Clinical International

Fibers retention in the resective surgery
07.08.2017 | Clinical international

Fibers retention in the resective surgery

by Dental Time

Nowadays, irregularities of bone and intraosseous defects within 2-3mm can be treated with the use of the modern fibers retention method, offered long time ago and often implemented now. This method is also of high importance for crown lengthening procedure.

A woman, 35 y.o., healthy, non-smoker, without diabetic disease, admitted with probing depth, bleeding probe and slightly mobile molars. Bone surgery with retaining fibers was chosen as a treating method for this case.

 

Fig. 1 – Resective osseous surgery with retaining fibers. Oral probe

 

Fig. 2 – Glossal probe

 

Fig. 3 – Initial radiograms

Fig. 4 – Plan of an oral flap and double parabola on 46. Vertical cutting distal to 43

 

Fig. 5 – Glossal submarginal cutting 

 

Fig. 6 – Oral osseous defect before recontouring a bone

 

Fig. 7 – Glossal recontouring with removing the defect between 46 and 47 and correcting reverse bone structure on premolars

 

Fig. 8 – Glossal bone defect before recontouring a bone 

 

Fig. 9 – Glossal recontouring with bone shaping of glossal tori, creating glossal oral ramps, fibers retaining at the inter-proximal level and furcation zone

 

Fig. 10

 

Fig. 11 – Stitches with apically positioned flaps at the crest of bone

 

Fig. 12

 

Fig. 13 - Comparing radiograms preceding operation (upper) and in 2-year term

 

Fig.14

 

Fig. 15 – Oral comparison preceding operation (Fig. 14) and in 2-year term

 

Fig. 16

 

Fig. 17 – Glossal comparison preceding operation (Fig. 16) in after 2-year term

 

Conclusion

RBS method allows eliminating probing depth of minor intraosseous defects, obtaining normal architecture of soft tissues and greater opportunity for the patient to keep mouth hygiene.

 

Source: www.styleitaliano.org

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