MANAGEMENT OF CHRONIC PERIODONTITIS WITH CRATER-LIKE BONE LOSS ASSOCIATED WITH TRAUMA FROM OCCLUSION: A CASE REPORT

Prajna Metta; Aldilla Miranda

Volume : X, Issue : III, March - 2020

MANAGEMENT OF CHRONIC PERIODONTITIS WITH CRATER-LIKE BONE LOSS ASSOCIATED WITH TRAUMA FROM OCCLUSION: A CASE REPORT

Prajna Metta, Aldilla Miranda

Abstract :

Chronic periodontitis with trauma from occlusion may result in crater–like bone loss & tooth mobility. Flap procedures with bone graft and memane have been used for pocket elimination and bone regeneration. This case report presented the treatment of deep pocket depth of 4 to 7 mm and grade III mobility of nonvital teeth (31 and 32) of a 48–year–old male. Radiograph revealed a crater–like bone loss on apical region with questionable prognosis. Scaling, root planing, splinting, selective grinding, and endodontic treatment were done prior to the surgery. Regeneration of deep periodontal intrabony defect was attempted using Carbonate Apatite and PRF memane. Flap surgery is indicated to eliminate periodontal pockets which often include bony defects resulting from both horizontal and vertical bone loss that are not consistent with the overlying gingival architecture. Splinting and flap procedure using bone graft and memane can preserve mobile teeth with crater–like bone loss.