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The clinical efficacy of deproteinized bovine bone mineral with 10% collagen in conjunction with localized piezosurgical decortication enhanced orthodontics: A prospective observational study
Author(s) -
Miyamoto Takanari,
Lang Melissa,
Khan Shakeel,
Kumagai Kota,
Nunn Martha E.
Publication year - 2019
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1002/jper.18-0737
Subject(s) - medicine , dentistry , dental alveolus , corticotomy , radiography , periodontology , decortication , molar , orthodontics , surgery
Background Evidence exists on the clinical efficacy and safety of periodontally accelerated osteogenic orthodontics (PAOO) with “Piezocision”—a minimally invasive, flapless alternative to corticotomy for alveolar bone augmentation. Allograft has been extensively studied for alveolar bone augmentation in Piezocision; however, the use of deproteinized bovine bone mineral with 10% collagen (DBBM‐C) in Piezocision for PAOO has not been investigated. Methods This study is a prospective, observational, cohort study of 19 patients of Angle Class I malocclusion with a total of 692 teeth assessed for maintenance of health of the periodontal attachment apparatus. Patient‐centered pain, sensitivity, and satisfaction outcomes, digital photographs and radiographs, and changes in probing depth, clinical attachment level, width of keratinized tissue, percussion sensitivity, pulp vitality tests, radiographic pathology, and root‐crown‐ratio were all recorded. Results Overall treatment was significantly faster (5 to 7 days between clear aligner tray changes), periodontal parameters remained stable, and alveolar bone loss was not observed. Visual analog score for healing, sensitivity/duration, bleeding/duration, swelling/duration, appearance, and inflammation, demonstrated no significant differences between DBBM‐C and control (no bone graft) groups. Patient‐centered outcomes revealed high levels of satisfaction with Piezocision. Piezocision‐treated teeth with DBBM‐C tended to exhibit less root resorption, although it was not statistically significant ( P = 0.074). Conclusions Within the limits of the study, our results show that the use of DBBM‐C with piezosurgically enhanced orthodontics is effective and safe. This study was not designed to demonstrate equivalence with other materials that might be used in Piezocision. To understand whether there is an advantage to using DBBM‐C, additional studies may be required.