TY - JOUR
T1 - Clinical success of guided tissue regeneration for treating vertical bone and furcation defects in dogs
AU - Lee, Bonnie L.
AU - Soukup, Jason
AU - Rendahl, Aaron
AU - Goldschmidt, Stephanie
N1 - Publisher Copyright:
Copyright © 2023 Lee, Soukup, Rendahl and Goldschmidt.
PY - 2023
Y1 - 2023
N2 - This study evaluated the clinical success rate of guided tissue regeneration (GTR) for treating advanced periodontal disease in a large canine cohort. A total of 112 GTR procedures performed from 2003–2021 were retrospectively evaluated, including pre- and post-treatment (3–12 months) periodontal probing depths of 104 treated teeth, dental radiographs of 73 treated teeth, and both diagnostic modalities in 64 treated teeth. Probing depth, radiographically apparent bone height, bone graft material, barrier membrane material, and tooth extraction adjacent to the GTR site were investigated as factors affecting success. Vertical bone defects were evaluated separately from furcation defects. GTR was clinically successful, defined as objective improvement in probing depth, objective decrease in radiographic vertical bone defect, and subjective radiographic gain in bone height in 90.3% of vertical bone defects. Success was significantly associated with the magnitude of initial probing depth and the type of barrier membrane used. GTR was clinically successful, defined as objective improvement in furcation probing and subjective radiographic improvement of the bone in the furcation in 22.2% of furcation defects. When F3 lesions were excluded, GTR was successful in 64.3% of furcation defects. GTR is an appropriate treatment to maintain teeth in the oral cavity of dogs with proper client counseling and patient selection, but it is most likely to be successful in vertical defects.
AB - This study evaluated the clinical success rate of guided tissue regeneration (GTR) for treating advanced periodontal disease in a large canine cohort. A total of 112 GTR procedures performed from 2003–2021 were retrospectively evaluated, including pre- and post-treatment (3–12 months) periodontal probing depths of 104 treated teeth, dental radiographs of 73 treated teeth, and both diagnostic modalities in 64 treated teeth. Probing depth, radiographically apparent bone height, bone graft material, barrier membrane material, and tooth extraction adjacent to the GTR site were investigated as factors affecting success. Vertical bone defects were evaluated separately from furcation defects. GTR was clinically successful, defined as objective improvement in probing depth, objective decrease in radiographic vertical bone defect, and subjective radiographic gain in bone height in 90.3% of vertical bone defects. Success was significantly associated with the magnitude of initial probing depth and the type of barrier membrane used. GTR was clinically successful, defined as objective improvement in furcation probing and subjective radiographic improvement of the bone in the furcation in 22.2% of furcation defects. When F3 lesions were excluded, GTR was successful in 64.3% of furcation defects. GTR is an appropriate treatment to maintain teeth in the oral cavity of dogs with proper client counseling and patient selection, but it is most likely to be successful in vertical defects.
KW - GTR
KW - barrier membrane
KW - bone graft
KW - furcation
KW - guided tissue regeneration
KW - infrabony defect
KW - periodontal disease
KW - vertical bone loss
UR - http://www.scopus.com/inward/record.url?scp=85170653116&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85170653116&partnerID=8YFLogxK
U2 - 10.3389/fvets.2023.1247347
DO - 10.3389/fvets.2023.1247347
M3 - Article
C2 - 37711437
AN - SCOPUS:85170653116
SN - 2297-1769
VL - 10
JO - Frontiers in Veterinary Science
JF - Frontiers in Veterinary Science
M1 - 1247347
ER -