The Periosteum for Regenerating Periodontal Lesions
Most all dentists only see the periosteum when it is at rest. However, a tremendous proliferation of regenerative cells occurs when the periosteum is activated in a bone fracture and this proliferation of regenerative cells also occurs when the periosteum is used for regenerating periodontal lesions.
Twenty years ago, SteinerBio developed the Inverted Periosteal Graft to regenerate periodontal lesions. The periosteum is the only membrane we have used during that time for regenerating periodontal lesions. Let’s review the significant features of the surgery.
The lesions were root planed, treated with EDTA, grafted with Immediate Graft, and the periosteum was inverted and sutured over the grafted sites.
Post-operative evaluation shows radiographic bone fill and clinically, probings are within normal limits.
The following patient presented with generalized periodontitis, poor oral hygiene, and a Type 1 diabetic. She received full mouth surgery under general anesthesia. The surgical therapy was full mouth inverted periosteal graft. The bone graft material was Socket Graft mixed with OsseoConduct βTCP perio granules in a one-to-one ratio.