From trivial to consequential-a unique approach of buttress bone as an auto-graft for effective restoration

Kanika Sharma, Vidushi Sheokand, Shalini Kapoor, Priyanka Paul Madhu*, Yojana Patil

Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.

ABSTRACT

An unusual bony growth evokes suspicion, buttressing bone formation is one such exemplar. Periodontal disease leads to the destruction of soft and hard supporting tissue. The immunoinflammatory process in bone triggers the formation and resorption of bone simultaneously. In an attempt to buttress bony trabecular weakened by resorption, peripheral buttressing bone is formed which sometimes is accompanied by the formation of intrabony defect. In the present case report, A 27-year-old female patient presented with the chief complaint of painless hard swelling on the upper right and left-back tooth region since 5-6 years. The patient was diagnosed with generalized chronic Periodontitis with Bilateral Maxillary buttressing of bone. Conventional Respective osseous surgery was done in one quadrant and respective osseous surgery with the regenerative technique by using the bone obtained during surgery as an autograft to fill the intraosseous defect in the same periodontitis patient. The patient was followed up after 3 weeks, 3 months, and then 6 months. There was no increase in bone growth at the end of the 6th month obtaining the bone as a graft from donor site during the respective osseous procedure serves dual advantage of Recontouring and obtaining desirable bony contours and eliminating any other donor site or another kind of graft material for restoring the intraosseous defect. As in the case presented, the problem was used as a solution. The buttress bone obtained from the respective procedure serves as the gold standard autogenous graft for restoring the intraosseous defect.

Keywords:

Autogenous graft, Buttress bone, Intraosseous defect, Respective procedures