The case shown here is of a 46 year-old female patient diagnosed with a severe generalised Chronic Periodontitis. The x-rays revealed the presence of several angular bony defects, known to progress quickly if left untreated, leading to tooth loss.
A biological-based product – Enamel Matrix Derivatives – that promotes the re-growth of both hard and soft tissues (bone and gum) lost due to periodontal disease was used to stimulate the formation of a new periodontal attachment.
A gain in clinical attachment levels and bone levels was observed both at short (9 months) and long term (4 years follow-up). As result, her natural teeth were preserved.
The technique used here was the Simplified Papilla Preservation Flap (as described by Cortellini et al. in 1999) together with the use of Enamel Matrix Derivatives (EMD).