Alveolar bone upper growth in furcation area using a combined orthodontic-regenerative therapy: a case report.
BACKGROUND
This case report demonstrates orthodontic and regenerative combined therapy in a 49-year-old male whose right maxillary premolar furcation had a bony defect with poor biologic width resulting from extensive subgingival caries. In these advanced interdisciplinary cases, crown lengthening with periodontal surgery alone does not solve the complex clinical problems. We believe that a combined orthodontic and periodontal regenerative combination therapy offers the best option for achieving a predictable outcome.


METHODS
First, regenerative therapy by open debridement with a bioabsorbable synthetic bone graft, bioabsorbable membrane, and minocycline root conditioning was carried out. Eight weeks after initial surgery, orthodontic extrusion was initiated.


RESULTS
Radiographs and reentry documentation suggest that the furcation defect associated with poor biologic width was successfully treated.


CONCLUSIONS
This case report demonstrates that orthodontic-regenerative combined therapy can resolve complex clinical problems and enhance predictability.
Ogihara
Shigeki
S
School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.
Marks
Manuel H
MH
D020341:Absorbable Implants; D001861:Bone Regeneration / Q000187:drug effects; D018786:Bone Substitutes; D016556:Crown Lengthening / Q000379:methods; D017823:Furcation Defects / Q000601:surgery*; D005898:Glass; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans; D008297:Male; D008437:Maxilla; D008567:Membranes, Artificial; D008875:Middle Aged; D008911:Minocycline / Q000494:pharmacology; D008963:Molar; D019647:Oral Surgical Procedures / Q000379:methods*; D010348:Patient Care Team; D013524:Surgical Flaps; D014087:Tooth Movement Techniques
C073544:Biogran; D018786:Bone Substitutes; D008567:Membranes, Artificial; D008911:Minocycline