Flap surgery with bone graft and periodontal membrane in generalized chronic periodontitis patient
Abstract
Objectives: The aim of this case report is to present a flap surgical procedure with bone graft and periodontal membrane in generalized chronic periodontitis patients.Case Report: A 51-years-old male patient came to RSGM Saraswati bringing a referral from a colleague for dental and periodontal treatment. The patient came with complaints that the lower left gingiva often feels swollen, pain and mobility. Clinical examination revealed edema, sulcus exudate and positive percussion on tooth 36, the deepest pocket depth of 13 mm on the disto-buccal site. X-ray and blood laboratory examinations were carried out before surgery. Flap surgery is performed by internal bevel, sulcular and horizontal incisions with opening of the envelope flap, cleaning and smoothing of bone defects, application of collagen bone grafts and periodontal membranes, suturing with absorbable suture on the periodontal membrane and nylon on the gingiva flap.
Conclusion: Flap surgery with bone graft and periodontal membrane is one of the options for reconstructive surgery to repair periodontal tissue in cases of generalized chronic periodontitis. The results showed the repair of periodontal tissue both soft tissue and alveolar bone of tooth 36.
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Carolina DN, Hendiani I, Susanto A, Rusminah N. Perawatan bedah regeneratif periodontal pada kasus periodontitis. Majalah Kedokteran Gigi Klinik. 2019;5(3):3-6.
De Bruyckere T, Eghbali A, Younes F, et al. A 5-year prospective study on regenerative periodontal therapy of infrabony defects using minimally invasive surgery and a collagen-enriched bovine-derived xenograft. Clin Oral Investig. 2018;22(3):1235-42.
de Melo D, de Santana Santos T, Sehn F, de Oliveira e Silva E, Martins-Filho PS, Dourado ACG. Evaluation of inorganic bovine bone graft in periodontal defects after third molar surgery. Ann Maxillofac Surg. 2015;5(2):198-202.
Ueno M, Nishimura T, Chmktry A. Bone Grafts and Periodontal Regenerations. 2002;33(3):80-91.
Cahaya C, Masulili SLC. Perkembangan Terkini Membran Guided Tissue Regeneration/Guided Bone Regeneration sebagai Terapi Regenerasi Jaringan Periodontal. Maj Kedokt Gigi Indones. 2015;1(1):1-11.
Susanto A, Susanah S, Pontjo B, Satari MH. Membran Guided Tissue Regeneration Untuk Regenerasi Periodontal (GuidedTissue Regeneration Membrane for Periodontal Regeneration). Dentika Dent J. 2015;18(3):300-4.
Aurer A, JorgiE-Srdjak K. Membranes for Periodontal Regeneration. Acta Stomatol Croat. 2005;39(1):107-112.
Sculean A. Clinical concepts in regenerative periodontal therapy. Perio Insight. 2017;5:1-8.
Milla LE, Mardiyantoro F, Fitriani D, Hapsari DN, Rahmitasari F, Savitri IJ. Buku Ajar Cangkok Tulang pada Regenerasi Tulang Rahang. Malang: UB Press; 2021.
Balaji VR, Manikandan D, Ramsundar A. Bone Grafts in Periodontics. Matrix Science Medica. 2020;4(3):57-63.
Ravishankar PL, Guruprasath P, Vangipuram P, et al. Bone Regeneration in Vertical Osseous Defect in Periodontitis Patients using Bovine Colostrum. Case Rep Dent. 2022;2022:4183552.
Deng R, Xie Y, Chan U, Xu T, Huang Y. Biomaterials and biotechnology for periodontal tissue regeneration: Recent advances and perspectives. J Dent Res Dent Clin Dent Prospects. 2022;16(1):1-10.
Wu YC, Lin LK, Song CJ, Su YX, Tu YK. Comparisons of periodontal regenerative therapies: A meta-analysis on the long-term efficacy. J Clin Periodontol. 2017;44(5):511-9.
Froum SJ, Gomez C. Periodontal regeneration. Curr Opin Periodontol. 1993;(January):111-8.
Takayama SI, Murakami S. Efficacy of FGF-2 in Periodontal Regeneration in a Case of Severe Intrabony Defect and Furcation Involvement With 15-Month Follow-Up. Clin Adv Periodontics. 2021;11(2):74-9.
Published
2023-08-31
How to Cite
WIDYABAWA, Ida Bagus Nyoman Dhedy; FERANASARI, Anak Agung Istri Agung.
Flap surgery with bone graft and periodontal membrane in generalized chronic periodontitis patient.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 2, p. 69-74, aug. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1072>. Date accessed: 20 may 2024.
doi: https://doi.org/10.32793/jrdi.v7i2.1072.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
