Cell and Tissue Banking

, Volume 20, Issue 1, pp 117–128 | Cite as

Clinical and radiographic evaluation of amnion chorion membrane and demineralized bone matrix putty allograft for management of periodontal intrabony defects: a randomized clinical trial

  • Amr Temraz
  • Noha A. GhallabEmail author
  • Reham Hamdy
  • Omnia Abu El-Dahab


The aim of this trial was to compare the clinical and radiographic outcomes of amnion chorion membrane (ACM) with demineralized bone matrix (DBM) in a putty form in management of periodontal intrabony defects. Twenty-two participants with severe chronic periodontitis and intrabony defects, were randomly assigned in two equal parallel groups. Each group was treated with open flap debridement (OFD) and ACM or OFD and DBM putty. Plaque index, gingival index, pocket depth (PD), clinical attachment level (CAL) and radiographic measurement of bone defect area (BDA) were recorded at baseline, 3 and 6 months postoperatively. Both ACM and DBM putty demonstrated significant improvement in all clinical and radiographic outcomes at 6 months compared to baseline values. However, no significant difference was observed between the two treatment modalities when compared at different time intervals. Six months postoperatively, ACM showed 3.18 ± 0.85 mm, PD reduction and 2.25 ± 0.75 mm CAL gain, while DBM putty revealed 3.45 ± 1.08 mm PD reduction and 2.73 ± 0.85 mm CAL gain. Radiographic assessment showed that mean baseline BDA for ACM group was 10.39 ± 3.86 mm2, which significantly reduced to 5.21 ± 2.38 after 6 months. Mean BDA mm2 in DBM putty group also significantly improved after 6 months, 5.35 ± 3.63 mm2 when compared to baseline values 9.80 ± 5.77 mm2. Both ACM barrier and DBM putty allograft provided significant improvement in clinical and radiographic outcomes after 6 months, yet no significant differences were noticed between them. This trial implied that both biomaterials have a potential regenerative capacity in treating periodontal intrabony defects.


Guided tissue regeneration Bone grafts Periodontitis Periodontal regeneration Biomaterials 



The authors would like to thank Dr. Nesma Shmais, assistant lecturer of Periodontology, Faculty of Dentistry, Cairo University, for her help in this work.


The study was funded by personal resources to be refunded later by the Ministry of Higher Education, Cairo, Egypt on international publishing.

Compliance with ethical standards

Conflict of interest

Dr. Amr Temraz declares that he has no conflict of interest. Dr. Noha Ghallab declares that she has no conflict of interest. Dr. Reham Hamdy declares that she has no conflict of interest. Dr. Omnia Abu El-Dahab declares that she has no conflict of interest.

Ethical approval

This article was approved by the Faculty of Oral and Dental Medicine Research Ethics committee, Cairo University in April 2015.

Informed consent

Following an explanation of the study as well as information about the surgical procedures, each subject signed a written informed consent form approved by the Faculty Research Ethics committee.


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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Faculty of DentistryCairo UniversityCairoEgypt
  2. 2.Department of Oral Medicine and Periodontology, Faculty of DentistryCairo UniversityGizaEgypt
  3. 3.Department of Oral and Maxillofacial Radiology, Faculty of DentistryCairo UniversityCairoEgypt

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