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Apply Doxirobe gel to gingival margin first and wet with water
Once gel begins to harden, pack into pocket with suitable instrument
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Barrier materials, special collars and grafts are used to slow
down or exclude gingival epithelium or gingival connective tissue.
These allow better access to the slower progenitor cells of the
periodontal ligament and/or the alveolar bone. Since soft tissues
are faster to migrate than bone, the hope is that periodontal ligament
will develop before any new bone.
Barrier Materials
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Possible barrier materials are made of Gore-Tex™ or Vicryl™
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Osseopromotive materials are used such as BoneGlass® (Consil™:
Vetoquinol UK)
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Antibiotic based gel matrix product (Doxirobe™: Pharmacia)
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Chlorhexidine based material (Periochip™).
Bone Grafts
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Autogenous cancellous bone: maximum osteogenic potential. Can
be time consuming to harvest
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Allografts of banked bone (e.g. freeze dried irradiated bone).
Slower response than autografts, with no direct osteogenesis.
All of these products eliminate the dead-space and encourage new
cells to migrate into the pocket, allowing it to heal and eliminate
the pocket at the same time.
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