Treatment of Periodontitis with Furcation Lesions and Vertical Alveolar Bone Loss: Case Report

Abstract

Chronic periodontitis is an inflammatory disease induced by bacterial biofilm and characterized by gingival inflammation, loss of attachment, and alveolar bone resorption. Regeneration of the periodontium is a primary goal in treating teeth affected by periodontitis. This case report describes two cases of the treatment of periodontitis with furcation lesions and vertical alveolar bone loss by xenograft bone grafting and membrane placement. This case report describes two cases with the main complaints of gingival bleeding when brushing teeth in the mandibular posterior teeth. The first case showed 46 teeth with a probing depth of 9 mm and grade 2 buccal furcation involvement, and the second showed a probing depth of 36 teeth 6 mm and grade 1 buccal furcation involvement. Based on the periapical radiographic, the two cases presented vertical bone loss. After initial therapy in both patients, it was continued with periodontal flap surgery accompanied by xenograft bone grafting and membrane placement. After four months of follow-up, no bleeding and inflammation were found in the gingiva, and a reduction in pocket depth. Periodontal regenerative surgery in periodontitis with furcation lesions accompanied by vertical bony loss can assist in relieving inflammation and reducing pockets.