Rationale for the Application of the GTR Principle Using a Barrier Membrane in Endodontic Surgery: A Proposal of Classification and Literature Review

Thomas Von Arx, David L. Cochran

Research output: Contribution to journalReview article

46 Scopus citations

Abstract

Periradicular surgery has become an established treatment option in endodontic surgery. The major objective of this surgery is to obtain periradicular tissue regeneration, including the formation of a new attachment apparatus, by exclusion of any potentially noxious agent within the physical confines of the affected root. However, in a substantial number of cases, the endodontic lesion has a concomitant marginal periodontal lesion that may complicate the healing success. In periodontology, the guided tissue regeneration (GTR) principle using a barrier membrane has been extensively studied and successfully used, and thus may become an adjunct in endodontic surgery. This article presents a classification system of endodontic and periodontal lesions with respect to the application of the membrane technique and reviews the pertinent literature based upon this classification system.

Original languageEnglish (US)
Pages (from-to)127-139
Number of pages13
JournalInternational Journal of Periodontics and Restorative Dentistry
Volume21
Issue number2
StatePublished - Apr 1 2001

ASJC Scopus subject areas

  • Oral Surgery
  • Periodontics

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