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DongSoon Kim

Tokyo, Japan

Clinical case description:

<Patient Information>

First Visit : 2016.7.11

 

Gender: Female

 

Chief Complaint: Swelling of the lower right gum

 

Current Medical History: Pt. states that about 1 to 2 years ago, the gums of her canine tooth in the lower right became swollen. She claims that she had visited several other hospitals for examination and treatment, but was informed that her dental condition was not getting better.

 

Present Condition: A periodontal tissue examination has recognized a periodontal pocket of 12 mm at the centrifugal 43 and 8 mm at the mesial center of 44. According to dental X-ray photographs, a vertical centrifugal bone resorption extending to the vicinity of the root apex was observed in 43 centrifuge. The first result of PCR was 56%.

 

Treatment Course: Periodontal surgical treatment was performed at 33, after the basic periodontal treatment for regeneration of periodontal tissue.

 

When the flap valve was flipped and delaminated with full layer valve, 33 vertical centrifuge confirmed bilateral bone resorption of two walls.

 

After thorough debridement of the root, Emdogain, Geistlich Bio-Oss® was transplanted to the bone defect area, Bio-gide was placed on the buccal side and sutured.

 

Seven months after the operation, the periodontal pocket of 33 centrifuges is 3 mm, and, although it is incomplete in 33 centrifuge in the digital photograph, a reconstructed image of the tribal bone can be recognized.

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<p>1.) Intraoral, first examination: 12 mm in 43 of the centrifugation, admissible periodontal pocket of 8 mm at 44. 2.) X-ray, first examination: The vertical bone resorption extended to near the apex is observed in the centrifugation of 43.</p>

1.) Intraoral, first examination: 12 mm in 43 of the centrifugation, admissible periodontal pocket of 8 mm at 44. 2.) X-ray, first examination: The vertical bone resorption extended to near the apex is observed in the centrifugation of 43.

<p>3.) During periodontal surgical treatment: Peeling off the Gum, removing the defective granulation, as a result of root debridement, the double-walled vertical bone resorption was found at 43 centrifugation. 4.) Deep root in the centrifugation of 43.</p>

3.) During periodontal surgical treatment: Peeling off the Gum, removing the defective granulation, as a result of root debridement, the double-walled vertical bone resorption was found at 43 centrifugation. 4.) Deep root in the centrifugation of 43.

<p>5.) Emdogain was applied to the bone defect part, and then, Bio-Oss<sup>®</sup> mixed with Emdogain was filled in advance. 6.) Geistlich Bio-Gide<sup>®</sup> was installed on the buccal side of the bone defect area.</p>

5.) Emdogain was applied to the bone defect part, and then, Bio-Oss® mixed with Emdogain was filled in advance. 6.) Geistlich Bio-Gide® was installed on the buccal side of the bone defect area.

<p>7.) Oral photo, 7 months after surgery. Gingival recession is observed in 43, but the periodontal pocket is stable at 3 mm. 8.) Dental X-ray photograph, 7 months after operation. Recognition of regeneration of alveolar bone on centrifugation of 43.</p>

7.) Oral photo, 7 months after surgery. Gingival recession is observed in 43, but the periodontal pocket is stable at 3 mm. 8.) Dental X-ray photograph, 7 months after operation. Recognition of regeneration of alveolar bone on centrifugation of 43.

Pre-surgery


					<p>1.) Intraoral, first examination: 12 mm in 43 of the centrifugation, admissible periodontal pocket of 8 mm at 44. 2.) X-ray, first examination: The vertical bone resorption extended to near the apex is observed in the centrifugation of 43.</p>

Surgery


					<p>3.) During periodontal surgical treatment: Peeling off the Gum, removing the defective granulation, as a result of root debridement, the double-walled vertical bone resorption was found at 43 centrifugation. 4.) Deep root in the centrifugation of 43.</p>

Outcome


					<p>5.) Emdogain was applied to the bone defect part, and then, Bio-Oss<sup>®</sup> mixed with Emdogain was filled in advance. 6.) Geistlich Bio-Gide<sup>®</sup> was installed on the buccal side of the bone defect area.</p>

Follow-up after at least 6 months


					<p>7.) Oral photo, 7 months after surgery. Gingival recession is observed in 43, but the periodontal pocket is stable at 3 mm. 8.) Dental X-ray photograph, 7 months after operation. Recognition of regeneration of alveolar bone on centrifugation of 43.</p>