Management of osseous defects in aggressive periodontitis: A report of four cases using different techniques

Introduction: Successful treatment of aggressive periodontitis is considered to be dependent on early diagnosis, targeted antimicrobial therapy and modifying the tissue architecture that is conducive to long-term maintenance. Osseous defects present a challenge in periodontal practice and successful treatment depends primarily on selection of the correct technique and materials. Case Series: This case series presents four cases and a total of eight defects treated with different techniques and materials. One defect was treated using a combination of plateletrich plasma (PRP) with bone graft substitute, three defects were treated using bone graft substitute with resorbable membrane, one using autogenous bone graft combined with bone graft substitute, one using bone graft substitute alone, one using resection technique and the last one was managed as an endo-perio lesion. The results in all four cases discussed here are satisfactory and have shown long-term stability emphasizing the importance of selection of technique and material. Conclusion: There are different techniques and a variety of newer materials available for elimination of osseous defects. The key to successful management of such defects is correct diagnosis, early intervention and proper selection of technique and materials. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 5 No. 7, July 2014. ISSN – [0976-3198] Int J Case Rep Images 2014;5(7):468–473. www.ijcasereportsandimages.com Singh et al. 468 CASE SEriES OPEN ACCESS Management of osseous defects in aggressive periodontitis: A report of four cases using different techniques Sangeeta Singh, Parul Sharma