Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2024; 12(18): 3575-3581
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3575
Modified approach of regenerative treatment for distal intrabony defect beneath non-keratinized mucosa at terminal molar: A case report
Jian-Ru Liu, Yan Huang, Xiang-Ying Ouyang, Wen-Yi Liu, Ying Xie
Jian-Ru Liu, Yan Huang, Xiang-Ying Ouyang, Wen-Yi Liu, Ying Xie, Department of Periodontology, Peking University School and Hospital of Stomatology, Beijing 100081, China
Author contributions: Liu JR wrote and edited the manuscript; Huang Y conducted data collection; Ouyang XY contributed to conceptualization and supervision; Liu WY and Xie Y contributed to data analysis; All the authors have read and approved the final manuscript.
Supported by Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology, No. PKUSSNCT-23B10.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: All authors have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiang-Ying Ouyang, DDS, PhD, Chief Doctor, Professor, Department of Periodontology, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing 100081, China. kqouyangxy@bjmu.edu.cn
Received: February 21, 2024
Revised: April 21, 2024
Accepted: April 24, 2024
Published online: June 26, 2024
Processing time: 117 Days and 21 Hours
Core Tip

Core Tip: Intrabony defects beneath non-keratinized mucosa frequently occur at the distal of terminal molars, thereby rendering standard regenerative therapy considered impractical. Consequently, we devised a surgical strategy tailored to this specific scenario. By making a vertical incision in the keratinized buccal gingiva, we were able to separate distal non-keratinized soft tissue in a tunnel-like manner, exposing the defect. Regenerative therapy was effectively administered, offering a promising avenue for teeth with non-keratinized mucosa above intrabony defects.