Guided tissue regeneration for periodontal intrabony defects

Nedelkovska, Ivana and Kovacevska, Ivona and Spasovski, Spiro and Zlatanovska, Katerina and Longurova, Natasa and Atanasovska-Stojanovska, Aneta and Popovska, Mirjana and Grbovic, Edis and Panajotu, Risto and Isa, Maxhide and Rusevska, Biljana and Ivanovska-Stojanovska, Marija (2024) Guided tissue regeneration for periodontal intrabony defects. In: FDI World Dental Congress 2024 (FDIWDC24), 12-15 Sept 2024, Istanbul, Turkiye.

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Abstract

INTRODUCTION: The use of modern biomaterials for guided tissue regeneration (GTR) proves to be a much effective method in stimulating the regenerative potential of the bone
tissue, compare to isolated surgical treatment.
CASE DESCRIPTION: The aim of present case was to evaluate the effect of Emdogain(enamel matrix derivate) with Collagen
Block(Geistlich) in treatment of intrabony defects. A 51 year old male patient came to the Department of Periodontology and oral patology with the chief complaint of bleeding gums. Intrabony vertical defects radiographically verified in teeth #17,#16,#15 were present. Phase 1 therapy was initiated and the patient was advised to rinse with 0.12% chlorohexidin twice daily for 14 days. Patient was asked to start antibiotic thrice daily with probiotic capsules. Mucoperiosteal flap was reflected and thorough debridement of the furcation defect was evaluated.EMD and Collagen Block was condensed into the furcation and intrabony defects. Flap was sutured with 50 silk sutures.
DISCUSSION: After the surgical treatment patient was instructed to rinse with 10% betadine sol. and not to brush
and chew from the operated side for 14 days. The patient was
recalled for suture removal, pocket probing depth (PPD), horizontal furcation defect (HFD), and BOP were recorded after 6 months. There was reduction in all the clinical parameters along with evidence of radiographic bone fill.
CONCLUSION/CLINICAL SIGNIFICANCE: The use of biomaterials as an adjunct in periodontal surgery represents a promising potential in the facilitated and effective periodontal
treatment. Stimulation and regeneration of the junctional
epithelium, reduction of intrabony defects and restoration of the anatomical appearance and shape of the supporting alveolar bone.

Item Type:	Conference or Workshop Item (Poster)
Impact Factor Value:	3.2
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Katerina Zlatanovska
Date Deposited:	19 Nov 2024 12:22
Last Modified:	19 Nov 2024 12:22
URI:	https://eprints.ugd.edu.mk/id/eprint/35049

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