Periodontal regeneration in a 26-year-old patient
Deep pockets remained on the lower front teeth despite good hygiene. The goal was to keep the teeth.
Initial situation
After deep cleaning, 12 and 10 mm pockets remained on the tongue side of two lower incisors, invisible on a standard X-ray. 3D imaging (cone beam CT) showed the bone defects and located the sublingual artery.
Treatment choice
At 26, the priority is to save the teeth rather than replace them with implants. Regenerative surgery using the Tunnel Wall Approach was chosen.
Procedure
A flap was opened and residual tartar under the gum removed, the roots prepared, enamel matrix derivative (Emdogain) applied and the defects filled with a biomaterial (Bio-Oss Collagen). A sutured connective tissue graft covers the biomaterials, then the gum is repositioned without tension so it stays still when the tongue moves. The visible front gum is preserved.
Every clinical situation is unique. This case is shown for information only and is not a promise of results. A treatment can only be proposed after a personal examination and assessment.
Clinical photographs, some taken during surgery.