Comparative evaluation of bovine porous bone mineral

Abstract

Background: The aim of the present clinical study was to compare the efficacy of bovine porous bone mineral (BPBM) with and without platelet-rich plasma (PRP) for the treatment of periodontal intrabony defects. Materials and Methods: Twenty eight identical bilateral periodontal intrabony defects were selected from 14 chronic periodontitis patients. The subjects were randomly assigned to test group (BPBM+PRP) or the control group (BPBM). The clinical, radiographic, and intrasurgical (re-entry) measurements were made at baseline and at 9 months postoperatively. Results: Both treatment modalities resulted in significant reduction in probing depth and gain in clinical attachment level as compared to baseline values. The probing depth reduction was 6.20+-1.40 mm in BPBM and 6.60+-1.43 mm for the BPBM/PRP-treated sites. The gain in clinical attachment level observed was 4.16+-1.05 mm for BPBM and 4.70+-0.76 mm for the BPBM/PRP group. Radiographically, there was a significant defect fill (3.83+-1.01 mm) for the BPBM group and (4.04+-1.77 mm) in the BPBM/PRP group. Similar trend was observed between the two groups in relation to intrasurgical parameters. Conclusions: The combination therapy (BPBM+PRP) showed more favorable clinical outcome in the treatment of intrabony defects than the BPBM alone group, although the mean difference between the two groups was statistically nonsignificant.