Regenerative Treatments

[drmittal]

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[Anonymous]

Materials widely used in GTR are as follows:
The materials used in studies included MILIPORE and TEFLON membranes.
However clinically it showed gain in clinical attachment but no regeneration of bone.
This propagated the use of POLYTETRAFLUOROETHYLENE membranes, commercially available as GORETEX
Initially these membranes were non resorbable, in which cases the was a need for a second although simple procedure to remove it.
The second procedure was carried out after 3-6 weeks of initial intervention,the expaned PTFE was nonresorbable.

Other biodegradanle materials include
bovine or porcine collagen
cargile membrane from caecum of ox
polylactic acid
vicryl
synthetic skin-biobrane
freeze dried duramater
bovine tendon-bioguide

        

[Anonymous]

The technique used to do a gtr technique is as follows:
Raise a mucoperiosteal with vertical incisions extending minimum of two teeth anteriorly and one tooth distally of the tooth being treated
debride the osseous defect and plane the roots
Trim the membrane with sharp scissors to the approximate size being needed for the treatable area
Apical border of the membrne should extend 3-4mm beyond the defect,laterally 2-3mm of the defect and occlusally 2-3mm to the cej
Suture the membrane tightly around the tooth with a sling suture
Suture the flap back to its original position or coronal to original position using independent sutures interdentally and in vertical incisions.The flap should cover the membrane completely
Follow up with periodontal dressing and antibiotics

        

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