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Pang-Ning Chuang

Periodontist

Minimally invasive regeneration surgery with EMD for perio-endo combined lesion

This is 45 y/o male patient without smoking and systemic diseases. There was a perio-endo combined lesion at 37 with root resorption,mobility grade I and furcation involvement.The initial prognosis was questionable.After RCT,minimally invasive regeneration surgery was performed with Emdogain applied under 4.5x loupes. After 6 months,the bone density was improved without mobility and the prognosis turned to be fair. It is our responsibility to save natural teeth and regeneration can change the prognosis.

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initial
initial X-ray film
post RCT 2 months
papilla-preserved incision without reflection of lingual flap and releasing incision
severe bony destruction noted
Emdogain applied only
sutured
stitches removed after 1 week
6 months later
6-month apical film
6-month bitewing radiograph
Regeneration can change the prognosis!
Avatar
Pang-Ning Chuang

Periodontist

Minimally invasive regeneration surgery with EMD for perio-endo combined lesion

This is 45 y/o male patient without smoking and systemic diseases. There was a perio-endo combined lesion at 37 with root resorption,mobility grade I and furcation involvement.The initial prognosis was questionable.After RCT,minimally invasive regeneration surgery was performed with Emdogain applied under 4.5x loupes. After 6 months,the bone density was improved without mobility and the prognosis turned to be fair. It is our responsibility to save natural teeth and regeneration can change the prognosis.

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