To introduce a judicious treatment modality for Localized Aggressive Periodontitis (LAP) using bone graft with platelet rich fibrin (PRF) for satisfactorily regenerating bone in defect sites.
Preoperative probing pocket depths ranging from 6-8.5 mm were present in relation to the teeth 31 and 46.Clinical attachment levels were recorded to be of same values as pocket depths. Vertical bone defects were found in periapical radiographs of teeth 46 and 31. Management of tooth 46 was done with conventional regenerative techniques but in relation to tooth 31 a customized approach was used due to limited availability for regeneration. Platelet rich fibrin with bone graft was used to regenerate the combined bone defect.
Soft tissue healing showed significant improvement in probing pocket depths and clinical attachment levels. (4-4.5 mm)  Satisfactory bone fill of 9 mm and 6 mm were achieved in both the sites 31 and 46  respectively at the end of six months which were measured using IOPA grid system.
A patient with localized aggressive periodontitis was treated successfully by addressing the key factors such as early diagnosis, elimination of periodontal pathogens and regeneration of the defect sites were accomplished using combination of bone grafts and PRF.

Reference: Nanditha S, Muthusamy S, Chandrasekaran S, Kannan S (2015) A Judicious Treatment Approach for the Management of Localized Aggressive Periodontitis: A Case Report. J Interdiscipl Med Dent Sci 3:174. doi: 10.4172/2376-032X.1000174

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