bone graft ; cyanoacrylate ; hydroxyapatite ; β- tricalcium phosphate
Abstract
Bone grafts are often used as part of a surgical protocol to regenerate periodontal structures. Hydroxyapatite (HA)
and β-tricalcium phosphate (β-TCP) are used as bone graft materials for periodontal regeneration. N-butyl-2-
cyanoacrylate is also used as a tissue adhesive because of its rapid adhesion to hard and soft tissue. We evaluated
the bioactive properties of HA/β-TCP and cyanoacrylate filling materials for clinical applications. In four male beagle
dogs, we bilaterally created 4 × 4 mm one-wall intrabony defects at the distal aspect of the second mandibular premolars,
and at the mesial aspect of the fourth mandibular premolars. These defects were either experimentally
treated with a HA/β-TCP and cyanoacrylate combination, cyanoacrylate only, or surgery with no filling material. The
dogs were killed eight weeks after surgery, and block sections of the defects were collected for histologic and
histometric analysis. Postoperative healing was uneventful. Histological analysis revealed no significant differences in
periodontal healing between the experimental sites that received grafted materials and those that did not. Only
small amounts of bone fill and cementum regeneration were observed. In this study, we expected that the osteogenic
filling material would become fixed in the bony defect more quickly and stably because of the adhesive ability
of cyanoacrylate; however, the combination filling material did not result in a higher amount of new bone and
cementum formation compared to surgery with no filling material