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- Title
Thirty-year stability after regeneration of a deep intrabony defect: a case report.
- Authors
Pini Prato, Giovanpaolo; Cortellini, Pierpaolo
- Abstract
Aims Report clinical improvements and 30-year stability of clinical outcomes of an intrabony defect treated with non-resorbable barriers and mucogingival surgery. Methods A 18-year-old male presenting with a very severe intrabony defect at the upper right central incisor was treated with periodontal regeneration with non-resorbable barriers and a fibrin-fibronectin glue. The barriers were removed after 3 months. At 6 months, a free gingival graft ( FGG) was positioned to improve mucogingival conditions. The patient was enrolled into a 6-month supportive periodontal care programme ( SPC) for 30 years. Results Clinical attachment level ( CAL) of 16 mm was associated with a 12 mm osseous defect and a pocket ( PD) 14 mm deep. At 1 year, a CAL of 5 mm was associated with a PD of 2 mm. The 5 mm gingival recession measured at 6 months and treated with FGG was reduced to 3 mm. Measurements taken at 10, 20 and 30 years showed a consistent creeping of the gingival margin. At 30-year examination, CAL gain was 12 mm associated with a 2 mm PD and a minimal gingival recession. Conclusions This case demonstrates that it is possible to treat a very severe infrabony pocket applying regeneration and mucogingival surgery and to maintain the clinical outcomes for 30 years.
- Subjects
BONE regeneration; SURGICAL flaps; LONGITUDINAL method; ORAL surgery; DENTAL radiography; TRANSPLANTATION of organs, tissues, etc.
- Publication
Journal of Clinical Periodontology, 2016, Vol 43, Issue 10, p857
- ISSN
0303-6979
- Publication type
Case Study
- DOI
10.1111/jcpe.12587