Presentation Category
Endo
Introduction/Context/Diagnosis
Through and through defects result in perforation of both alveolar cortical plates, buccal and lingual/palatal, at the apical region causing communication between the flapped tissues (usually buccal) and the unflapped tissues (usually lingual/palatal). Multiple approaches have been proposed to manage these defects using different regenerative materials such as resorbable membranes with or without graft material, calcium sulfate, platelet-rich plasma (PRP) and platelet rich fibrin (PRF). However, there is no consensus on the ultimate management protocol for these defects, which leaves clinicians uncertain about the long-term prognosis. A possible reason for the different outcomes is the variation in how through and through defects may present clinically. Such variations may require different management strategies for more predictable outcomes. In this table clinic, we will present the different types of through and through defects that could be encountered clinically and the recommended management approach for each condition for predictable hard-tissue remodeling.
Location
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Format
Presentation
Management of Different Types of Through and Through Defectsusing Guide Tissue Regeneration (GTR)
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Through and through defects result in perforation of both alveolar cortical plates, buccal and lingual/palatal, at the apical region causing communication between the flapped tissues (usually buccal) and the unflapped tissues (usually lingual/palatal). Multiple approaches have been proposed to manage these defects using different regenerative materials such as resorbable membranes with or without graft material, calcium sulfate, platelet-rich plasma (PRP) and platelet rich fibrin (PRF). However, there is no consensus on the ultimate management protocol for these defects, which leaves clinicians uncertain about the long-term prognosis. A possible reason for the different outcomes is the variation in how through and through defects may present clinically. Such variations may require different management strategies for more predictable outcomes. In this table clinic, we will present the different types of through and through defects that could be encountered clinically and the recommended management approach for each condition for predictable hard-tissue remodeling.
Comments/Acknowledgements
Presentation Category: Residents: Endodontics