PMC5767996_01
Preoperative photograph showing periodontal condition after orthodontic treatment
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F1
There were generalized deep true periodontal pockets with average probing pocket depth of 7-8mm with Grade II to Grade III mobile teeth in relation to11, 21 [Figure 1].
Preoperative orthopantomograph showing moderate-to-severe bone loss
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F2
Radiographic investigations such as orthopantomograph (OPG) [Figure 2] and full mouth intraoral periapical radiographs (IOPA) were advised [Figure 3].
Preoperative full mouth intraoral periapical radiographs
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F3
Radiographic investigations such as orthopantomograph (OPG) [Figure 2] and full mouth intraoral periapical radiographs (IOPA) were advised [Figure 3].
Regenerative surgical procedure done with platelet rich fibrin and hydroxyapatite bone graft in the vertical defect of 11-21
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F4
Tooth region 11-21 showed a two-walled defect [Figure 4].
Regenerative surgical procedure done in the tooth region 16, 26 using platelet rich fibrin and bone graft
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F5
Whereas 16 and 26 both showed three walled defect with Grade II furcation involvement seen in 26 [Figure 5].
Postoperative photograph showing periodontal stability
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F6
There was a decrease in the mobility of the teeth 11, 21 from Grade III to Grade I [Figure 6].
Pre- and post-operative intraoral periapical view of 11, 21 region showing bone fill
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F7
Postoperative radiographs at 9 months showed significant bone fill in the areas where regenerative techniques were performed [Figures 7 and 8].
Postoperative orthopantomograph
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F8
Postoperative radiographs at 9 months showed significant bone fill in the areas where regenerative techniques were performed [Figures 7 and 8].
Postoperative photograph comparing before and after placing Valplast gingival prosthesis in patient's mouth
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F9
The patient was very much satisfied with the esthetics achieved with the prosthesis [Figure 9].