SURGICAL THERAPY: RECONSTRUCTIVE SURGERY (FIRST CASE)

 Among the therapeutic objectives of surgical periodontal therapy, whenever there is an indication for it, there is the regeneration of the periodontal attachment, which has been lost.

In cases where the osseous defects surrounding the teeth, approach considerable dimensions, a resective approach (that removes osseous tissues) would require an excessive sacrifice of supporting tissues from around the neighboring teeth. It is in these cases, when there are present deep infraosseous defects, that we find an indication for Reconstructive Surgery that favors the addition of bone without altering the contours of the peripheral osseous defect.

In the past thirty years several techniques have been described, aimed at reconstructing the ligament destroyed by the periodontal infection.

The formation of new cementum, ligament fibers, and supporting osseous tissues has been clinically and histologically demonstrated following allografts (DFDBA), guided tissue regeneration (GTR) or induced periodontal regeneration (IPR). The combination of these different reconstructive techniques are often used with much success it the clinical practice.

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