Fibers retention in the resective surgery
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. 11 – Stitches with apically positioned flaps at the crest of bone
Fig. 13 - Comparing radiograms preceding operation (upper) and in 2-year term
Fig. 15 – Oral comparison preceding operation (Fig. 14) and in 2-year term
Fig. 17 – Glossal comparison preceding operation (Fig. 16) in after 2-year term
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.