Regenerative surgery of a severely compromised tooth in aesthetic area.
1) Pre-operative view of the affected upper left incisor. 2) Radiographic situation before treatment. The defect after degranulation. The wide defect reaches the apex of the tooth.
3) The defect after degranulation. 4) EDTA and an amelogenin derivative matrix are applied to condition the root surface.
5) Geistlich Bio-Oss® fills the wide defect and Geistlich Bio-Gide® prevents tissue collapse while stabilizing the site. 6) Post-op view of suturing: note the primary intention closure of the interdental papilla above the defect.
7) Clinical situation at 12 month follow-up. A regrowth of the interdental papilla could be achieved. 8) Follow-up radiograph at 12 months reveals complete bone fill.