Retention of the central incisor and improvement of its mobility.
1) Non-responding residual pocket associated with a perio-endo involved tooth 11. 2) Radiograph of infrabony angular defect on tooth 11 with subsequent endodontic treatment.
3) Elevation of flap with papilla preservation to access the infrabony pocket. 4) Geistlich Bio-Oss® granules in the defect.
5) Geistlich Bio-Gide® membrane trimmed and placed in the interproximal region. 6) Immediate post-op passive closure and coronal repositioning of the mucosa.
7) Improved pocketing and mobility 8 months after surgery and additional composite bonding to improve the aesthetics. 8) Follow up 2 years post surgery showing good bone stability and improved clinical status of this tooth.