Evaluation of periodontal regeneration following grafting intrabony defects with bio-oss collagen: a human histologic report

Int J Periodontics Restorative Dent. 2003 Feb;23(1):9-17.

Abstract

This study evaluated the clinical, radiographic, and histologic response to Bio-Oss Collagen when used alone or in combination with Bio-Gide bilayer collagen membrane for the treatment of four intrabony defects (5 to 7 mm) around single-rooted teeth. After reflecting a full-thickness flap, thorough degranulation and root planing were accomplished. In all cases, Bio-Oss Collagen was then used to fill the defects, and in two cases, a Bio-Gide membrane was placed over the filled defect. Radiographs, clinical probing depths, and attachment levels were obtained before treatment and immediately preceding en bloc resection of teeth and surrounding tissues 9 months later. Reduction in pocket depth and gain in clinical attachment level were observed for both treatment protocols. The histologic evaluation demonstrated the formation of a complete new attachment apparatus, evidencing periodontal regeneration that varied with defect morphology. This human histologic study demonstrated that Bio-Oss Collagen has the capacity to induce regeneration of the periodontal attachment apparatus when placed in intrabony defects.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Alveolar Bone Loss / pathology
  • Alveolar Bone Loss / surgery*
  • Biocompatible Materials / therapeutic use
  • Bone Matrix / pathology
  • Bone Matrix / transplantation*
  • Bone Substitutes / therapeutic use*
  • Collagen / therapeutic use*
  • Dental Cementum / pathology
  • Epithelial Attachment / pathology
  • Follow-Up Studies
  • Guided Tissue Regeneration, Periodontal* / instrumentation
  • Guided Tissue Regeneration, Periodontal* / methods
  • Humans
  • Membranes, Artificial
  • Minerals / therapeutic use*
  • Osteogenesis / physiology
  • Periodontal Attachment Loss / pathology
  • Periodontal Attachment Loss / surgery
  • Periodontal Pocket / pathology
  • Periodontal Pocket / surgery
  • Regeneration / physiology
  • Root Planing
  • Surgical Flaps
  • Treatment Outcome

Substances

  • Bio-Gide
  • Bio-Oss
  • Biocompatible Materials
  • Bone Substitutes
  • Membranes, Artificial
  • Minerals
  • Collagen