Author/Editor     Mance-Kristan, R; Petelin, M
Title     Zdravljenje kostnih žepov - prikaz dveh primerov
Translated title     Treatment of intrabony degects: two case reports
Type     članek
Source     Zobozdrav Vestn
Vol. and No.     Letnik 63, št. 2-3
Publication year     2008
Volume     str. 114-21
Language     slo
Abstract     Treatment of intrabony defects is influenced by the size and morphology of the lesion. Intrabony defects are classified according to width (narrow, wide) and the number of enclosing bone walls (1, 2 or 3). Both criteria are important for the proper selection and successful outcome of treatment. The primary factor for the development of an intrabony pocket is bacterial plaque. The defect is detected during routine periodontal tissue examination, and the diagnosis is confirmed by x-ray. Treatment begins with oral hygiene instruction, motivation, scaling and root planing. If after these measures, the depth of the defect still exceeds 5 mm, periodontal surgery is indicated. The article takes a closer look at two methods used in the treatment of these lesions: regeneration with enamel matrix proteins, and the sandwich technique using a combination of enamel matrix proteins and autogenous bone graft. The incision and the suturing technique must be selected with a view at preserving as much soft tissue as possible. The best suturing technique is a combination of horizontal and vertical mattress sutures. In the article, both methods of treatment are illustrated with x-ray photographs taken before and a year after the procedure.
Descriptors     PERIODONTAL POCKET
ALVEOLAR BONE LOSS
BONE TRANSPLANTATION
ACID ETCHING, DENTAL
BONE CYSTS