Citric acid conditioning of roots affects guided tissue regeneration in experimental periodontal wounds.

Abstract

The effect of citric acid conditioning of roots on the formation of a new connective tissue attachment was evaluated in the presence of a selective cell population. Fenestration wounds of standard sizes were made on the buccal aspects of mandibular premolars in 6 beagle dogs. The exposed root surfaces were curetted thoroughly and conditioned with citric acid (experimental) or distilled water (controls) for 3 minutes. The wounds were covered with Millipore filters to facilitate population of curetted root surfaces by cells from the adjacent periodontal ligament. Histologic analysis was made after 3 months of healing.The extent of new connective tissue attachment varied in both the experimental and control specimens. The percentage of surgically denuded root surface showing new cementum with inserting fibers was significantly lower in the experimental group compared with the controls. Root resorption was seen in both experimental and control specimens but involved a significantly larger percentage of denuded root surface in the experimental specimens. Ankylosis occurred more frequently in the experimental group compared with the controls, while no difference was seen in the degree of bone regeneration.The results indicate that new connective tissue attachment can form on denuded root surfaces by a selective cell population. Citric acid conditioning of roots appears to either delay or complicate healing in the presence of a selective cell population.