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   Offical Journal of The Academy of Osseointegration

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Volume 19 , Issue 3
May/June 1999

Pages 243-249

Treatment of a Large Periapical Lesion with Loss of Labial Cortical Plate Using GTR: A Case Report

Federico Brugnami, DDS/James T. Mellonig, DDS, MS

PMID: 10635170
DOI: 10.11607/prd.00.0315

Following endodontic treatment, a large periapical lesion (9.0 mm 3 9.0 mm) at a maxillary central incisor was treated with demineralized freeze-dried bone allograft (DFDBA) using the principles of guided tissue regeneration (GTR). The physical barrier was removed 6 months postsurgical. The cortical alveolar plate was observed to be completely reconstructed. Histologic evaluation demonstrated lamellar bone surrounding DFDBA particles. Radiographic follow-up 1 year posttreatment demonstrated complete resolution of the periapical radiolucency.

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