Intrabony Defect Mesial #12 (Mx left 1st PM) with V-MIS
Localized 8mm probing depth mesial #12; had progressed from a 5mm pd that was managed with s/rp and perio maintenance up to this point. Site accessed with minimally invasive incision designs, debrided with aid of videomicroscope (Olympus, Uteroreno videoscope). Large groove in center of mesial concavity revealed with line of calculus and advanced bone destruction. Buccal wall still intact(although paper thin), makes detection of these types of defects with only Radiographs very difficult if not impossible, must combine with clinical periodontal exam. Groove plastied with hshp and fine small football diamond bur. Grafted with fdba and emdogain; single 4.0 cg suture to close.