CLINICAL CASE

Baseline Radiograph
Baseline ≥ 10 mm Pocket Depth
Geistlich Bio-Gide® covering bone graft and soaked in rhPDGF-BB
Suturing with 5/0 nylon sutures. Primary closure attained.
Radiograph at 10-year follow-up
Clinical situation at 10 years

THE APPROACH

The crown was biologically shaped, and the root surface was detoxified using Ellman burs. Following flap elevation and thorough defect debridement, an allograft mixed with GEM 21S® was used to fill the defect. The graft was then covered with Geistlich Bio-Gide®.

THE OUTCOME

At the 10-month follow-up, radiographs revealed evidence of bone fill, and clinically, the interdental tissue showed signs of maturation. At the 9-year follow-up, clinical photos demonstrated long-term stability, with maintained bone levels, minimal interproximal recession, and lack of facial recession. Radiographic analysis further confirmed the sustained stability of the bone.