Duration: 56 minutes, 15 seconds

Author: Dr. Giulio Rasperini

Clinical Concepts in Regenerative Periodontal Therapy


Periodontal disease is a common oral health issue that affects individuals of all ages. In this article, we will explore some clinical concepts in regenerative periodontal therapy, focusing on a case involving a 12-year-old boy with severe periodontal disease. The goal of treatment in such cases is not only to regenerate bone but also to recreate attachment and control infection.

A Case Study

The speaker discusses a compelling case involving a 12-year-old boy who presented with severe periodontal disease. It is essential to note that the diagnosis of periodontal disease is primarily based on probing rather than radiographic analysis. By carefully examining periodontal pockets and evaluating their depth, clinicians can determine the extent of the disease and plan appropriate treatment strategies.

Importance of Attachment Recreation

When it comes to treating natural teeth affected by periodontal disease, the focus should not solely be on bone regeneration. Instead, recreating attachment is of paramount importance. Attachment refers to the fibers that attach the tooth to the surrounding tissues, providing stability and support. By recreating proper attachment, we can improve the long-term prognosis of affected teeth.

Understanding Orthodontic Treatment

In the case discussed, the patient had orthodontic treatment prior to undergoing periodontal therapy. This aspect is significant as the positioning of teeth can impact the success of regenerative therapies. Proper alignment of teeth allows better access for thorough cleaning and facilitates effective plaque control, minimizing the risk of reinfection. Additionally, in some cases, teeth may need to be splinted to enhance stability during the healing process.

Non-Surgical Therapy

To control infection and remove biofilm, non-surgical therapy was performed in the case. This approach involves the use of small curettes to manually remove biofilm and calculus from the affected tooth surfaces and root surfaces. By carefully accessing and cleaning the root surfaces, the inflammatory process can be controlled, promoting healing and regeneration.


Regenerative periodontal therapy is a multi-faceted approach that aims to restore the health and function of periodontally compromised dentition. By focusing on attachment recreation and controlling infection, we can improve the prognosis of affected teeth and enhance the overall periodontal health of patients.

Frequently Asked Questions

1. How can I prevent periodontal disease?

To prevent periodontal disease, it is crucial to maintain good oral hygiene practices such as daily brushing and flossing, regular dental check-ups, and professional cleanings. Avoiding tobacco use and maintaining a healthy lifestyle with a balanced diet can also contribute to periodontal health.

2. Is regenerative periodontal therapy painful?

Regenerative periodontal therapy is performed under local anesthesia, ensuring that the patient experiences minimal discomfort during the procedure. Post-treatment discomfort can be managed with over-the-counter pain medication as recommended by the dentist.

3. Can regenerative periodontal therapy be performed on elderly patients?

Yes, regenerative periodontal therapy can be performed on elderly patients as long as they are in reasonably good health. However, individual assessment is necessary to determine the suitability of the treatment based on the patient’s overall health and specific dental considerations.

4. How long does it take to see results from regenerative periodontal therapy?

The healing and regeneration process following regenerative periodontal therapy can vary for each patient. It may take several months to observe significant improvements, and regular follow-up appointments with the dentist are essential to monitor progress and make any necessary adjustments to the treatment plan.

5. What happens if regenerative periodontal therapy fails?

If regenerative periodontal therapy fails to yield satisfactory results, alternative treatment options such as periodontal surgery or dental implants may be considered. The dentist will assess the specific situation and recommend the most appropriate course of action based on the patient’s needs and goals.

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