Abstract
The goal of periodontal therapy is not only to establish and maintain the dentition and the periodontium disease free, but also to provide an environment with optimal function and esthetics. Esthetics has become an integral portion of the overall treatment goal in periodontics.
Gingival recessions present one of the most common aesthetic and functional problems of the periodontium, but also one of the most complex with regard to the etiology and the treatment modalities. They are defined as an exposure of the root surface of the teeth as a result of the apical migration of the gingival margin beyond the cementum-enamel junction.
Periodontal intra‐bony defects (also called “vertical” defects) are an anatomical sequela of periodontal disease progression, with a base apical to the inter‐dental alveolar crest, surrounded by one, two or three bony walls. These defects are associated with a higher risk of progression and, as such, are often considered to require surgical intervention beyond cause‐related periodontal therapy. The demands of current periodontal practice require that clinicians use varied approaches to resolve poor esthetic appearances. In particular, exposed roots and lost interdental papillae, especially in the maxillary anterior sextant are less accepted by the patient.
A 30 year old male patient reported to the department of periodontology with Grade II mobility, hemiseptal one wall intrabony defect and miller’s class II gingival recession i.r.t 21 . Regenerative procedure was carried out using RTR cone and cologide membrane. The patient was reviewed and there was a reduction in mobility, improvement in clinical parameters and an adequate bone fill, thus proving this technique to be successful.