Browse > Article

Effects on the tissue reaction using compomer & Ketac Silver in the maxillary furcation in the beagle dogs  

Ryu, Jea-Youn (Department of Periodontology, College of Dentistry, Dan-Kook University)
Lim, Sung-Bin (Department of Periodontology, College of Dentistry, Dan-Kook University)
Chung, Chin-Hyung (Department of Periodontology, College of Dentistry, Dan-Kook University)
Lee, Chong-Heon (Department of Pathology, College of Dentistry, Dan-Kook University)
Publication Information
Journal of Periodontal and Implant Science / v.33, no.4, 2003 , pp. 705-715 More about this Journal
Abstract
Procedures for treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap surgery, hemisection, tunneling or extraction, to regenerative therapies using bone grafting or guided tissue regenerative therapy, or a combination of both. Several clinical evaluations using regenerative techniques have reported the potential for osseous repair of treated furcation invasions. Regenerative treatment of maxillary molars are more difficult due to the multiple root anatomy and multiple furcation entrances therefore, purpose of this study was to evaluated histologically compomer and Ketac Silver as a barrier in the treatment of a bi-furcated maxillary premolar. Five adult beagle dogs were used in this experiment. With intrasulcular and crestal incision, mucoperiostcal flap was elevated. Following decortication with 1/2 high speed round bur, furcation defect was made on maxillary premolar. 2 month later one premolar was filled with compomer and the other premolar was filled with Ketac Silver. After 4, 8 weeks, the animals were sacrificed by vascular perfusion. Tissue block was excised including the tooth and prepared for light microscope with H-E staining. Results were as follows. 1. Compomer & Ketac Silver restoration were encapsulated fine connective tissue. 2. In 4 weeks, compomer & Ketac Silver restoration slightly infiltrated inflammatory cells but not disturb the new bone or new cementum formation. 3. In 8 weeks, compomer & Ketac Silver restoration were less infiltrated iflammatory cell and encapsulated fine connective tissue. 4. Therefore, compomer & Ketac Silver filling to the grade III maxillary furcations with multiple root anatomy and multiple furcation entrances is possible clinical method and this technique is useful method for maxillary furcation involvement but it is thought that periodic maintenance should be needed
Keywords
furcation invasion; compomer; Ketac Silver; inflammatory cell;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Socransky SS, Haffajee AD, Goodson JM, Linde J : New conceps of destructive Periodontal disease. J Clin Periodontal 1984; 11: 21-32   DOI
2 Larato, D.C. : Furcation involvement: incidence and distribution J. Periodontol., 1970; 41 : 499-501
3 Burch,J.G., and Helen, S. : A study of the presence of accessory foramina and the topography of molar furcations. Oral Surg., 1987; 38 : 451-455   DOI   ScienceOn
4 Melcher, A.H. : On the repair potential of periodontal tissues, J. Periodontol., 1976; 47 : 256
5 Gottlow,J., Nyman,S., Karring, T., and Linde,J. : New attachment formation as the result of controlled tissue regeneration, J. Clin. Periodontol., 1984; 11 :494
6 Nyman S, Gottlow J, Karring T and Lindhe J: The regenerative potential of the periodontal ligament. J Clin Periodontol 1982; 9: 257-265   DOI   PUBMED
7 Bussehop,J., and De Boeveer, J. : Clinical histological characteristics of lyphophilized allogenic dura mater in Periodontal bony defects in humans,J. Clin. Periodontal., 1983; 10 : 399
8 Gottlow, J., Nyman, S., Karring, T. : Maintenace of new attachment gained through guided tissue regeneration. J. Clin. Periodontol., 1992; 19 : 315-317
9 Anderegg, C.R. : The treatment of class III maxillary furcation using a resin-ionomer. A case report. J. Periodontol., 1998; 69(8) : 948-950
10 Evertt, F.G. and Kramer, G.M. : The distolingual groove in the maxillary lateral incisor : A Periodontal harzard,J. Periodontol., 1972; 43 : 352-361
11 Larato, D.C. : Some anatomical factors related to furcation involvement. J. Periodontol., 1975; 46 : 608-60
12 Moskow, B.S., Canut, P.M. : Studies on root enamel. (1)some historical notes on cervical enamel projection. J. Clin. Periodontol., 1990; 17 : 29-31
13 Nordland, P., Gsrretts, Kinger R, et al. : The effect of plaque control and root debridement in molar teeth, J. Clin Periodontol., 1987; 14: 231
14 Pontoriero R, Lindhe J. Guided tissue regeneration in the treatment of degree III furcation defect in maxillary molars. J Clin Periodontol 1995;22:810-812   DOI   ScienceOn
15 Kalkwarf KL, Reinhardt RA. The furcation problem. Current controversies and future directions. Dent Clin North Am 1988;32:243-266   PUBMED
16 McFall, W.T. : Tooth loss in 100 treated patients with Periodontal disease : A long-term study. J. Periodontol., 1987; 14 : 231
17 Pontoriero, R., Nyman, S., Ericsson, I., Lindhe,J. : Guided tissue regeneration in surgically-produced furcation defects. An experimental study in the beagle dog. J. Clin. Periodontol., 1992; 19 : 159-163
