Management of Grade II Furcation Defect in Mandibular Molars with Allograft and Alloplastic Bone Graft: A Clinico- Radiographic Study

Abstract

Aim: The present study was carried out to compare clinically and radiographically the efficacy of regenerative potential of Demineralizedfreeze-dried bone allograft (DFDBA) and Bioactive glass putty (Novabone© dental putty) in mandibular grade II furcation defects. Methods: In 34 Patients, 60 mandibular grade II furcation defects were treated using DFDBA and Bioactive glass putty. 30 furcations were treated using DFDBA, while bioactive glass putty was used to treat remaining 30 furcation defect. Clinical parameters evaluated were Plaque index (PI), Gingival index (GI), Probing pocket depth (PPD), Relative vertical attachment level (RVAL), Relative horizontal attachment level (RHAL) at baseline, 3 months and 6 months. Radiographic parameters recorded were linear measurement of defect depth and bone density in gray scale at baseline and 6 months. Results: Both the group showed significant reduction in mean (P≤0.05) GI, PI, PPD, RVAL and RHAL at 6 months. Group I showed greater reduction in PPD. Radiographic evaluation showed significant (P≤0.05) reduction in defect depth and increase in bone density in both groups. Conclusions: Bioactive glass putty showed comparable regeneration to that of DFDBA in the treatment of mandibular grade II furcation defect. Additional putty consistency of bioactive glass makes it easier and more convenient to use.