치조골 결손부 치료시 calcium carbonate와 calcium sulfate 혼합물의 임상적 효과
The clinical effects of Calcium Sulfate combined with calcium Carbonate in treating intrabony defects
이승범, 채중규, 김종관, 김창성, 채경준, 정의원, 최성호, 조규성,
소속 상세정보
이승범 ( Lee Seung-Bum ) - 연세대학교 치과대학 치주과학교실
채중규 ( Chae Jung-Kiu ) - 연세대학교 치과대학 치주과학교실
김종관 ( Kim Chong-Kwan ) - 연세대학교 치과대학 치주과학교실
김창성 ( Kim Chang-Sung ) - 연세대학교 치과대학 치주과학교실
채경준 ( Chae Gyung-Joon ) - 연세대학교 치과대학 치주과학교실
정의원 ( Jung Ui-Won ) - 연세대학교 치과대학 치주과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
조규성 ( Cho Kyoo-Sung ) - 연세대학교 치과대학 치주과학교실
KMID : 0363020080380020237
Abstract
Purpose: If bone grafts and guided tissue regeneration are effective individually in treating osseous defects, then the questionis, what would happen when they are combined. Bone grafts using Calcium Carbonate(Biocoral) and Guided Tissue Regeneration using Calcium Sulfate(CALMATRIX) will maximize their advantages and show the best clinical results in intrabony defects. This study was to compare the effects of a combination of CS and CC with control treated only with modified widman flap in a periodontal repair of intrabony defects.
Materials and Methods: 30 patients with chronic periodontitis were used in this study. 10 patients were treated with a combination of CS and CC as the experimental group II and another 10 patients were treated with CC as the experimental group I, and the remaining 10 patients, the control group were treated only with modified widman flap. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded 6 months later.
Results: The probing depth changes were in the control group, in the experimental group I(CC) and in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there were no significant difference(p<0.05) between the experimental group I and II. The gingival recession changes w in the control group, This is a significant difference(p<0.01). However, there was a change in the experimental group I(CC) and in the experimental group II(CS+CC). In addition, in terms of gingival recession, there was a no significance difference(p<0.05) among the groups. The clinical attachment level changes were in the control group, in the experimental group I(CC) and in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there was a no significance difference(p<0.05) between the experimental group I and II. The bone probing depth changes were in the control group, in the experimental group I(CC) and in the experimental group II(CS+CC). All of them showed a significant decrease 6 months after surgery(p<0.01), there was a significance difference(p<0.05) among the groups.
Conclusion: Treatment using a combination of CS and CC have a potential to improve periodontal parameters in intrabony defects and More efficient clinical results can be expected in intrabony defects less than 2 walls grafted with CS and CC.
키워드
calcium sulfate;calcium carbonate;periodontal tissue regeneration;bone graft material
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