Syed Mahnaz

Perth, Australia

Clinical case description:

Retention of the central incisor and improvement of its mobility.

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<p>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.</p>

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.

<p>3) Elevation of flap with papilla preservation to access the infrabony pocket. 4) Geistlich Bio-Oss<sup>®</sup> granules in the defect.</p>

3) Elevation of flap with papilla preservation to access the infrabony pocket. 4) Geistlich Bio-Oss® granules in the defect.

<p>5) Geistlich Bio-Gide<sup>®</sup> membrane trimmed and placed in the interproximal region. 6) Immediate post-op passive closure and coronal repositioning of the mucosa.</p>

5) Geistlich Bio-Gide® membrane trimmed and placed in the interproximal region. 6) Immediate post-op passive closure and coronal repositioning of the mucosa.

<p>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.</p>

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.

Pre-surgery

<p>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.</p>

Surgery

<p>3) Elevation of flap with papilla preservation to access the infrabony pocket. 4) Geistlich Bio-Oss<sup>®</sup> granules in the defect.</p>

Outcome

<p>5) Geistlich Bio-Gide<sup>®</sup> membrane trimmed and placed in the interproximal region. 6) Immediate post-op passive closure and coronal repositioning of the mucosa.</p>

Follow-up after at least 6 months

<p>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.</p>