PMC2933531_01
A periodontal pocket of 7 mm on distal aspect
JISP-14-53-g001.jpg
PMC2933531_01_JISP-14-53-g001.jpg
F0001
On examination there was a periodontal pocket of 7 mm and 8 mm on distal aspect of 46 and 47 respectively [Figure 1a and b]. Radiograph showed infrabony defects distal to 46 and 47 [Figure 1c].
A periodontal pocket of 8 mm on distal aspect
JISP-14-53-g002.jpg
PMC2933531_01_JISP-14-53-g002.jpg
F0002
No vertical incisions were given and the flap was extended to one tooth on either side for adequate reflection [Figure 2a]. A thorough debridement was carried out and after complete removal of granulation tissue, 5.5 mm and 5 mm defects were present distal to 46 and 47 respectively [Figure 2b and c].
Radiograph showing infrabony defects distal to 46 and 47
JISP-14-53-g003.jpg
PMC2933531_01_JISP-14-53-g003.jpg
F0003
A mucoperiosteal flap was raised and site exposed with adequate reflection [Figure 3].
A flap extended to one tooth on either side for adequate reflection
JISP-14-53-g004.jpg
PMC2933531_01_JISP-14-53-g004.jpg
F0004
Autogenous chips were collected from the site [Figure 4] and placed into the defects [Figure 5].
A defect of 7 mm distal to 46 seen on surgical exposure
JISP-14-53-g005.jpg
PMC2933531_01_JISP-14-53-g005.jpg
F0005
Autogenous chips were collected from the site [Figure 4] and placed into the defects [Figure 5].
A defect of 8 mm distal to 47
JISP-14-53-g006.jpg
PMC2933531_01_JISP-14-53-g006.jpg
F0006
After nine months, the probing depth had reduced to 2 mm and 1.5 mm distal to 46 and 47 respectively [Figure 6a and b]. The radiograph showed good bony fill in the defects distal to 46 and 47 [Figure 6c].