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Riccardo Zambon

Brighton, United Kingdom

Clinical case description:

Periodontal regeneration of a severely compromised tooth. The extensive 1-wall defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.

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<p>Tooth 13 presented with a 13 mm pocket and suppuration on probing. The tooth showed grade II mobility. Following non-surgical periodontal treatment, the defect was accessed surgically. The tooth was splinted to the adjacent teeth 11 and 14.</p>

Tooth 13 presented with a 13 mm pocket and suppuration on probing. The tooth showed grade II mobility. Following non-surgical periodontal treatment, the defect was accessed surgically. The tooth was splinted to the adjacent teeth 11 and 14.

<p>Full flap elevation revealed an extensive 1-wall defect. A Prichard curette in visible in the left picture, which shows the presence of a bone &quot;bridge&quot;. The defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.</p>

Full flap elevation revealed an extensive 1-wall defect. A Prichard curette in visible in the left picture, which shows the presence of a bone "bridge". The defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.

<p>Following 7 months of healing the radiographs showed improved bone levels around tooth 13, with resolution on the infrabony defect.</p>

Following 7 months of healing the radiographs showed improved bone levels around tooth 13, with resolution on the infrabony defect.

<p>The 7 months review showed the absence of deep gum pockets or gingival inflammation. Recession of 3-4 mm has occurred on the buccal aspect of teeth 14 and 13.</p>

The 7 months review showed the absence of deep gum pockets or gingival inflammation. Recession of 3-4 mm has occurred on the buccal aspect of teeth 14 and 13.

Pre-surgery


					<p>Tooth 13 presented with a 13 mm pocket and suppuration on probing. The tooth showed grade II mobility. Following non-surgical periodontal treatment, the defect was accessed surgically. The tooth was splinted to the adjacent teeth 11 and 14.</p>

Surgery


					<p>Full flap elevation revealed an extensive 1-wall defect. A Prichard curette in visible in the left picture, which shows the presence of a bone &quot;bridge&quot;. The defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.</p>

Outcome


					<p>Following 7 months of healing the radiographs showed improved bone levels around tooth 13, with resolution on the infrabony defect. </p>

Follow-up after at least 6 months


					<p>The 7 months review showed the absence of deep gum pockets or gingival inflammation. Recession of 3-4 mm has occurred on the buccal aspect of teeth 14 and 13. </p>