Chinese Journal of Stomatological Continuing Education ›› 2024, Vol. 27 ›› Issue (4): 352-363.DOI: 10.12337/zgkqjxjyzz.2024.04.011

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Guided Tissue Regeneration Combined with Bone Grafting for Treatment of Teeth with Questionable Prognosis in A Patient with Stage III Class C Periodontitis: A Case Report

Zhuoyi Liao, Guiqi Li, Shan Jiang*, Yuqin Shen*   

  1. Department of Periodontology, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, P.R. China
  • Published:2025-01-09
  • Contact: Shan Jiang, Yuqin Shen. Tel: 020-81299940. Email: 2015686028@gzhmu.edu.cn; 2020686041@gzhmu.edu.cn. Address: No. 195 Dongfeng West Road, Yuexiu District, Guangzhou 510180, Guangdong Province, P.R. China.

Abstract: Objective: To evaluate the clinical effect of guided tissue regeneration (GTR) combined with bone grafting in treatment of teeth with questionable prognosis. Diagnosis and treatment: In this paper, we reported a young patient with stageⅢclass C periodontitis treated with well-planned non-surgical and surgical periodontal treatment to restore the normal physiological structure and function of periodontal tissue. Teeth with questionable prognosis with severe attachment loss and/or furcation involvement were treated with non-surgical periodontal treatment, GTR and bone grafting procedure. Results: There was significant increase in the bone density of intra-bony defects. Periodontal parameters including periodontal probing depth and tooth motility were also significantly improved. Conclusions: For treatment of teeth with questionable prognosis, regenerative periodontal surgery could achieve favorable clinical outcomes in young periodontitis patients.

Key words: periodontitis, stageⅢgrade C periodontitis, teeth with questionable prognosis, guided tissue regeneration, bone grafting