The most common challenge faced by the clinicians is the management of periodontal disease. Although various treatment strategies have been tried, the use of bone grafts along with a barrier membrane has been the gold standard in intrabony defects. In vivo animal studies and a few in vitro studies have revealed the importance of silk fibroin in bone tissue engineering and has also shown its potential as a scaffold for periodontal ligament cells. The main objective of the case report was to assess the clinical and radiological outcomes of silk fibroin membrane with a xenograft in the treatment of intrabony defects.
A male patient reported to the department of Periodontology with the complaint of food lodgement in the lower right back tooth region. Examination revealed a pocket of 5mm. Phase I therapy was followed by open flap debridement. An intrabony defect along with grade II furcation was detected. This was followed by the use of xenograft and silk fibroin membrane. Improvements were noted clinically and bone fill was assessed radiographically and further analysed using AUTOCAD 2017 software at the end of 12 months.
The case report has proved the efficacy of silk fibroin with xenograft in treating grade II furcation defects . These results have encouraged the use of silk fibroin in tissue engineering in the field of Periodontology.