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J Periodontol ; 71(8): 1306-14, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10972646

RESUMO

BACKGROUND: The goal of this investigation was to compare, histologically and histometrically, the healing process of dehiscence-type defects treated by guided tissue regeneration (GTR) with bioabsorbable polylactic acid (PLA) membranes and non-resorbable expanded polytetrafluoroethylene (ePTF) membranes. METHODS: Six mongrel dogs were used. Buccal osseous dehiscences were surgically created on the distal roots of the mandibular third and fourth premolars. The defects were exposed to plaque accumulation for 3 months. After this period, the defects were randomly assigned to one of the treatments: GTR with bioabsorbable membrane (PLA), GTR with non-resorbable membrane (ePTFE), open flap debridement (OFD), and non-treated control (NTC). After 3 months of healing, the dogs were sacrificed and the blocks were processed. The histometric parameters evaluated included: gingival recession, epithelial length, connective tissue adaptation, new cementum, and new bone area. RESULTS: A superior length of new cementum was observed in the sites treated by GTR, regardless of the type of barrier used, in comparison with OFD (P <0.05). No statistically significant differences were found between PLA and ePTFE in any of the parameters with the exception of bone area. PLA presented a greater bone area when compared to ePTFE, OFD, and NTC (P <0.05). CONCLUSIONS: Within the limits of this study, it can be concluded that both barriers are equally effective for new cementum formation. The bioabsorbable membrane may provide a greater bone area than the non-resorbable membrane.


Assuntos
Implantes Absorvíveis , Perda do Osso Alveolar/cirurgia , Regeneração Tecidual Guiada Periodontal , Membranas Artificiais , Perda do Osso Alveolar/patologia , Processo Alveolar/patologia , Análise de Variância , Animais , Tecido Conjuntivo/patologia , Desbridamento , Cemento Dentário/patologia , Placa Dentária/fisiopatologia , Cães , Epitélio/patologia , Feminino , Retração Gengival/patologia , Regeneração Tecidual Guiada Periodontal/instrumentação , Ácido Láctico/química , Ligamento Periodontal/patologia , Poliésteres , Polímeros/química , Politetrafluoretileno/química , Distribuição Aleatória , Estatísticas não Paramétricas , Raiz Dentária/patologia , Cicatrização
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