It has been shown that in the treatment of intrabony defects in periodontal diseases, differences in defect filling are not only caused by the osteoinductive and osteoconductive potentials of the graft materials used. Operation technique, experience of the person performing the application, postoperative infection control and inadequate long-term follow-up of the patient are among the most important reasons for the difference in the results of biomaterial applications.
A case example;
45 During the examination of a year-old female patient; It was determined that pus came from the operation area due to the biometerial application performed on the lower right canine tooth 4 years ago, alveolar bone loss in the defect area increased and 1st degree mobility improved. Following the initial treatment, a half-thickness flap was removed in the entire operation area to ensure that the flap covered the entire material placed during surgical application and was positioned in the same position without tension during the treatment, and all granulation tissue was cleaned until the bone walls in the defect area were exposed. DFDBA, which has osteoconductive and partially osteoinductive properties, and osteoconductive HA graft materials were used together to complement each other in the biomaterial combination to be used in the defect area. Platelet-enriched plasma (PRP) was applied to increase blood circulation in the graft materials and retention between the graft particles. In the case, the early effect of the surgical technique and biomaterial combination selection on the treatment results was demonstrated with the 3-month clinical and radiological follow-up results.
Read: 0
