Female 52 years old, former smoker. Healthy. Diagnosed with generalised periodontal disease. Non-surgical approach delt with most of the pockets and improved oral hygiene. At review appointment, a pocket depth up to 7mm was detected around the lower left second premolar.


A surgical approach, to regenerate the lost tissues, was the selected treatment option. All inflammatory tissue was removed from the defect, root surfaces were carefully debribed and grafting material was placed in the bone defect. This was covered with a resorbable membrane. Sutures were removed after 2 weeks and the presented final condition is after 8 months. We can note a dramatic decrease in pocket depth and bone fill of the defect as demonstrated by the relevant x-ray.