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In the past, the treatment of periodontal (gum) disease was considered to be painful and disfiguring. For many years, the best way to achieve the ultimate goal of therapy (shallow, maintainable pockets) was to do resective surgical procedures that often resulted in the exposure of sensitive root surfaces and the appearance of "long" teeth. Today, periodontists are often able to restore or regenerate missing bone and attachment around teeth subjected to long-standing periodontal disease. In addition, if you have lost a tooth due to trauma or disease, we can restore or regenerate bone prior to the placement of bridges or implants. Guided Tissue Regeneration (GTR) refers to procedures that attempt to regenerate lost periodontal structures (bone, periodontal ligament, and connective tissue attachment) that support our teeth. This is accomplished using biocompatible membranes, often in combination with bone grafts and/or tissue stimulating proteins. Guided Bone Regeneration (GBR) refers to procedures that attempt to regenerate bone prior to the placement of bridges or, more commonly, implants. This is accomplished using bone grafts and biocompatible membranes that keep out tissue and allow the bone to grow.
Useful GTR/GBR Links
Remember, not every case is suitable for grafting so ask your dentist or any of the doctors at Advanced Periodontics of Texas if this procedure can benefit you. Continue below to see some cases treated by the doctors at Advanced Periodontics of Texas
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Click on the thumbnails of the cases below to see some GTR cases before and after treatment. GTR Case 1: Guided tissue regeneration (GTR) using a membrane and bone graft. Initial probing pocket depth: 11+ mm Final probing pocket depth: 4 mm at 10 months post-op
Surgery by : Dr. Ricardo Diaz
GTR Case 2: Guided tissue regeneration (GTR) using a membrane and bone graft. Beginning probing pocket depth: 12+mm Final pocket probing depth: 4 mm at 12 months post-op
Surgery by : Dr. Eduardo Lorenzana
Click on the thumbnails of the cases below to see some GBR cases before and after treatment. GBR Case 1: Guided bone regeneration (GBR) using a biocompatible membrane and an autogenous bone graft (bone from the patient) mixed with deproteinized bovine bone mineral (Bio-Oss®). Figure 1: Careful flap reflection reveals a narrow ridge (3-4 mm wide), preventing implant placement at this time. Figure 2: Seven months after the augmentation procedure, there is approximately 8 mm of ridge width available for implant placement. Figure 3: A wide-diameter (5 mm wide x 10 mm long) implant was placed.
Surgery by : Dr. Eduardo Lorenzana
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San Antonio Area 210-349-5553 1-800-894-9081
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Rio Grande Valley 956-630-0562 1-800-605-3500
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