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Intrusion of teeth with class III furcation: a clinical, histologic and histometric study in dogs
Authors:da Silva Vanessa C  Cirelli Carolina C  Ribeiro Fernando S  Leite Fábio R M  Benatti Neto Carlos  Marcantonio Rosemary A C  Cirelli Joni A
Affiliation:Department of Periodontology, School of Dentistry at Araraquara, UNESP –São Paulo State University, SP, Brazil;;Department of Physiology and Pathology, School of Dentistry at Araraquara, UNESP –São Paulo State University, SP, Brazil
Abstract:
Aim: To assess orthodontic intrusion effects on periodontal tissues in dogs' pre-molars with class III furcations treated with open flap debridement (OFD) or with guided tissue regeneration (GTR) associated to bone autograft (BA).
Material and Methods: Class III furcations were created in the pre-molars of seven mongrel dogs. After 75 days, teeth were randomly treated with OFD or GTR/BA. After 1 month, metallic crowns were assembled on pre-molars and connected apically to mini-implants by nickel–titanium springs. Teeth were randomly assigned to orthodontic intrusion (OFD+I and GTR/BA+I) groups or no movement (OFD and GTR/BA) groups. Dogs were sacrificed after 3 months of movement and 1 month retention.
Results: All class III furcations were closed or reduced to class II or I in the intrusion groups, while 50% of the lesions in non-moved teeth remained unchanged. Intruded teeth presented higher probing depth and lower gingival marginal level than non-moved teeth ( p <0.01). Clinical attachment gain was reduced in the intrusion groups by the end of retention ( p <0.05). OFD+I presented smaller soft tissue area and larger bone tissue area than other groups ( p <0.05).
Conclusion: Orthodontic intrusion with anchorage via mini-implants improved the healing of class III furcation defects after OFD in dogs. GTR/BA impaired those results.
Keywords:furcation defects    periodontal regeneration    surgical periodontal treatment    tooth intrusion
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