TREATMENT
OF PERIODONTAL LESIONS IN MULTIROOTED ELEMENTS
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
Graft
with heterologous bone
Figs 20, 21. 3rd degree lesion of the bifurcation
of 4.7 to which is associated an endoperiodontal lesion.
Fig. 22. After
detaching a mucoperiosteal flap the roots are separated.
Fig. 23. Following
bone remodelling the operation continues with an interradicular
graft of Kiel bone to correct the vast bone crater.
Figs 24, 25. Once
tissues have healed, two teeth with provisory cores are constructed.
Figs
26, 27. Two cast gold cores are made. They act as the terminal
pillar of a fixed gold-platinum-porcelain prosthesis restoring
the lower right arch.
Fig. 28. X-ray
four years after the operation.
Fig. 29. 3.7 with
the floor of the pulp chamber completely destroyed by the process
of dental decay.
Fig. 17. Positioning
of shaped Interpore 200.
Fig. 30. After
sculpting a mucoperiosteal flap the roots are separated.
Figs
31, 34. After healing, the two cores are constructed with Duralay
and cast in gold respectively.
Fig. 35. Finally,
the lower left side is restored with the prosthesis.