CATEGORY 80 AUSTRALASIAN DENTIST CLINICAL Using EthOss® to address a major anterior lingual bony defect with suppuration on probing Case from Dr Andres Eslava, Colombia PATIENT MEDICAL HISTORY Female, 35 years old, non-smoker. Patient with 8mm periodontal pocket in tooth 41 (image 2), bleeding and suppuration on probing (image 1), normal pulp test. In the CT scan we can see cemental tears on tooth 31 (image 7), vertical and horizontal bone loss (image 6) and lingual gingival recession (image 8). Conclusion This case demonstrates that after grafting with EthOss (image 9), there has been a significant reduction in the clinical pocketing which is visible (image 14) and an associated radiographic shows improvement in bone level that has been maintained for 3 years (images 14 & 15). Vertical and horizontal bone has been Fig 1. Suppuration on probing Fig 10. Occlusal view of the defect Fig 4. Initial CT scan Fig 13. Sutured Fig 7. Methylene blue to check cemental tears Fig 16. Final CT scan 3 years later Fig 2. Bleeding on probing – 8mm periodontal pocket Fig 11. Filling the defect with EthOss bone graft material Fig 5. Granulation tissue associated with cemental tear Fig 14. Final situation 3 years later Fig 8. After removal of cemental tears Fig 17. Final situation 3 years later Fig 3. Initial situation Fig 12. Complete filling of the defect and thickening the lingual bone wall Fig 6. Periodontal attachment loss, vertical and horizontal bone loss Fig 15. Final situation 3 years later Fig 9. EthOss bone grafting material mixing Fig 18. Final CT scan achieved (images 16 & 17) with healthy soft attached tissue, following the established EthOss surgical guidelines. u For more information see www.ethoss.au
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