Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral

Background: this study evaluates the clinical outcomes of a novel approach in treating deep intrabony defects utilizing papilla preservation techniques with a combination of hyaluronic acid (HA) and deproteinized porcine bone mineral. Methods: 23 patients with 27 intrabony defects were treated with...

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Autores principales: Darko Božić, Ivan Ćatović, Ana Badovinac, Larisa Musić, Matej Par, Anton Sculean
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:38a4347623c04460917bde9d58b7dfe42021-11-25T18:13:37ZTreatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral10.3390/ma142267951996-1944https://doaj.org/article/38a4347623c04460917bde9d58b7dfe42021-11-01T00:00:00Zhttps://www.mdpi.com/1996-1944/14/22/6795https://doaj.org/toc/1996-1944Background: this study evaluates the clinical outcomes of a novel approach in treating deep intrabony defects utilizing papilla preservation techniques with a combination of hyaluronic acid (HA) and deproteinized porcine bone mineral. Methods: 23 patients with 27 intrabony defects were treated with a combination of HA and deproteinized porcine bone mineral. Clinical attachment level (CAL), pocket probing depth (PPD), gingival recession (REC) were recorded at baseline and 6 months after the surgery. Results: At 6 months, there was a significant CAL gain of 3.65 ± 1.67 mm (<i>p</i> < 0.001) with a PPD reduction of 4.54 ± 1.65 mm (<i>p</i> < 0.001), which was associated with an increase in gingival recession (0.89 ± 0.59 mm, <i>p</i> < 0.001). The percentage of pocket resolution based on a PPD ≤4 mm was 92.6% and the failure rate based on a PPD of 5 mm was 7.4%. Conclusions: the present findings indicate that applying a combined HA and xenograft approach in deep intrabony defects provides clinically relevant CAL gains and PPD reductions compared to baseline values and is a valid new approach in treating intrabony defects.Darko BožićIvan ĆatovićAna BadovinacLarisa MusićMatej ParAnton SculeanMDPI AGarticlehyaluronic acidperiodontal regenerationintrabony defectsmicrosurgeryperiodontitissurgical flapsTechnologyTElectrical engineering. Electronics. Nuclear engineeringTK1-9971Engineering (General). Civil engineering (General)TA1-2040MicroscopyQH201-278.5Descriptive and experimental mechanicsQC120-168.85ENMaterials, Vol 14, Iss 6795, p 6795 (2021)
institution DOAJ
collection DOAJ
language EN
topic hyaluronic acid
periodontal regeneration
intrabony defects
microsurgery
periodontitis
surgical flaps
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
spellingShingle hyaluronic acid
periodontal regeneration
intrabony defects
microsurgery
periodontitis
surgical flaps
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
Darko Božić
Ivan Ćatović
Ana Badovinac
Larisa Musić
Matej Par
Anton Sculean
Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
description Background: this study evaluates the clinical outcomes of a novel approach in treating deep intrabony defects utilizing papilla preservation techniques with a combination of hyaluronic acid (HA) and deproteinized porcine bone mineral. Methods: 23 patients with 27 intrabony defects were treated with a combination of HA and deproteinized porcine bone mineral. Clinical attachment level (CAL), pocket probing depth (PPD), gingival recession (REC) were recorded at baseline and 6 months after the surgery. Results: At 6 months, there was a significant CAL gain of 3.65 ± 1.67 mm (<i>p</i> < 0.001) with a PPD reduction of 4.54 ± 1.65 mm (<i>p</i> < 0.001), which was associated with an increase in gingival recession (0.89 ± 0.59 mm, <i>p</i> < 0.001). The percentage of pocket resolution based on a PPD ≤4 mm was 92.6% and the failure rate based on a PPD of 5 mm was 7.4%. Conclusions: the present findings indicate that applying a combined HA and xenograft approach in deep intrabony defects provides clinically relevant CAL gains and PPD reductions compared to baseline values and is a valid new approach in treating intrabony defects.
format article
author Darko Božić
Ivan Ćatović
Ana Badovinac
Larisa Musić
Matej Par
Anton Sculean
author_facet Darko Božić
Ivan Ćatović
Ana Badovinac
Larisa Musić
Matej Par
Anton Sculean
author_sort Darko Božić
title Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
title_short Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
title_full Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
title_fullStr Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
title_full_unstemmed Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral
title_sort treatment of intrabony defects with a combination of hyaluronic acid and deproteinized porcine bone mineral
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/38a4347623c04460917bde9d58b7dfe4
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