Читать книгу Clinical Cases in Periodontics - Группа авторов - Страница 118

Localized scaling and root planing of tooth #19 was performed using a Cavitron and hand instruments. After a healing period of six weeks, periodontal reevaluation revealed a probing depth of 8 mm with bleeding on probing on the midbuccal of #19. The treatment plan at this point included surgical treatment to remove the CEP. An intrasulcular incision was made from the distal line angle of tooth #18 to mesial line angle of tooth #20 using a 15C blade. Full‐thickness buccal and lingual flaps were raised to expose the furcation area of tooth #19 and allow adequate visualization of, and access to, the CEP. Figure 1.7.4 shows that the CEP extended apically almost to the level of bone crest. A diamond burr was then used to remove the CEP completely (Figure 1.7.4) and the furca was debrided using a Cavitron and hand instruments. The flap was eventually sutured back into its original position. Postoperative instructions were given and the patient was seen two weeks later for a follow‐up. Six months later, localized probing at tooth #19 showed a probing depth of 4 mm without bleeding on probing.