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KMID : 0363020060360020515
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Journal of Korean Academy of Periodontology
2006 Volume.36 No. 2 p.515 ~ p.529
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A comparative study of the clinical effects of Fibrin adhesive and Calcium sulfate barrier in the treatment of mandibular class 2 furcations using Xenograft
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곽승호
정진형/임성빈/홍기석
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Abstract
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Periodontal regeneration refers to the restoration of bone, cementum and periodontal ligament to
their original levels before damage from periodontal disease process. Various surgical techniques to
the promotion of periodontal regeneration have been used. Bone graft and guided tissue regeneration
have used for the regeneration of furcation involvements which caused by periodontal disease. Fibrin
adhesive is agents that have been shown to be effective in periodontal regeneration and biological
carrier. Calcium sulfate which is one of the resorbable barrier materials has used for guided tissue
regeneration.
The purpose of this study was to compare the clinical effects between bone graft using fibrin adhesive and calcium sulfate barrier in the mandibular class II furcation involvement. For the study,
twenty-six class II furcation involved teeth were surgically treated. 13 furcation defects(test group)
were treated with bonegraft and fibrin adhesive and the others(control group) were treated with bone
graft and calcium sulfate barrier. Pocket depth, clinical attachment level and gingival recession were
measured at baseline, postoperative 3 and 6 months.
The results of the study are as follows:
1. The change of pocket depth and clinical attachment level in both groups was decreased significantly at 3, 6 months than at baseline(p<0.05).
2. The change of gingival recession in both groups was increased significantly at 3, 6 months than
at baseline(p<0.05).
3. The change of pocket depth and clinical attachment level in both groups was decreased at 3, 6
months, and the change of gingival recession in both groups was increased at 3, 6 months but
there were no statistically or clinically significant differences with both groups.
4. The significant reduction of the pocket depth and clinical attachment level exhibited marked
changes at 3 months in both groups.
In conclusion, the results of this study suggest that there are no statistically or clinically significant differences between fibrin adhesive and calcium sulfate barrier in the treatment of class II
furcations using xenograft.2
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KEYWORD
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Fibrin adhesive, Calcium sulfate barrier, class 2 furcation
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