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Combination Bone Replacement Graft with Dense Polytetrafluoroethylene Barrier Membrane for Treatment of an Infrabony Periodontal Defect
Author(s) -
Capetillo Joseph F.,
Coleman Brandon G.,
Johnson Thomas M.
Publication year - 2018
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10026
Subject(s) - medicine , barrier membrane , dentistry , periodontology , regeneration (biology) , furcation defect , gingival and periodontal pocket , periodontitis , chronic periodontitis , membrane , molar , genetics , biology , microbiology and biotechnology
Patient‐, site‐, and procedure‐related factors important for successful periodontal regeneration have been defined in the periodontics literature by insightful clinician‐researchers. Prevention of bacterial contamination of the surgical site through careful wound closure and meticulous postoperative care is a critical procedure‐related factor necessary for periodontal regeneration. Dense polytetrafluoroethylene (dPTFE) is a nonresorbable barrier material that may protect bone replacement grafts (BRG) against bacterial contamination for a short period during early wound healing if membrane exposure occurs. Case Presentation A 35‐year‐old African American female with a deep/narrow infrabony periodontal defect and Hamp degree I furcation involvement at tooth #14 (mesial) underwent combination BRG/guided tissue regeneration (GTR) using a mineralized/demineralized freeze‐dried bone allograft and a dPTFE barrier membrane. Favorable clinical and radiographic outcomes were noted nine months following the procedure. Conclusions Two reports evaluating clinical parameters following use of dPTFE membranes for GTR appear in the literature. The present case provides clinical and radiographic outcome assessments following combination BRG/GTR using a dPTFE membrane. This material may be of interest for periodontal regeneration due to an ability to temporarily limit bacterial influence if membrane exposure occurs.