Guided Tissue Regeneration
Guided tissue regeneration is one treatment strategy to treat bone loss associated with periodontal disease. This technique is most effective for vertical bone loss.
|
A palatal flap was created to expose a 5mm deep x 7mm long x 3mm wide periodontal pocket adjacent to the left upper canine tooth.
|
This is an alternate view of the defect.
|
|
Consil is a synthetic tissue graft material. Osteoallograft is another graft material we commonly use to treat periodontal defects.
|
View of the granular tissue graft firmly placed into the defect.
|
|
Pre-operative radiograph.
|
Post-operative radiograph.
|
Six year spayed female Dachshund with 6mm periodontal pockets adjacent to the palatal aspect of the canine teeth.
These lesions were not well defined by dental radiographs; however, evident with periodontal probing.
|
Gingival defect at mesial aspect of canine tooth.
|
Flap used to exposed the periodontal defect.
|
|
Alternate view of flap preparation.
|
Consil used to fill defect after root planing.
|
|
Very slight overfil of moderately packed Consil. Excess Consil is avoided.
|
The palatal aspect of flap was allowed to granulate.
|
Guided tissue generation is not a casual procedure. The Consil must be properly placed and the flap must appropriately adapt to the tooth. The flap must be well vascularized in all cases. An intermediate material is sometimes selected to cover the Consil underlying the flap.
Case selection is very important. If the patient has an oronasal fistula, the Consil will migrate into the respiratory tract and act as an irritant.
Oronasal fistula
Periodontal disease
|
Processing ....
