more case studies: Treatment for a Tooth Abscess  |  Rapid Bone Fill - Bridge Extraction Avoided |Bleeding, painful, itchy gums restored to health  |  Pussy Gums of Heavy Smoker Restored to Health  |  Dental Implant Alternative  |  Osseous periodontal surgery alternative - Regeneration of pockets instead of surgical reduction of pockets  |  Combined treatment to save "hopeless" abscessed front tooth

Case 6: Osseous periodontal surgery alternative - Regeneration of pockets instead of surgical reduction of pockets

This patient had undergone a full mouth deep cleaning for her advanced periodontal disease, characterized by very deep pockets and heavy tartar (calculus) under the gums.  She did not respond due to the limitations of root planing, or deep cleanings, in advanced cases. She was given the option for full mouth pocket reduction surgery with the periodontist (osseous periodontal surgery), or a non invasive endoscope regeneration technique called RPE – Regenerative Periodontal Endoscopy.  She chose RPE - her results were remarkable.  This case was documented with over 40 photographs and x-rays, below are some of them.

X-rays and pics of advanced bone loss around the lower posterior teeth:



Advanced bone loss around the lower posterior teeth
Advanced bone loss around the lower posterior teeth
Before x-rays


Advanced bone loss around the lower posterior teeth
10mm pocket tooth #30
Advanced bone loss around the lower posterior teeth
13mm pocket tooth #18

Nice result after only 10 months



Advanced bone loss around the lower posterior teeth
Advanced bone loss around the lower posterior teeth
After x-rays


Advanced bone loss around the lower posterior teeth
After RPE - 4mm
Advanced bone loss around the lower posterior teeth
After RPE - 2mm

This patient had deep periodontal pockets around the majority of her teeth, a generalized advanced periodontal case. Following RPE, she now has tight healthy tissue with no periodontal pockets – health has been restored. We continue to follow her progress every 3 months. Note carefully that this patient did not experience recession of the gums as her pockets reattached and regenerated. Had she undergone osseous periodontal surgery she would not have experienced this nice aesthetic result, and would most certainly have suffered a severe loss of tissue (due to surgically cutting out the pockets), resulting in large gaps and recession of the gums. In addition, she saved thousands of dollars in treatment costs.