CLINICAL CASE

Baseline Radiograph
Flap reflection showing the defect tooth #30
Defect dimensions from the lingual aspect
Defect filled and graft is extended beyond margins, 1-2mm on the buccal aspect
Suturing with 5/0 polypropylene sutures. Primary closure is attained.
Radiograph 1-year post-op showing almost complete bone fill

THE APPROACH

Following flap elevation and thorough defect debridement, a xenograft bone substitute mixed with PDGF (GEM 21S®) was used to fill the defect. The graft was left uncovered without a membrane.

THE OUTCOME

The 1-year follow-up radiograph demonstrated near-complete bone fill in a previously deep defect. Clinically, shallow probing depths and healthy tissue were also observed at the 1-year follow-up.