graft (CTG) to regenerate extensive intrabony defects, providing both mechanical support and osteoconduction properties during the healing process.

What improvements were observed after the surgical intervention?

One year post-surgery, reductions in probing depths and recession depths were noted, alongside improved clinical attachment levels. Radiographic evaluations also showed satisfactory bone fill in the treated defects.

How does the xenograft bone substitute aid in regeneration?

The xenograft serves multiple roles: it provides space for blood clot stabilization, prevents collapse of the CTG wall, and facilitates osteoconduction, supporting the regeneration of bone in intrabony defects.

Why is esthetics important in periodontal treatments?

Esthetics is crucial in periodontal treatments, especially for visible areas like the anterior teeth. Maintaining a pleasing appearance boosts patient satisfaction, as seen in cases of gingival recession and abraded teeth.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “"Connective tissue graft and xenograft for periodontal regeneration"”. 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:
In the context of clinical research and case reports, a table is used to present data and results in an organized manner. The table provided in this report shows baseline and final values of clinical measures such as probing depth and clinical attachment level, facilitating easy comparison of treatment outcomes over time.

2) Wall:
The term 'wall' refers to the connective tissue graft wall technique, which aims to create a barrier around bony defects to enhance periodontal regeneration. This technique helps in reducing the incidence of recession and provides a stable environment for healing, acting as a crucial support for the overlying tissue.

3) Incision:
Incision refers to the precise cuts made during surgical procedures to access tissues. The report describes a specific sulcular incision technique to facilitate flap elevation. Correct incisions are vital for successful flap management and access to underlying tissues, ensuring both effective treatment and optimal healing outcomes.

4) Study (Studying):
Within the context of this case report, 'study' refers to the research effort undertaken to evaluate the effectiveness of the combined use of a connective tissue graft and xenograft in periodontal therapy. A well-designed study ensures reliable results and can influence clinical practices in the treatment of periodontal defects.

5) Blood:
Blood plays a vital role in surgical healing, providing necessary nutrients and oxygen for tissue regeneration. In this case report, the stability and maintenance of the blood clot are critical for successful graft integration and regeneration. Proper blood supply also enhances healing and overall postoperative outcomes.

6) Bleeding:
Bleeding, particularly on probing during clinical examinations, is an important diagnostic factor indicating inflammation or disease presence in periodontal tissues. Monitoring bleeding helps assess treatment outcomes and tissue health. In this case, bleeding on probing was noted at follow-up, indicating the need for continued observation and care.

7) Grafting:
Grafting refers to the surgical procedure involving the placement of tissue (like connective tissue grafts or xenografts) into a defect. In periodontal surgery, grafting is critical for regenerating bone and soft tissue. The report outlines the successful application of these grafts to treat the patient's intrabony defects.

8) Hygiene (Hygienic):
Oral hygiene is essential in periodontal health and involves practices that maintain cleanliness around teeth and gums. The case report emphasizes patient education on hygiene measures post-surgery. Good hygiene contributes to the success of periodontal treatments by minimizing infections and promoting healing.

9) Surface:
Surface refers to the aspect of teeth and gums exposed to the oral environment, crucial for assessing periodontal health. The report discusses the root surface's comparison during surgical debridement, as it affects healing quality and the effectiveness of subsequent grafting in achieving optimal long-term results.

10) Hand:
In this context, 'hand' signifies the skill and technique of the dental surgeon performing the procedure. Proper surgical handwork is essential for achieving desired results, as it influences the precision of incisions, flap management, and graft placement, which are critical for successful periodontal regeneration.

11) Purification:
Purification is relevant to the processing of xenograft materials, which must be meticulously purified to eliminate organic components. This ensures biocompatibility and functionality in regeneration. In this report, the purification process of the bovine-derived graft material is highlighted, emphasizing its critical role in clinical outcomes.

12) Inflammation:
Inflammation is a crucial underlying condition in periodontitis, leading to tissue destruction. The report references it to describe the pathological changes in periodontal structures. Understanding inflammation helps in developing effective treatment protocols aimed at resolving disease and promoting healing through regenerative techniques.

13) Arrangement:
Arrangement refers to the organized structure of materials or tissues, in this case, the arrangement of grafts and connective tissue during surgery. Effective arrangement is vital for ensuring stability and optimal healing following the regenerative procedure, influencing the success of the overall treatment.

14) Observation:
Observation is key in post-surgical follow-up to monitor healing progress and measure clinical outcomes such as probing depths and tissue integration. In this case, systematic observations were essential for assessing the efficacy of the combined grafting technique over time, informing future practice.

15) Discussion:
Discussion represents a vital section of research reports where authors analyze results and compare them with existing literature. In this case study, the discussion analyzes the effectiveness of the combined regenerative approach, providing insights into its significance, potential improvements, and areas for future research.

16) Mineral:
Mineral refers to the inorganic components of the graft material, particularly hydroxyapatite in the bovine-derived xenograft. The mineral's presence is crucial in mimicking natural bone structure, aiding in bone regeneration and integration, as highlighted in this case report's discussion on material properties.

17) Nature:
Nature refers to the inherent characteristics or properties of graft materials utilized in regenerative procedures. Understanding the natural properties, such as biocompatibility and osteoconductivity, is essential when selecting materials for periodontal surgery, influencing clinical outcomes in regenerative therapy.

18) Reason:
Reason signifies the rationale behind specific techniques or material choices in the study. For example, using the connective tissue graft wall technique was chosen to provide both structural support and improved aesthetic outcomes, showcasing the strategic thought process in treatment planning.

19) Medium:
In this case, 'medium' references the state of the graft materials used in the procedure. The context discusses the importance of the physical states (like gelatinous or particulate) of materials, as these influence their performance in regenerative treatments and clinical outcomes.

20) Egypt:
Egypt is referenced in this report concerning the source of the bioabsorbable suture material used during the surgical procedure. The mention highlights the importance of sourcing quality medical materials for surgical success and patient care, reflecting global practices in dental treatments.

21) Rules:
Rules may pertain to the surgical guidelines and protocols followed during the procedure. Adhering to established rules in surgical practice ensures safety, enhances procedural efficacy, and promotes optimal outcomes, which is crucial in complex regenerative treatments.

22) Visit:
Visit implies the follow-up appointments scheduled to monitor the patient's recovery post-surgery. Regular visits allow for assessing healing, addressing complications, and ensuring that ongoing care aligns with the initial treatment goals, fostering successful long-term outcomes.

23) Fear:
Fear in this context relates to the patient's anxiety regarding the condition of their teeth and treatment outcomes. Recognizing patient fears is crucial in clinical practice, as addressing these concerns promotes a supportive environment that encourages patient compliance and satisfaction with treatment.

24) Rich (Rch):
Rich in this context emphasizes the notion of abundant resources, possibly referring to the wealth of knowledge or findings derived from this study. Recognizing the diverse applications and benefits of combining regenerative techniques can lead to improved clinical practices in periodontal therapy.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘"Connective tissue graft and xenograft for periodontal regeneration"’. Further sources in the context of Science might help you critically compare this page with similair documents:

Clinical examination, Surgical Procedure, Probing depth, Clinical attachment level, Surgical Site, Periodontal therapy, Supportive periodontal therapy, Oral hygiene instruction, Sulcular incision, Bone graft, Suture material, Financial Reasons, Guided tissue regeneration, Intrabony defect, Histologically confirmed.

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