PMID- 8195979
OWN - NLM
STAT- MEDLINE
DCOM- 19940630
LR  - 20220318
IS  - 0022-3492 (Print)
IS  - 0022-3492 (Linking)
VI  - 65
IP  - 4
DP  - 1994 Apr
TI  - Clinical evaluation of HTR polymer bone replacement grafts in human mandibular 
      Class II molar furcations.
PG  - 342-9
AB  - A biocompatible microporous composite of PMMA (poly-methyl-methacrylate), PHEMA 
      (poly-hydroxyl-ethyl-methacrylate), and calcium hydroxide (HTR) or autogenous 
      osseous coagulum (AOC) bone replacement grafts were evaluated in 15 pairs of 
      mandibular molar Class II furcations in 9 patients. Following initial 
      preparation, full thickness flaps were raised to gain access to the furcations; 
      mechanical hand and ultrasonic root and defect debridement and chemical 
      (tetracycline) root preparation were performed; paired furcations in each patient 
      were randomly grafted with either HTR or AOC; and the host flaps replaced or 
      slightly coronally positioned. Weekly, then monthly, deplaquing was performed 
      until surgical re-entry at 6 to 12 months. Both treatments improved the clinical 
      status of the treated furcations. Direct clinical measurements demonstrated 
      essentially equivalent clinical results with both bone replacement graft 
      materials related to most hard and soft tissue changes in the furcations. 
      Differences in favor of HTR were found for horizontal residual furcation depth 
      (2.4 mm vs. 3.9 mm), horizontal furcation fill (1.9 mm vs. 0.8 mm), and percent 
      horizontal furcation fill (44.4% vs. 17.1%) (all P < or = 0.05 paired t test). 
      These favorable results with HTR polymer are similar to several reports with 
      other graft materials and with GTR barriers, and suggest that HTR polymer may be 
      a useful therapeutic adjunct in the clinical management of grade II mandibular 
      molar furcations.
FAU - Yukna, R A
AU  - Yukna RA
AD  - Department of Periodontics, Louisiana State University School of Dentistry, New 
      Orleans.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Periodontol
JT  - Journal of periodontology
JID - 8000345
RN  - 0 (Methylmethacrylates)
RN  - 25249-16-5 (Polyhydroxyethyl Methacrylate)
RN  - 26355-01-1 (HTR composite)
SB  - IM
MH  - Adult
MH  - Alveolar Bone Loss/*surgery
MH  - Bone Transplantation/methods
MH  - Female
MH  - Furcation Defects/*surgery
MH  - Humans
MH  - Male
MH  - Mandibular Diseases/*surgery
MH  - *Methylmethacrylates
MH  - Middle Aged
MH  - *Polyhydroxyethyl Methacrylate
MH  - *Prostheses and Implants
EDAT- 1994/04/01 00:00
MHDA- 1994/04/01 00:01
CRDT- 1994/04/01 00:00
PHST- 1994/04/01 00:00 [pubmed]
PHST- 1994/04/01 00:01 [medline]
PHST- 1994/04/01 00:00 [entrez]
AID - 10.1902/jop.1994.65.4.342 [doi]
PST - ppublish
SO  - J Periodontol. 1994 Apr;65(4):342-9. doi: 10.1902/jop.1994.65.4.342.