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Giovanni Zucchelli

Bologna, Italy

Clinical case description:

Regenerative surgery of a severely compromised tooth in aesthetic area.

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<p>1) Pre-operative view of the affected upper left incisor. 2) Radiographic situation before treatment. The defect after degranulation. The wide defect reaches the apex of the tooth.</p>

1) Pre-operative view of the affected upper left incisor. 2) Radiographic situation before treatment. The defect after degranulation. The wide defect reaches the apex of the tooth.

<p>3) The defect after degranulation. 4) EDTA and an amelogenin derivative matrix are applied to condition the root surface.</p>

3) The defect after degranulation. 4) EDTA and an amelogenin derivative matrix are applied to condition the root surface.

<p>5) Geistlich Bio-Oss<sup>®</sup> fills the wide defect and Geistlich Bio-Gide<sup>®</sup> prevents tissue collapse while stabilizing the site. 6) Post-op view of suturing: note the primary intention closure of the interdental papilla above the defect.</p>

5) Geistlich Bio-Oss® fills the wide defect and Geistlich Bio-Gide® prevents tissue collapse while stabilizing the site. 6) Post-op view of suturing: note the primary intention closure of the interdental papilla above the defect.

<p>7) Clinical situation at 12 month follow-up. A regrowth of the interdental papilla could be achieved. 8) Follow-up radiograph at 12 months reveals complete bone fill.</p>

7) Clinical situation at 12 month follow-up. A regrowth of the interdental papilla could be achieved. 8) Follow-up radiograph at 12 months reveals complete bone fill.

Pre-surgery


					<p>1) Pre-operative view of the affected upper left incisor. 2) Radiographic situation before treatment. The defect after degranulation. The wide defect reaches the apex of the tooth.</p>

Surgery


					<p>3) The defect after degranulation. 4) EDTA and an amelogenin derivative matrix are applied to condition the root surface.</p>

Outcome


					<p>5) Geistlich Bio-Oss<sup>®</sup> fills the wide defect and Geistlich Bio-Gide<sup>®</sup> prevents tissue collapse while stabilizing the site. 6) Post-op view of suturing: note the primary intention closure of the interdental papilla above the defect.</p>

Follow-up after at least 6 months


					<p>7) Clinical situation at 12 month follow-up. A regrowth of the interdental papilla could be achieved. 8) Follow-up radiograph at 12 months reveals complete bone fill.</p>