Abstract
We report on a patient diagnosed as having severe chronic periodontitis, who showed improvement of the periodontal tissues following periodontal therapy with EMDOGAIN® (EMD) and analysis, as confirmed by dental CBCT at Kyushu University Hospital. The patient, in good general health, was a 50-year-old male and non-smoker, who presented with the chief complaint of not being able to bite on the right side. At the first examination, the mean probing pocket depth (PPD) was 4.9 mm; periodontal pockets with a depth of over 4 mm accounted for 82.7% of the total. After completion of basic periodontal therapy that included extraction of hopeless non-salvageable teeth, plaque control and full-mouth scaling and root planing, we undertook regeneration therapy with EMD for vertical bone loss, and gingival flap surgery for horizontal bone loss. After the surgery, we employed periodontal prosthetics and shifted to maintenance therapy. After 18 months, the periodontal tissue stabilized. The mean PPD was 2.2 mm and all periodontal pockets were less than 3 mm in depth. At the mesial side of tooth 25 and distal side of tooth 37, for which we used EMD, we confirmed improvement of the clinical attachment level (CAL), and confirmed the presence of regenerating bone by CB MercuRayTM at the mesial side of tooth 25.These findings suggested that EMD and dental CBCT imaging may be useful in the treatment for periodontitis.
Nihon Shishubyo Gakkai Kaishi (J Jpn Soc Periodontol) 53(2) : 141-153, 2011.
