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Mandibular tori as bone grafts: an alternative treatment for periodontal osseous defects - clinical, radiographic and histologic morphology evaluation.
Hassan, Khalid S; Al-Agal, Adel; Abdel-Hady, Adel I; Swelam, Wael M; Elgazzar, Reda F.
Afiliación
  • Hassan KS; Associate Professor, Department of Preventive Dental Sciences, Division of Periodontics, College of Dentistry, University of Dammam, Dammam 31441, PO Box 1982, Saudi Arabia, Phone: +96654-476-0872, e-mail: hassan.khalid56@yahoo.com.
  • Al-Agal A; Department of Preventive Dental Sciences, Division of Periodontics, College of Dentistry, University of Dammam, Dammam, Saudi Arabia.
  • Abdel-Hady AI; Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Dammam, Dammam, Saudi Arabia.
  • Swelam WM; Department of Oral and Maxillofacial Pathology, College of Dentistry, Tiba University, Saudi Arabia.
  • Elgazzar RF; Department of Oral and Maxillofacial Surgery, Manitoba University, Canada; Department of Oral and Maxillofacial Surgery, Tanta University, Egypt.
J Contemp Dent Pract ; 16(3): 192-200, 2015 03 01.
Article en En | MEDLINE | ID: mdl-26057917
OBJECTIVES: The present study was designed to evaluate the clinical, radiographic and histochemical significance of using the mandibular tori as autogenous bone graft for treatment of intraosseous defects in patients with chronic periodontitis. MATERIALS AND METHODS: Twenty-eight sites from 14 patients with chronic periodontitis were included in this study. Each patient was treated with split mouth design; one site received torus mandibularis bone graft and the other site received a full-thickness fap alone. Histopathologic assessment was evaluated on removal of torus mandibularis to evaluate its histologic structure and by the end of the study 9 month later. Clinical and radiographic parameters were re-evaluated at 3 months interval for 1 year. RESULTS: The results of the present study revealed significant gain in the clinical attachment level (CAL) (88.4%, 4.53 ± 0.06 mm) for torus mandibularis sites compared to (39.7%, 2.01 ± 0.04 mm) for full-thickness fap. Moreover, there was a reduction in the probing pocket depth (PPD) of (75.4%, 5.75 ± 0.12 mm) for torus mandibularis sites and (49.6%, 3.73 ± 0.14 mm) for sites treated with a full-thickness fap only; CAL and PPD differences were significant at p-value ≤0.01. Concomitantly, significant radiographic increase in the bone height and density were recorded in the test group. CONCLUSION: The use of mandibular tori as autogenous bone graft could provide benefits as a periodontal therapeutic modality and enhance regenerative potential of periodontal intraosseous defects.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Mandibulares / Exostosis / Trasplante Óseo / Aumento de la Cresta Alveolar / Sitio Donante de Trasplante / Autoinjertos Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Contemp Dent Pract Asunto de la revista: ODONTOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: India
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Mandibulares / Exostosis / Trasplante Óseo / Aumento de la Cresta Alveolar / Sitio Donante de Trasplante / Autoinjertos Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Contemp Dent Pract Asunto de la revista: ODONTOLOGIA Año: 2015 Tipo del documento: Article Pais de publicación: India