Management of chronic periodontitis by combined modified splinting and regenerative periodontal therapy: A case report

Background: Periodontal disease is an infectious disease characterized by inflammation of the tooth-supportive tissues, which can destroy the periodontal ligament and alveolar bone and possibly lead to tooth loss. Splinting becomes necessary only if tooth mobility interferes with the patient's satisfaction or the masticatory function, if an increase is anticipated following surgical interventions, or if regenerative periodontal therapies are planned. Regeneration of periodontal tissues may be achieved by Guided Tissue Regeneration (GTR), using resorbable or non-resorbable membranes. Purpose: The purpose of this case report is to describe the stages of chronic periodontitis treatment with a combination of splinting followed by regenerative periodontal therapy. Case: A 34-year-old came with a complaint of maxillary front incisor mobility 5 years ago and no pain. The diagnosis of tooth 11 and tooth 21 was chronic periodontitis. The treatment plan that will be carried out is regenerative surgery on tooth 11 and tooth 21. Case Management: The splinting treatment performed in this case report uses composite fiber to stabilize the teeth that will be subjected to regenerative periodontal therapy. Regenerative periodontal therapy uses bone graft and membrane pericardium after debridement of granulation tissue in the defect area. Flap fixation was performed with an interrupted suture using Nylon 5.0. The 30th-day postoperative control showed satisfactory results both clinically and radiographically. Conclusion: Treatment of chronic periodontitis with a combination of good splinting and periodontal regenerative therapy using xenografts and membranes can provide satisfactory results.