ORAL-SYRGICAL TREATMENT OF PERIODONTAL POCKET  WITH GUIDED BONE AND SOFT  TISSUE REGENERATION

Biljana Evrosimovska; Ivana Pop Janeva; Bojana PopJaneva; Bruno Nikolovski

Biljana Evrosimovska Deparment of oral Surgery and Implantology, University Dental Clinical Center St Pantelejmon, Skopje, Faculty of Dentistry, Ss Cyril and Methodius University in Skopje, R.North Macedonia
Ivana Pop Janeva Private Practice PopJanevi- Skopje, R.North Macedonia
Bojana PopJaneva Private Practice PopJanevi- Skopje, R.North Macedonia
Bruno Nikolovski Clinic for Oral Surgery and Implantology, University dental clinical center St. Pantelejmon in Skopje, R. North Macedonia

Abstract

Periodontal disease is defined as a complex, multifactorial disease characterized by the loss of connective tissue attachment with destruction of periodontal tissues. The aim of periodontal therapy is to eliminate inflammatory process, prevent the progression of periodontal disease and also to regenerate the lost of periodontal tissues. Loss of the bone support by creating a periodontal pocket is one of the most common cause of tooth extraction. Their treatment can be conservative and surgical. The purpose of this paper is to demonstrate the treatment of infrabony periodontal defects with bone and soft tissue regeneration. On periodontal examination and radiographic evaluation, the female 56-year-old patient presented with an infrabony defect extending up to apical third of the mesial side of the right maxillary second molar with a probing depth of 8 mm. After conservative periodontal treatment, oral surgical intervention was performed including open flap debridement and filling the defect with xenograft and plasma rich fibrin. The application of xenograft and Plasma rich fibrin resulted in bone regeneration of the defect and successful fixed prosthodontic solution. Guided bone and soft tissue regeneration using xenograft and fibrin-rich plasma gives successful radiological and clinical signs of bone augmentation and consolidation of defects caused by loss of tooth attachment.

Keywords: periodontal pocket, xenograft, PRF.

https://doi.org/10.55302/JMS2251179e

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