Regeneration of Intrabony Defects Using Autogenous Dentin Graft - A Case Report.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 2
Abstract
Periodontitis is an inflammatory disease of supporting tissues of the teeth caused by specific microorganisms, or group of specific microorganisms, resulting in progressive destruction of the periodontal ligament and alveolar bone with pocket formation, recession or both.1 The combination of various regenerative biologic agents and techniques has recently attracted the interest of researchers in the field of reconstructive periodontal surgical therapy. 2 A 45 year old patient presented with a probing pocket depth of 7 mm and 8 mm mesial and distal to the right mandibular 2nd premolar respectively. The radiograph revealed an intrabony defect depth of 6.32 mm and 6.57 mm on mesial and distal aspect of the the tooth respectively. The defect was treated by open flap debridement and grafting with autogenous dentin graft along with chorion as a barrier membrane. On 6 months follow up favourable results were seen. Keywords: Autogenous dentin graft, Chorion membrane, Intrabony defects. Introduction The most common form of regenerative periodontal therapy in practice is the use of bone grafts. Bone grafting materials function as structural scaffolds and matrices for attachment and proliferation of anchorage-dependent osteoblast.3 Intrabony defects have been treated by many techniques for regeneration of bone for better prognosis. One of the oldest biomaterials used for scaffolds is the fetal membrane. The fetal membrane was first used for the transplantation of skin in 1910. It is useful in the management of burns, creation of surgical dressings, as well as reconstruction of oral cavity, bladder and vagina tympanoplasty and arthroplasty.4 It has gained importance because of its ability to reduce scarring and inflammation,enhance wound healing, and serve as a scaffold for cell proliferation and differentiation as a result of its antimicrobial properties. In addition, the chorionic membrane (CM) a fetal membrane is a biomaterial that can be easily obtained, processed and transported.5 It has been stated that teeth can be used as graft material that is gradually replaced by bone. Autogenous mineralized dentin grafted immediately after extraction is considered as a gold standard for socket preservation, bone augmentation in sinuses & bone defects.6
Authors and Affiliations
Dr. Jagadish Reddy Gooty
Keywords
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