Clinical Outcome of Periodontal Regenerative Therapy in Chronic Periodontitis: A Case Report
Abstract
Background: Chronic periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss and bone loss. Conventional treatment is the first-line treatment in this case, however, in moderate to advanced periodontitis cases, conventional treatment alone is not sufficient to regenerate the periodontal tissue, so a surgical therapy is required.
Objective: To explain the procedures and results of surgical periodontal treatment with bone xenograft and the barrier membrane of a patient with chronic periodontitis.
Method: A 33-year-old man presented to the Department of Periodontia RGSM Unhas with the primary complaint of teeth mobility of the lower left jaw, the patient had also been scaled one week prior. On intraoral examination, tooth 35 had mobile º1, recession 3 mm and pocket 6 mm, and tooth 36 had mobile º2, recession 2 mm and pocket 7 mm. Treatment was performed using flap operation with bone graft and membrane barrier applications.
Results: Control was performed six months after the treatment and the results showed normal gingival tissue with good tissue attachment, pocket reduction.
Conclusion: Treatment of chronic periodontitis using bone xenograft and membrane barrier is one of the surgical therapies that can contribute to periodontal regeneration.
Keywords: barrier membrane, bone graft, flap operation
References
[1] Newman M, Takei H, Klokkevold P, Carranza F. Carranza clinical periodontology. 13th ed. 2019. Elsevier: USA.
[2] Djais AI, Nurfaisah N. Combination of platelet rich fibrin and carbonate hydroxyapatite alloplastic bone graft as periodontal tissue engineering in management of chronic periodontitis: A case report. Journal of Dentomaxillofacial Science. 2020;5(1):62. https://doi.org/10.15562/jdmfs.v0i0.753
[3] Adam M, Utami S, Oktawati S, Gani AHA. Treatment of generalized aggressive periodontitis with guided tissue regeration and bone grafting: A systematic review. Journal of International Dental and Medical Research. 2019;12(4):1636–1639.
[4] Munadziroh E, Meizarini A, Universitas G. Penggunaan bone graft pada perawatan kerusakan tulang periodontal. Jurnal Kedokteran Gigi Universitas Indonesia. 2003. 10: 520-526.
[5] Cohen, Edward S. Atlas cosmetic and reconstructive periodontal surgery. 3rd ed.
Hamilton; 2007. BC Decker Inc.: Ontario.
[6] Sam, G., Pillai, B.R.M., Evolution of barrier membranes in periodontal regeneration - “Are the third generation membranes really here?”. Journal of Clinical and Diagnostic Research. 2014;8(12):14-17. https://doi.org/10.7860/JCDR/2014/9957.5272
[7] Sheikh Z, Qureshi J, Alshahrani AM et al. Collagen based barrier membranes for periodontal guided bone regeneration applications. Odontology. 2017; (1): 105-112. https://doi.org/10.1007/s10266-016-0267-0
[8] Osathanon T, Chanjavanakul P, Kongdecha P, Clayhan P, Huynh NC-N.
[9] Polycaprolactone-based biomaterials for guided tissue regeneration membrane.
[10] Periodontitis - A useful reference. Intech Open Book Series, 198. 2017. https://doi.org/10.5772/intechopen.69153
[11] Ausenda F, Rasperini G, Acunzo R, Gorbunkova A, Pagni G. New perspectives in the use of biomaterials for periodontal regeneration. Materials. 2019;12(13):1-20. https://doi.org/10.3390/ma12132197
[12] Melcher AH. On the repair potential of periodontal tissues. Journal of Periodontology. 1976;47(5):256–260. https://doi.org/10.1902/jop.1976.47.5.256