Published in November 1996
Periodontal bone surgery with membrane to stimulate the deep periodontium
GUSTAVO PETTI
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site www.gustavopetti.it

Key words:
Membrane, deep periodontium, periodontal regeneration, new attachment.

Fig. 1, Fig. 2 and Fig. 3
Vast bone defect with "passing 3rd class" damage to the furcation of 4.6, seen vestibularly and lingually.
Fig. 4 e Fig. 5
Positioning of the vestibular membrane.
Fig. 6
Note the double suture embracing the neck of the crown lingually to suspend and suitably hold the vestibular membrane.
Fig. 7
Positioning of the lingual membrane.
Fig. 8 e Fig. 9
Suture of the vestibular and lingual mucoperiosteal flaps.
Fig.10
Control after 12 months. Regeneration of the periodontal bone can be seen.

Fig. 11
top: the bone defect before the operation; bottom: after the operation.
Fig. 12
X-ray of serious bone defect involving the bifurcation.
Fig.13
X-ray after one year of the same defect following the operation for periodontal regeneration.

Fig.14
X-ray of the defect. Top: before the operation; bottom: after the operation.
Bone recovery is evident.

 

Bibliografy

  1. BOWERS, G.M.: "Histological evaluation on new attachment in humans", Communication in Periodontal Symposium 30th Anniversary oS Pennsylvania University, giugno 1985
  2. GOTTLOW, J.; NYMAN, S.; LINDHE, J.; KARRING, T.; WENNSTROM, J.: "New attachment formation in the human periodontium by guided tissue regeneration. Case reports", J. of CL Period., 6: 604-615, 1986
  3. Karring, T.; NYMAN, S.; LINDHE, J.: "Healing following implantation of periodontitis affected roots into bone tissue", J, of CL Period., 7: 96, 105, 1980
  4. ISIDOR, F.; KARRING, T.; NYMAN, S.; LINDHE, J.: "The significance of coronal growth of periodontal legament tissue for new attachment formation", J. of Cl. Period"2: 145-150, 1986
  5. ELLEGAARD, B.: "Bone grafts in Periodontal Attachment procedures", J. of CL Period., 5 (extra issue), 1976
  6. KENNEY, E.B.; LEKOVIC, V.; HAN, T.; CARRANZA, J.R.; DIMITRISEVIC, B.: "The use of a Porous Hydroxylapatite Implant in Periodontal Defects. Clinical results after six months", J, of CL Period., 2: 56-82, 1985
  7. LINDHE, J.; WESTFELT, E.; NYMAN, S,; SOCRANSKJ, S,; HEIJL, L.; BRATTHAL, G,: "Healing following surgical/non surgical treatment of periodontal disease", J. of CL Period., 9, 1982
  8. MAGNUSSON, J.; NYMAN, S.; KARRING, T.; ELGEBERG, J.: "Connective tissue attachment formation following exclusion of gingival connective tissue and epithelium during healing", J. of Periodontal Research, 20: 201-208, 1985
  9. NYMAN, S.; "New attachment position based on the principle of guided tissue regeneration", Communication in 3rd SIdP International Congress, Milano, 4-7 giugno 1986
  10. NYMAN, S.; KARRING, T.,' LINDHE, J.,' PLANTEN, S.; "Healing following implantation of periodontitis affected roots into gingival .connective tissue", J. of Cl. Period., 7: 394-400, 1980
  11. NYMAN, S.: "Guided tissue regeneration in new attachment procedures", Communication in Periodontal Symposium 30th Anniversary of Pennsylvania University, giugno 1985
  12. PETTI, G,: "Le metodiche attuali pei il trattamento chirurgico ricostruttivo dei difetti ossei", Il Dentista Moderno, 5: 817-832, 1986
  13. PETTI, G.: "L'impiego della membrana amniotica a protezione della zona donatrice di un innesto libero", II Dentista Moderno, 5, 895-897, 1986
  14. PETTI, G.: "L'impiego della membrana amniotica in chirurgia ossea", Il Dentista Moderno, 9: 45-50, 1986
  15. PETTI, G.: "L'impianto di idrossiapatite microporosa con conservazione della papilla a protezione della zona ricevente", Il Dentista Moderno, 4: 667-677, 1986
  16. PETTI, G.: "Considerazioni sull'uso della membrana amniotica", Il Dentista Mocterno, 1: 97-102, 1987
  17. PETTI, G., "New attachment. La rigenerazione parodontale guidata con l'uso della membrana amniotica e della colla di fibrina: evoluzione di un pensiero", Piccolo Atlante di Parodontologia, cap. VIII: 57-62, Edizioni Ellebi s.r.l., 1987
  18. PETTI, G.: "Una nuova tecnica per isolare lo spazio parodontale in chirurgia ossea",Il Dentista Moderno, 3: 425-434, 1988
  19. PETTI, G.: "L'impiego della colla di fibrina in odontostomatologia", Il Dentista Moderno, 9: 1889-1908, 1987
  20. Simion M.,Trisi P.,Piattelli A.,"Vertical ridge augmentation using a membrane tecnique associated with osseointegratedimplants". Int.J.Periodont Rest Dent ,14 (6) 1994.
  21. Thomas G. Manos,Kolozenski M.A. "Configurazioni rinforzate al titanio". The Regen Tech Review" V.2, N°1, Gennaio, 10-11, 1995.