Methods of altering crestal levels. Clinical case reports

Area of Science:

• Periodontology and Regenerative Dentistry
• Oral Surgery

Background:

• Altering alveolar crestal bone levels is crucial for periodontal health and tooth stability.
• Various regenerative and surgical techniques aim to restore bone topography.

Observation:

• Case studies demonstrate the application of diverse methods for modifying crestal bone levels.
• Autogenous bone grafts show high success rates in three-wall and two-wall infrabony lesions.
• Specific techniques like tooth uprighting and forced eruption are viable for hemiseptal lesions.

Findings:

• Self-regeneration and autogenous bone grafts are effective for specific infrabony defects.
• Tooth uprighting can correct mesial hemiseptal lesions.
• Forced eruption, utilizing orthodontic forces with adjacent teeth, offers another treatment avenue.
• Surgical elevation techniques also yield positive changes in bony topography.

Implications:

• These techniques provide clinicians with multiple options for managing infrabony defects and improving periodontal support.
• Successful bone regeneration and topographical enhancement can lead to better long-term tooth prognosis.
• The choice of technique should be tailored to the specific type and location of the bony lesion.