Luna JGF, García LBE, De LVFJ

Language: Spanish
References: 10
Page: 255-260
PDF size: 2847.90 Kb.

ABSTRACT

Introduction: advanced periodontitis can lead to one-wall vertical bone defects, which pose a significant clinical challenge due to difficulties in stabilizing the clot and achieving tissue regeneration. Case presentation: this report describes the management of a one-wall infrabony defect using the "wall" technique with subepithelial connective tissue graft and enamel matrix derivative (EMD) in a patient with systemic risk factors. A surgical procedure was performed to transform the non-contained defect into a contained one, facilitating functional periodontal regeneration. The clinical course highlighted the need for an interdisciplinary approach, with endodontic treatment integrated due to persistent vestibular fistula following surgery. Conclusion: the combination of the wall technique and connective tissue graft with EMD enables regeneration in challenging cases, underscoring the relevance of interdisciplinary treatment planning and proper technique selection for complex defects.

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