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Combining reconstructive and regenerative therapies

C White1, A J Certosimo

  • 1Naval Dental Center, Newport, R.I. 02841, USA.

Journal of the American Dental Association (1939)
|May 1, 1997
PubMed
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This study shows that combining reconstructive and regenerative therapies, including glass ionomer cement, can effectively treat severe periodontal osseous defects and root perforations. The treatment resulted in significant clinical attachment gain over two years.

Area of Science:

  • Periodontology
  • Regenerative Medicine
  • Biomaterials Science

Background:

  • Surgically created osseous defects with root perforations present complex treatment challenges in periodontology.
  • Maxillary canine defects with significant attachment loss require advanced therapeutic approaches.

Observation:

  • A patient presented with a surgically created osseous defect and a perforated root canal on a maxillary canine, exhibiting 10 mm of mesial attachment loss.
  • The defect was treated using a combination of reconstructive and regenerative techniques.

Findings:

  • The therapeutic regimen included tetracycline root surface conditioning, glass ionomer cement application, decalcified freeze-dried bone allograft, and an expanded-polytetrafluoroethylene membrane.
  • Two years post-surgery, a significant clinical attachment level gain of 7–8 mm was observed.

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Implications:

  • Glass ionomer cement, when used with regenerative therapy, offers an effective solution for treating root perforations adjacent to periodontal osseous defects.
  • This case highlights a successful combined approach for managing complex periodontal defects, potentially improving patient outcomes and tooth preservation.