REGENERATIVE SURGERY OF AN ENDO PERIODONTAL DEFECT WITH AN EQUINE ORIGIN BONE SUBSTITUTE

The sheet summarizes the case of a patient who presented to the surgeon with periodontal issues. The periodontal probing found a 10 mm pocket on the palate side for tooth 2.1. Endoral X-rays showed an endo-periodontal lesion of endodontic origin in the root, compatible with external resorption. On the basis of the risk profile assessment it was decided to save the tooth through a combined endodontic and surgical approach, using a Bioteck equine bone substitute consisting of a 1:1 mixture of cancellous and cortical granules sized 0.5-1 mm and an equine pericardium membrane (Heart, Bioteck). One year after treatment, the follow-up CBCT shows the lesion has filled and the bone ridge is stable. The 3-year follow-up shows good integrity and tone of the margin tissues upon periodontal probing and the X-ray examination highlights maturity of the marginal bone.

PRODUCTS USED: Granules Mix, Heart Pericardium Membrane