Introduction of fibrin adhesive system (tissucol) in periodontal surgery; part II : clinical pocket reduction and attachment regeneration

Abstract

The major goal of periodontal therapy is to eliminate the periodontal pockets and `
to create a connective tissue attachment. Forty two patients with periodontal pockets
subdivided into 2 groups, Tissucol group, 21 patient were treated surgically with
introduction of` Tissucol bioadhesive material, other 21 patients were also treated
surgically their flaps were sutured according to the traditional suture technique. The
result showed that there were a significant gain in the pocket depths reduction and
attachment levels in both groups, but that of Tissucol group is superior than that of
suturing group. The patients were followed for six months, the stability of the gain in
Tissucol group still significant, while that of suturing group showed a significant loss in
pocket depth reduction and attachment level during the six months of follow up. The
result suggested that the tissucol help in creation of connective tissue attachment and
preventing the invasion of epithelial growth. The role of oral hygiene were also taken in
consideration , as long the oral hygiene kept in healthy state level as the gain in pocket
depth and attachment level maintained stable .