Treatment of periodontal infrabony defect using particulate dentin graft and recombinant human platelet-derived growth factor

采用颗粒状牙本质移植和重组人血小板衍生生长因子治疗牙周骨内缺损

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Abstract

Periodontal bone defects pose significant challenges in dentistry, necessitating effective treatment strategies. This case report explores the regenerative potential of using a combination of particulate dentin graft (PDG) derived from extracted teeth and recombinant human platelet-derived growth factor (rhPDGF) as bone graft material for the treatment of human periodontal infrabony defects. A 44-year-old male patient presented with a 9 mm pocket probing depth (PPD) and an 8 mm infrabony defect depth mesial to #13, with no gingival recession (GR). Following Phase I therapy, open flap debridement and grafting with PDG and rhPDGF were performed. Clinical and radiographic measurements were taken at baseline and 6 and 12 months. At 12 months, a 6 mm reduction in PPD and clinical attachment level gain were observed with no GR. 5 mm (83.33%) bone fill was seen radiographically. Within the limitations of this case report, the utilization of PDG with rhPDGF for the treatment of infrabony periodontal defects has emerged as a promising regenerative therapy.

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