Management & resolution of a circumferential infrabony defect with combined endo-perio lesion by using equine derived xenograft & pericardial GTR memberane - A case report

• Author Details:   
• Sudhanshu Agrawal
• Anand Kishore
• Komal S. Sharma
• Chetan Sharma
• Dipti Singh

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Aim: The aim of this study was to evaluate the role of an equine bio-resorbable membrane with an equine bone graft substitute in the management of a circumferential infrabony defect in a maxillary right central incisor in a patient diagnosed with localized aggressive periodontitis with Endo-Perio lesion.
Methodology: Patient with an Endo-Perio lesion having a circumferential defect of 5-8 mm around the maxillary right central incisor was evident after debridement. The defect was filled up with an equine based bone graft substitute and covered with a bio-resorbable GTR membrane.
Results: Significant improvement in all periodontal variables was found. There was reduction in probing depth of 6 mm, resolution of tooth mobility and increase in the bone fill at 6 months postoperatively.
Conclusion: In this case of a circumferential defect associated with localized aggressive periodontitis with Endo-Perio lesion, excellent results in terms of probing depth reduction and bone fill were obtained. The results were stable till the last follow up at 6 months.

Keywords: Circumferential Infrabony Defect, Aggressive Periodontitis, Endo-Perio Lesion, Equine Based GTR Membrane & Bone Graft.