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Thirty‐year stability after regeneration of a deep intrabony defect: a case report
Author(s) -
Pini Prato Giovanpaolo,
Cortellini Pierpaolo
Publication year - 2016
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12587
Subject(s) - medicine , dentistry , gingival recession , gingival margin , maxillary central incisor , clinical attachment loss , orthodontics , periodontitis
Aims Report clinical improvements and 30‐year stability of clinical outcomes of an intrabony defect treated with non‐resorbable barriers and mucogingival surgery. Methods A 18‐year‐old male presenting with a very severe intrabony defect at the upper right central incisor was treated with periodontal regeneration with non‐resorbable barriers and a fibrin‐fibronectin glue. The barriers were removed after 3 months. At 6 months, a free gingival graft ( FGG ) was positioned to improve mucogingival conditions. The patient was enrolled into a 6‐month supportive periodontal care programme ( SPC ) for 30 years. Results Clinical attachment level ( CAL ) of 16 mm was associated with a 12 mm osseous defect and a pocket ( PD ) 14 mm deep. At 1 year, a CAL of 5 mm was associated with a PD of 2 mm. The 5 mm gingival recession measured at 6 months and treated with FGG was reduced to 3 mm. Measurements taken at 10, 20 and 30 years showed a consistent creeping of the gingival margin. At 30‐year examination, CAL gain was 12 mm associated with a 2 mm PD and a minimal gingival recession. Conclusions This case demonstrates that it is possible to treat a very severe infrabony pocket applying regeneration and mucogingival surgery and to maintain the clinical outcomes for 30 years.