GTR in PERIODONTOLOGY

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  • #16885
    Anonymous

    images for reference

    #16893
    tirath
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    Registered On: 31/10/2009
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    The development of biomimetic bone matrices is one of the major goals in the bone-regeneration and tissue-engineering fields. Nanocomposites consisting of a natural polymer and hydroxyapatite (HA) nanocrystals, which mimic the human bone matrix, are thus regarded as promising bone regenerative materials. Herein, we developed a biomimetic nanocomposite with a novel nanofibrous structure by employing an electrospinning (ES) method. The HA precipitate/gelatin matrix nanocomposites are lyophilized and dissolved in an organic solvent, and then electrospun under controlled conditions. With this process, we can successfully generate a continuous fiber with a diameter of the order of hundreds of nanometers. The internal structure of the nanofiber features a typical nanocomposite, i.e., HA nanocrystals well distributed within a gelatin matrix. These nanocomposite fibers improve the bone-derived cellular activity significantly when compared to the pure gelatin equivalent. This method of generating a nanofiber of the biomimetic nanocomposite was effective in producing a biomedical membrane with a composition gradient, which is potentially applicable in the field of guided tissue regeneration (GTR).

    #16966
    tonyshori.perio
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    Registered On: 18/03/2011
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    it is a procedure which was introduced by Melcher it works on the three principles
    1 Provides space so that the cells from the pdl will migrate into the defect.
    2 Does not allow the formation of long junctional epithelium.

    #16967
    sushantpatel_doc
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    Registered On: 30/11/2009
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    The Inion GTR Membrane is the first-ever membrane that is soft when applied but becomes rigid, once fixed in position. The key advantage of this is the ability to maintain space between soft tissue and bone, thus allowing for a large bone volume to be regenerated. Pre-clinical studies suggest a bioactive agent in the membrane may facilitate faster bone regeneration. The agent elutes out following implantation.

    Vendor- Citagenix, Inc.
    Item – Inion GTR Membrane
    Dimensions- Inquire
    Material Type – Polylactic and Polyglycolic Co-polymers
    Quantity per package- Inquire
    Item Number- MBR-2000
    Time Length until Resorbtion- 8-12 weeks
    List Price- Inquire

    #16973
    Anonymous

    I wanted to know if the GTR procedure has any limitations in terms of the number of teeth on which the procedure can be used at a single time

    #16977
    tonyshori.perio
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    The use of GTR in larger defects Such as 1 1/2 wall it may collapse and main problem encountered with gtr is that the cementum formed is of cellular type. cellular cementum is not good for ancourage of the collagen fibres. we need acellular cementum which is possible with the help of EMDOGAIN ( Enamel matrix derivative)

    #16980
    Payal
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    Registered On: 27/02/2011
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    There is no limitation in absolute terms in no of teeth. However you must have enough soft tissue to close over your membrane around all sites. Limitations or rather indications are defined only per tooth site in defining the no. of walls, depth of defect and angulation of defect.

    #16982
    Anonymous

    If anyone has documented cases of a GTR procedure please upload the case details and pictures

    #16995
    tonyshori.perio
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    Which one of the GTR is the best Enzymatic or hydrolytic degradation one

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