Combined periodontal regeneration of molar severely compromised by furcation, intrabony defects and attachment loss to the apex: A Case Report

Journal of Oral Research

Jaime Segovia-Chamorro¹  Héctor Oñate² 

[1] Department of Conservative Dentistry, Faculty of Dentistry, Universidad Andres Bello, Viña del Mar, Chile;School of Health Sciences, Universidad Viña del Mar, Viña del Mar, Chile;

关键词: guided tissue regeneration;    periodontal;    furcation defect;    periodontitis;    periodontal attachment loss;    platelet-rich fibrin;    case report;   

DOI  :  10.17126/joralres.2021.024

来源: DOAJ

【 摘 要 】

Introduction: Clinicians tend to encounter unfavorable situations in the treatment of teeth with severe attachment loss. Periodontal regeneration has been a successful therapeutic approach in treatments that require a long-term prognosis improvement. This case shows the benefits of combined regenerative periodontal therapy in a patient with a molar severely compromised by furcation, intrabony defects and attachment loss to the apex. Case Report: The clinical case included an endo-periodontal, class III furcation and intrabony defects in a generalized periodontitis, Stage III Grade C patient. After non-surgical periodontal treatment and reevaluation, a full-thickness flap and surgical debridement were performed.Dental root surface was treated with EDTA and enamel matrix derivatives and the defects were filled with allograft and platelet-rich fibrin, additionally a collagen membrane was applied over the graft. After a 12-month follow-up there was a resolution of the intrabony defects and periodontal regeneration. Clinical and radiographic evaluation also showed the partial resolution of the class III furcation defect. Conclusion: Combined periodontal regeneration can be a therapeutic approach to improve the prognosis and prevent the extraction of molars severely compromised by furcation, intrabony defects and attachment loss to the apex.

【 授权许可】

Unknown