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ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2009, Number 6

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Rev ADM 2009; 66 (6)

La terapia periodontal mediante el principio biológico de la regeneración tisular guiada (rtg) Reporte de un caso clínico

Bautista ZAE, Farill GM

Language: Spanish
References: 40
Page: 22-27
PDF size: 459.70 Kb.


ABSTRACT

The main purpose of periodontal therapy has been for many years to regenerate the lost periodontal tissues lost because of periodontal disease. Most of the treatments try to limit the damages already done, instead of regenerating periodontal lost tissues. In this traditional manner, what we get a clinical state of health characterized by a longunion ephitelyium in the site. It’s the purpose of this article to present the results obtained by application of the principles of guided tissular regeneration using a non-absorbable periodontal barrier membrane made of expanded poly-tetra-fluorethylene (e-PTFE) in a 15 millimiters in depth periodontal pocket with a loss of attachment of 13 millimiters in the left central upper incisor, in a 26 year-old patient diagnosed with aggressive localized periodontitis. After the endodontic treatment of the above mentioned tooth, the periodontal treatment consisted of an open flap curetage, root planning and the positioning of a dry and frozen-decalcified bone graf (DFDBA), besides inserting an non-absorbable poly-tetra-fluorethylene periodontal barrier membrane. The case was followed up to two years. 24 months later of the procedure, in radiographs we observed a filling of bone of up to 7 mm., with a pocket depth of 3 mm., and with the clinical characteristics of healthy soft periodontal tissue. The obtained results allow us to conclude that guided tissular regeneration is a predictable method, with many success prospects.


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