Successful treatment of aggressive periodontitis is considered to be dependent on early diagnosis, targeted antimicrobial therapy and modifying the tissue architecture that is conducive to long-term maintenance. Osseous defects present a challenge in periodontal practice and successful treatment depends primarily on selection of the correct technique and materials.
This case series presents three cases treated with different techniques and with same materials. The defect was filled up with a equine based bone graft substitute Collagen granules Bio-Gen (Bioteck®, Italy) and covered with a restorable pericardial derived equine based Biocollagen GTR membrane (Bioteck® Italy). Treatment for the endo-perio lesion is also managed where required. The results in all four cases discussed here are satisfactory and have shown long-term stability emphasizing the importance of selection of technique and material.
There are different techniques and a variety of newer materials available for elimination of osseous defects. The key to successful management of such defects is correct diagnosis, early intervention and proper selection of technique and materials. Use of equine based xenograft with pericardial originated GTR bioresorbable membrane showed significant improved outcomes in treating aggressive periodontitis.
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