[The use of fibrin sealer (glue) and porous hydroxyapatite in the treatment of periodontal bony defects].

The case report describes a method for treatment of osseous periodontal defects utilizing implantation of porous hydroxylapatite (Interpore 200) with fibrinsealer (Tisseel). Instead of the traditional flap operation-incision the Papillae Preservation Technique is used to protect the implanted material and prevent migration. The hydroxylapatite granulae were embedded in fibrinsealer before filling into the bone defects, and the flaps were fixed to the underlying tissue with fibrinsealer. One of the flaps was furthermore secured by matras-suture. The clinical results after 1-year observation show healthy gingival conditions without inflammation, and no pockets being more than 3-4 mm. The radiograph shows a proper fill-up of the periodontal bone defects.