Treatment of a Periodontic-Endodontic Lesion in a Patient with Aggressive Periodontitis

Figure 2

Microsurgical access flap and use of enamel matrix derivate to treat the defects at tooth 46 (a–f) and tooth 36 (g–i). After crevicular incision (a), the papillae were preserved and the flaps reflected buccally (b and h) and lingually (c and g) to gain access to the defect. The granulation tissue was removed and the root surfaced planed (d) and prepared (PrefGel, Straumann, Freiburg, Germany) before the enamel matrix derivative (Emdogain, Straumann, Freiburg, Germany) was applied (e). Photographs (f) and (i) show the primary wound closure, immediately after the surgery (f) and one week postoperatively (i).

(a)

(b)

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(d)

(e)

(f)

(g)

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(i)