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Intrabony periodontal defect

Geistlich Bio-Oss® and Geistlich Bio-Gide® in combination with orthodontic tooth movement

06.01.2020
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Do tooth movement modalities have an impact on the intrinsic healing pattern of intrabony defects treated with Geistlich Bio-Oss® and Geistlich Bio-Gide®? A preliminary histological evaluation gives the first answers.1

Dr. Giulia Cerino | Switzerland

After the regenerative surgical procedure—consisting of flap elevation, debridement of the root surface, removal of the granulation tissue, filling the defect with Geistlich Bio-Oss® particles, and covering with Geistlich Bio-Gide®—three patients were randomly allocated to three treatment modalities:

  • Patient without orthodontic tooth movement, serving as a control.
  • Patient with orthodontic tooth movement: one tooth tilted toward the periodontal defect applying uprighting movement in combination with tension forces correlated to the defect.
  • Patient with orthodontic tooth movement: one tooth was moved toward the periodontal defect applying pressure forces.

The re-entry procedure was performed at the 9-month endpoint visit, and bony core samples were harvested from the former defect sites with a microtrephine.

The authors conclude

“Following orthodontic tooth movement, increased active resorption of Geistlich Bio-Oss® along with new bone formation was observed, which needs further investigation due to the low sample size of the present study. Nevertheless, Geistlich Bio-Oss® resorption is a unique phenomenon and may be beneficial for patients treated with a combined periodontal orthodontic as it results in the long-term stability of the grafted sites.”

Dr. Giulia Cerino

Dr. Giulia Cerino | Switzerland

Manager Medical Communications
Geistlich Pharma

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