Regenerative therapy of furcation defect.

Area of Science:

• Dentistry
• Periodontology
• Regenerative Medicine

Background:

• Furcation defects are complex complications of progressive periodontal diseases, often affecting multi-rooted teeth.
• Treatment typically involves regenerative therapies like hydroxylapatite or demineralized freeze-dried bone grafts.
• Severe interradicular bone loss presents a significant clinical challenge in periodontal therapy.

Purpose of the Study:

• To present a case of successful bony reconstruction in a severe furcation defect using aloplastic material.
• To evaluate the efficacy of a specific regenerative technique for advanced periodontal defects.

Main Methods:

• A 35-year-old female patient with generalized periodontitis and a completely absent interradicular bone in tooth 46 underwent endodontic treatment and crown recovery.
• Surgical intervention included open curettage and bony reconstruction with bioplant HTR (an aloplastic material).
• Preoperative preparation involved clinical prophylaxis and chemical plaque inhibition; postoperative care included metronidazole rinses.

Main Results:

• Clinical and radiographic follow-up at 6 months demonstrated significant regeneration of the bone structure in the treated furcation defect.
• The aloplastic material facilitated successful bony reconstruction, addressing the complete absence of interradicular bone.

Conclusions:

• Aloplastic material reconstruction, combined with endodontic treatment and meticulous oral hygiene, can effectively regenerate bone in severe furcation defects.
• This case highlights a promising therapeutic approach for managing advanced periodontal disease complications affecting multi-rooted teeth.