Efficacy of Xenogeneic Bone Grafting With Guided Tissue Regeneration in the Management of Bone Defects After Surgical Endodontics

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Abstract

Purpose: The purpose of this prospective clinical trial was to monitor the outcomes of periradicular surgery in large periapical lesions with or without guided tissue regeneration (GTR) and anorganic bovine bone. Materials and Methods: All teeth in the study revealed a periradicular lesion measuring at least 10 mm. A total of 63 teeth in 44 patients were included according to specific selection criteria. In the test group, after root end filling was completed, the defect was filled with anorganic bovine bone and was covered with a resorbable collagen membrane. In the control group, neither graft nor membrane was used. Results: A total of 59 teeth in 41 patients were evaluable at 1-year follow-up. Of these, 24 teeth belonged to the test group and 35 to the control group. Overall, 46 teeth (78%) had successfully healed, 10 (16.9%) demonstrated uncertain healing, and 3 exhibited treatment failure. Investigators found no statistically significant differences in outcome between test and control groups. Conclusions: The present study showed that the use of GTR in association with anorganic bovine bone in the treatment of patients with large periradicular lesions of strictly endodontic origin has no beneficial effect on outcome.

Original languageEnglish
Pages (from-to)1121-1127
Number of pages7
JournalJournal of Oral and Maxillofacial Surgery
Volume65
Issue number6
DOIs
Publication statusPublished - Jun 2007

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Guided Tissue Regeneration
Bone Transplantation
Endodontics
Tooth
Bone and Bones
Control Groups
Membranes
Treatment Failure
Patient Selection
Collagen
Research Personnel
Clinical Trials
Transplants

ASJC Scopus subject areas

  • Dentistry(all)
  • Surgery

Cite this

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title = "Efficacy of Xenogeneic Bone Grafting With Guided Tissue Regeneration in the Management of Bone Defects After Surgical Endodontics",
abstract = "Purpose: The purpose of this prospective clinical trial was to monitor the outcomes of periradicular surgery in large periapical lesions with or without guided tissue regeneration (GTR) and anorganic bovine bone. Materials and Methods: All teeth in the study revealed a periradicular lesion measuring at least 10 mm. A total of 63 teeth in 44 patients were included according to specific selection criteria. In the test group, after root end filling was completed, the defect was filled with anorganic bovine bone and was covered with a resorbable collagen membrane. In the control group, neither graft nor membrane was used. Results: A total of 59 teeth in 41 patients were evaluable at 1-year follow-up. Of these, 24 teeth belonged to the test group and 35 to the control group. Overall, 46 teeth (78{\%}) had successfully healed, 10 (16.9{\%}) demonstrated uncertain healing, and 3 exhibited treatment failure. Investigators found no statistically significant differences in outcome between test and control groups. Conclusions: The present study showed that the use of GTR in association with anorganic bovine bone in the treatment of patients with large periradicular lesions of strictly endodontic origin has no beneficial effect on outcome.",
author = "Silvio Taschieri and {Del Fabbro}, Massimo and Tiziano Testori and Roberto Weinstein",
year = "2007",
month = "6",
doi = "10.1016/j.joms.2006.10.022",
language = "English",
volume = "65",
pages = "1121--1127",
journal = "Journal of Oral and Maxillofacial Surgery",
issn = "0278-2391",
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AU - Taschieri, Silvio

AU - Del Fabbro, Massimo

AU - Testori, Tiziano

AU - Weinstein, Roberto

PY - 2007/6

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N2 - Purpose: The purpose of this prospective clinical trial was to monitor the outcomes of periradicular surgery in large periapical lesions with or without guided tissue regeneration (GTR) and anorganic bovine bone. Materials and Methods: All teeth in the study revealed a periradicular lesion measuring at least 10 mm. A total of 63 teeth in 44 patients were included according to specific selection criteria. In the test group, after root end filling was completed, the defect was filled with anorganic bovine bone and was covered with a resorbable collagen membrane. In the control group, neither graft nor membrane was used. Results: A total of 59 teeth in 41 patients were evaluable at 1-year follow-up. Of these, 24 teeth belonged to the test group and 35 to the control group. Overall, 46 teeth (78%) had successfully healed, 10 (16.9%) demonstrated uncertain healing, and 3 exhibited treatment failure. Investigators found no statistically significant differences in outcome between test and control groups. Conclusions: The present study showed that the use of GTR in association with anorganic bovine bone in the treatment of patients with large periradicular lesions of strictly endodontic origin has no beneficial effect on outcome.

AB - Purpose: The purpose of this prospective clinical trial was to monitor the outcomes of periradicular surgery in large periapical lesions with or without guided tissue regeneration (GTR) and anorganic bovine bone. Materials and Methods: All teeth in the study revealed a periradicular lesion measuring at least 10 mm. A total of 63 teeth in 44 patients were included according to specific selection criteria. In the test group, after root end filling was completed, the defect was filled with anorganic bovine bone and was covered with a resorbable collagen membrane. In the control group, neither graft nor membrane was used. Results: A total of 59 teeth in 41 patients were evaluable at 1-year follow-up. Of these, 24 teeth belonged to the test group and 35 to the control group. Overall, 46 teeth (78%) had successfully healed, 10 (16.9%) demonstrated uncertain healing, and 3 exhibited treatment failure. Investigators found no statistically significant differences in outcome between test and control groups. Conclusions: The present study showed that the use of GTR in association with anorganic bovine bone in the treatment of patients with large periradicular lesions of strictly endodontic origin has no beneficial effect on outcome.

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