Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2022  |  Volume : 26  |  Issue : 3  |  Page : 295-298

Periodontal regeneration using connective tissue graft wall and xenograft with coronally advanced flap in noncontained intrabony defects: A novel combination technique

1 Department of Oral Medicine and Periodontology, The Faculty of Dentistry, Cairo University, Cairo, Egypt; European Campus Rottal-Inn, Deggendorf Institute of Technology, Deggendorf, Germany
2 Department of Oral Medicine and Periodontology, The Faculty of Dentistry, Cairo University, Cairo; Department of Periodontics, School of Dentistry, NewGiza University, Giza, Egypt

Correspondence Address:
Ahmed Mohamed Elfana
11 Al-Saraya St, Al-Manial, Cairo

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_347_21

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The present case report describes the novel combination of connective tissue graft (CTG) wall technique with xenograft for periodontal regeneration of extensive intrabony defects in the esthetic area. A 24-year-old female patient presented with gingival recession with mesial and distal deep bony defects at the upper lateral incisor and probing depths (PDs) of 7 and 5 mm, respectively. The surgical technique involved split-thickness buccal flap elevation, grafting the bone defects with xenograft bone substitute, securing the CTG over the surgical site followed by flap advancement. Uneventful healing was evident with reduction in PDs (5 and 4 mm), recession depths, and improvement in clinical attachment levels after 1 year. Radiographically, bone fill in the intrabony component was evident. It can be concluded that the presented approach combines the benefits of bone substitute's space maintaining and osteoconduction properties with the advantages of CTG wall to support the regeneration site and the overlying flap for improved clinical and radiographic outcomes in deep intrabony defects.

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