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Abstract:
If you can't reduce a periodontal bone defect of more than 6 mm with a conservative therapy you can open up the pocket with a marginal incision. The granulation tissue must be removed carefully, open up the surrounding spongiosa and clean the tooth from calculus. HA-Granula is filled into the pocket but don't overfill it. Use Matrix-sutures to sew the wound very dense against saliva. A final splint stabilizes the tooth.