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Alveolar Bone Upper Growth in Furcation Area Using Combined Orthodontic‐Regenerative Therapy: A Case Report
Author(s) -
Ogihara Shigeki,
Marks Manuel H.
Publication year - 2002
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2002.73.12.1522
Subject(s) - medicine , furcation defect , dentistry , dental alveolus , debridement (dental) , crown lengthening , periodontology , premolar , periodontium , orthodontics , crown (dentistry) , molar
Background: This case report demonstrates orthodontic and regenerative combined therapy in a 49‐year‐old male whose right maxillary premolar furcation had a bony defect with poor biologic width resulting from extensive subgingival caries. In these advanced interdisciplinary cases, crown lengthening with periodontal surgery alone does not solve the complex clinical problems. We believe that a combined orthodontic and periodontal regenerative combination therapy offers the best option for achieving a predictable outcome.Methods: First, regenerative therapy by open debridement with a bioabsorbable synthetic bone graft, bioabsorbable membrane, and minocycline root conditioning was carried out. Eight weeks after initial surgery, orthodontic extrusion was initiated.Results: Radiographs and reentry documentation suggest that the furcation defect associated with poor biologic width was successfully treated.Conclusion: This case report demonstrates that orthodontic‐regenerative combined therapy can resolve complex clinical problems and enhance predictability. J Periodontol 2002;73:1522‐1527.