18 Lekovic, V., Kenney, E.B., Carranza, F.A. Jr., Danilovic, V. : Treatment of Class II furcation defects using porous hydroxyapatite in conjuction with a polytetrafluoroethylene membrane, J. Periodontol., 1990; 61 : 575-578   DOI   PUBMED
19 김영찬, 이만섭 : 치아형태의 발육이상과 치주질환과의 관계에 대한 연구. 대한 치주과학회지, 1982; 12 : 184-191   과학기술학회마을
20 Bower, R.C. : Furcation morphology relative to Periodontal treatment. Furcation entrance architecture,J. Periodontol., 1979; 50 : 23-27
21 Masters, D.H. : Projection of cervical enamel into molar furcations, J. Periodontol., 1964; 35 : 49-53
22 Gher, M.E. and Vernino, A.R. : Root morphology-clinical significance in pathogenesis and treatment of periodontal disease, J.A.D.A., 1980; 101 : 627-633
23 Anderegg CR, Metzler DG. Retention of multirooted teeth with Class III furcation lesions utilizing resins. Report of 17 cases. J Periodotol 2000;71:1043-1047   DOI   ScienceOn
24 권영혁 : 치주질환으로 인한 발거 대구치의 법랑돌기의 발생빈도에 관한 연구. 경희대 논문집, 1985; 14 : 329-338
25 Evertt, F.G., Jump, E.B., Holder T.D. and Williams, G.C. : The intermediate bifurcational ridge :A study of the morphology of the bifurcation of the lower first molar. J. Dent. Res., 1958; 37 : 162-169
26 Fowler EB, Breault LG. Failure of resin ionomer in the retention of multi-rooted teeth with class III furcation involvement: A rebuttal case report. J Periodontol 2001;72:1084-1091   DOI   ScienceOn
27 Dragoo, M.R. : Resin-ionomer and hybrid-ionomer cements. : Part II, Human clinical and histologic wound healing responses in specific Periodontal lesions. Int. J. Periodontics Restorative Dent., 1997; 17(1) : 75-87
28 Baer PM, Klingsberg J, Holen S. An improved method of using polymeric-reinforced zinc oxide-eugenol in the treatment of furcation. Comendium Continuing Educ Dent 1983;4:221-223
29 Booker, B. and Loughlin, D.M. : A morphologic study of the mesial root surface of the adolescent maxillary first bicuspid. J. Periodontol., 1985; 56 : 666-670
30 Waerhaug, J. : The furcation problem, etiology, pathogenesis, diagnosis, therapy and prognosis. Periodontal disease : A long-term study. J. Periodontal, 1982; 53 : 539
31 Breault LG, Fowler EB, Lyons JC. Subgingival restoration with resin ionomer: A periodontla alternative. Compendium Contiuing Educ Dent 2000;21:733-738
32 Scherer W, Dragoo MR. New subgingival restorative procedure with Geristore resin ionomer. Pract Periodontics Restorative Dent 1989;9:185-195
33 Glickman, I. : Clinical Periodontology, ed 7. Philadelphia, W. B. Sauder Co, 1990
34 권영혁 : furcation involvement의 치료, 대치협회지 1988; 26: 198-204
35 Caffesse, R.G., and Becker, W. : Principle and techniques of guided tissue regeneration, Dent. Clin. North Ameri., 1991; 35: 479-494
36 Socransky, S.S. : Relationship of bacteria to the etiology of periodontal disease. J. Dent, Res., 1970; 49 : 203-222
37 Gottlow, J. et al. : New attachment formation as a result of controlled tissue regeneration, J. Periodontol., 1985; 56 : 488
38 권영혁 : 치근이개부의 감염, 대치협회지, 1985; 23 : 381-384
39 Basic, M., Karakas, Z., Kaic, Z. and Sutalo, J. : The association between palatal grooves in upper incisors and Periodontal complications, J. Periodontol., 1990; 61 : 197-199   DOI
40 Pontoriero, R., Lindhe, J., Nyman, S., Karring, T., Rosenberg, E., Sanavi, F. : Guided tissue regeneration in degree II furcation-involved mandibular molars. A clinical study. J. Clin. Periodontol., 1988; 15: 247-254
41 Pontoriero, R., Nyman, S., Lindhe, J., Rosenberg, E., Sanavi, F. : Guided tissue regeneration in the treatment of furcation defects in man. J. Clin. Periodontol., 1987; 14 : 566-569
42 Tal, H. : Relationship between the depths of furcal defects and alveolar bone loss, J. Periodontol., 1982; 53 : 631-634   DOI   PUBMED
43 Bower, R.C. : Furcation morphology relative to Periodontol treatment. Furcation root surface anatomy. J. Periodontol., 1979; 50 :366-374
44 Klingsberg J, Holen S, Gwinnett J, McNamara T, Iacono V, Baer PN. Treatment of furca involvements utilizing polymeric-reinforced zinc oxide-eugenol. J Dent Res 1981;60(Spec. Issue):526(Abstr. 865)
45 Breault LG, Fowler EB, Primack PD. Endodontic perforation repair with resin-ionomer: A case report. J Contemporary Dent Practice [serial online]. Fall 2000;number 4. Available at: http://www.thejcdp.com.
46 Nyman S, Karring T, Lindhe J and Planten S: Healing following implantation of periodontitis-affected roots into gingival connective tissue. J Clin Periodontol 1980; 7: 394-401   DOI   PUBMED
47 White C Jr. Repair of root resorption lesion. A case report. J Periodontol 1998;69:596-600   DOI   PUBMED   ScienceOn
48 Metzler, D., Seamons, B., Mellonig, J., Gher, M., Gray, J. : Clinical evaluation of guided tissue regeneration in the treatment of maxillary class II molar furcation invasions. J. Periodontol., 1991; 62 : 353-360
49 Becker, W., Becker, BE., Berg, L., Prichard, J., Caffesse, R., Rosenberg, E. : New attachment after treatment after treatment with root isolation procedures: Report for treated Class III and Class II furcations and vertical osseous defects. Int. J. Periodontics Restorative Dent.,1988;8(3) : 9-23
50 Aukhil, K. Petterssone, and Suggs, Co : Guided tissue regeneration, an experimental procedures in beagle dogs, J. Periodontol., 1986; 57 : 727