Anton Sculean

Bern, Switzerland

Clinical case description:

Treatment of intrabony defect with a complicated, noncontained morphology using a combination of collagen barrier membrane and a natural bone mineral.

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<p>1) Preoperative probing indicating the presence of a deep pocket distal to the mandibular left molar. 2) Preoperative radiograph demonstrating the extent of bone loss.</p>

1) Preoperative probing indicating the presence of a deep pocket distal to the mandibular left molar. 2) Preoperative radiograph demonstrating the extent of bone loss.

<p>3) Intraoperative view revealing a deep noncontained intrabony defect. 4) Following removal of granulation tissue and root planing, the defect is filled with Geistlich Bio-Oss<sup>®</sup>.</p>

3) Intraoperative view revealing a deep noncontained intrabony defect. 4) Following removal of granulation tissue and root planing, the defect is filled with Geistlich Bio-Oss®.

<p>5) The grafting material and the surrounding alveolar bone are covered with a Geistlich Bio-Gide<sup>®</sup> Perio. 6) Minimal recession of the soft tissues and attachment gain and reduced PD measured 6mm and 7 mm respectively at 1 year.</p>

5) The grafting material and the surrounding alveolar bone are covered with a Geistlich Bio-Gide® Perio. 6) Minimal recession of the soft tissues and attachment gain and reduced PD measured 6mm and 7 mm respectively at 1 year.

<p>Postoperative radiograph at 1 year reveals an almost complete fill of the intrabony defect.</p>

Postoperative radiograph at 1 year reveals an almost complete fill of the intrabony defect.

Pre-surgery

<p>1) Preoperative probing indicating the presence of a deep pocket distal to the mandibular left molar. 2) Preoperative radiograph demonstrating the extent of bone loss.</p>

Surgery

<p>3) Intraoperative view revealing a deep noncontained intrabony defect. 4) Following removal of granulation tissue and root planing, the defect is filled with Geistlich Bio-Oss<sup>®</sup>.</p>

Outcome

<p>5) The grafting material and the surrounding alveolar bone are covered with a Geistlich Bio-Gide<sup>®</sup> Perio. 6) Minimal recession of the soft tissues and attachment gain and reduced PD measured 6mm and 7 mm respectively at 1 year.</p>

Follow-up after at least 6 months

<p>Postoperative radiograph at 1 year reveals an almost complete fill of the intrabony defect.</p>