Background
In this case, the patient is a 60-year-old male who has a history of smoking. It has been more than ten years since the patient quit smoking. Patient had developed a large periodontal defect on the distal of #29 and wanted to keep #29 while replacing #30 with an implant. An endodontist tested #29 and deemed it vital.
Case Description
The plan was to treat #29 periodontally and place an implant at #30, then graft the defect between the implant and #29 with particulate graft and OSSIX® Plus membrane layered over it. A crestal incision was made with sulcular incisions extending onto #28 and #29. A full thickness flap was raised. Defect on the distal of #29 was thoroughly debrided with ultrasonic and highspeed instrumentation. The occlusion of #29 was adjusted as well. Drilled osteotomy occurred at #30 and an implant was placed. A particulate allograft (mineralized cortical/cancellous) was placed in the periodontal defect. OSSIX® Plus (25x35mm) was layered over the particulate graft. A horizontal mattress suture was placed to approximate the tissues and help hold the membrane/graft down. Read more in the attached case study for further details.
