A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study

Background: The ultimate goal of periodontal therapy entails regeneration of the periodontal tissues lost as a consequence of periodontitis. Predictable correction of vertical osseous defects has however posed as a constant therapeutic challenge. The aim of our present study is to evaluate the relat...

Full description

Bibliographic Details
Main Authors: Vikram Blaggana, Amarjit Singh Gill, Anshu Blaggana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=5;spage=601;epage=607;aulast=Blaggana
_version_ 1811305319470465024
author Vikram Blaggana
Amarjit Singh Gill
Anshu Blaggana
author_facet Vikram Blaggana
Amarjit Singh Gill
Anshu Blaggana
author_sort Vikram Blaggana
collection DOAJ
description Background: The ultimate goal of periodontal therapy entails regeneration of the periodontal tissues lost as a consequence of periodontitis. Predictable correction of vertical osseous defects has however posed as a constant therapeutic challenge. The aim of our present study is to evaluate the relative efficacy of demineralized freeze-dried bone allograft (DFDBA) vs anorganic bovine bone xenograft (ABBX) in the treatment of human infrabony periodontal defects. Materials and Methods: 15 patients with 30 bilaterally symmetrical defect sites in either of the arches, in the age group of 25-50 years were selected as part of split-mouth study design. Defect-A (right side) was grafted with DFDBA while Defect-B (left side) was grafted with ABBX. Various clinical and radiographic parameters viz. probing depth(PD), clinical attachment level(CAL) and linear bone fill were recorded preoperatively, 12- & 24-weeks postoperatively. Results: Both defect-A & defect-B sites exhibited a highly significant reduction in probing depth, and gain in clinical attachment level and linear bone fill at 12-weeks & at the end of 24-weeks. Comparative evaluation between the study groups revealed a statistically non-significant reduction in probing depth (P<0.1) and mean gain in linear bone fill (P<0.1). However, there was a statistically significant gain in clinical attachment level (P <0.05) in Defect-A (CD=0.356) as compared to Defect-B (CD=0.346). Conclusions: Within the limits of this study, both the materials viz. ABBX and DFDBA are beneficial for the treatment of periodontal infrabony defects. Both the materials were found to be equally effective in all respects except the gain in attachment level, which was found to be more with DFDBA. Long-term studies are suggested to evaluate further the relative efficacy of the two grafts.
first_indexed 2024-04-13T08:23:21Z
format Article
id doaj.art-30a52bdb9d4b4c85890bede823bfa323
institution Directory Open Access Journal
issn 0972-124X
language English
last_indexed 2024-04-13T08:23:21Z
publishDate 2014-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Society of Periodontology
spelling doaj.art-30a52bdb9d4b4c85890bede823bfa3232022-12-22T02:54:33ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2014-01-0118560160710.4103/0972-124X.142454A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up studyVikram BlagganaAmarjit Singh GillAnshu BlagganaBackground: The ultimate goal of periodontal therapy entails regeneration of the periodontal tissues lost as a consequence of periodontitis. Predictable correction of vertical osseous defects has however posed as a constant therapeutic challenge. The aim of our present study is to evaluate the relative efficacy of demineralized freeze-dried bone allograft (DFDBA) vs anorganic bovine bone xenograft (ABBX) in the treatment of human infrabony periodontal defects. Materials and Methods: 15 patients with 30 bilaterally symmetrical defect sites in either of the arches, in the age group of 25-50 years were selected as part of split-mouth study design. Defect-A (right side) was grafted with DFDBA while Defect-B (left side) was grafted with ABBX. Various clinical and radiographic parameters viz. probing depth(PD), clinical attachment level(CAL) and linear bone fill were recorded preoperatively, 12- & 24-weeks postoperatively. Results: Both defect-A & defect-B sites exhibited a highly significant reduction in probing depth, and gain in clinical attachment level and linear bone fill at 12-weeks & at the end of 24-weeks. Comparative evaluation between the study groups revealed a statistically non-significant reduction in probing depth (P<0.1) and mean gain in linear bone fill (P<0.1). However, there was a statistically significant gain in clinical attachment level (P <0.05) in Defect-A (CD=0.356) as compared to Defect-B (CD=0.346). Conclusions: Within the limits of this study, both the materials viz. ABBX and DFDBA are beneficial for the treatment of periodontal infrabony defects. Both the materials were found to be equally effective in all respects except the gain in attachment level, which was found to be more with DFDBA. Long-term studies are suggested to evaluate further the relative efficacy of the two grafts.http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=5;spage=601;epage=607;aulast=BlagganaAnorganic bovine bone xenograftbone graftsdemineralized freeze-dried bone allograftinfrabony defectsregeneration
spellingShingle Vikram Blaggana
Amarjit Singh Gill
Anshu Blaggana
A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
Journal of Indian Society of Periodontology
Anorganic bovine bone xenograft
bone grafts
demineralized freeze-dried bone allograft
infrabony defects
regeneration
title A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
title_full A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
title_fullStr A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
title_full_unstemmed A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
title_short A clinical and radiological evaluation of the relative efficacy of demineralized freeze-dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects: A 6 months follow-up study
title_sort clinical and radiological evaluation of the relative efficacy of demineralized freeze dried bone allograft versus anorganic bovine bone xenograft in the treatment of human infrabony periodontal defects a 6 months follow up study
topic Anorganic bovine bone xenograft
bone grafts
demineralized freeze-dried bone allograft
infrabony defects
regeneration
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2014;volume=18;issue=5;spage=601;epage=607;aulast=Blaggana
work_keys_str_mv AT vikramblaggana aclinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy
AT amarjitsinghgill aclinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy
AT anshublaggana aclinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy
AT vikramblaggana clinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy
AT amarjitsinghgill clinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy
AT anshublaggana clinicalandradiologicalevaluationoftherelativeefficacyofdemineralizedfreezedriedboneallograftversusanorganicbovinebonexenograftinthetreatmentofhumaninfrabonyperiodontaldefectsa6monthsfollowupstudy