Periodontal regeneration of a severely compromised tooth. The extensive 1-wall defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.
Tooth 13 presented with a 13 mm pocket and suppuration on probing. The tooth showed grade II mobility. Following non-surgical periodontal treatment, the defect was accessed surgically. The tooth was splinted to the adjacent teeth 11 and 14.
Full flap elevation revealed an extensive 1-wall defect. A Prichard curette in visible in the left picture, which shows the presence of a bone "bridge". The defect was grafted with Geistlich Bio-Oss® Collagen and Geistlich Bio-Gide® Perio.
Following 7 months of healing the radiographs showed improved bone levels around tooth 13, with resolution on the infrabony defect.
The 7 months review showed the absence of deep gum pockets or gingival inflammation. Recession of 3-4 mm has occurred on the buccal aspect of teeth 14 and 13.