Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 9:211

First Online: 25 September 2015Received: 14 May 2015Accepted: 17 August 2015DOI: 10.1186-s13256-015-0677-6

Cite this article as: Kamil, W., Al Bayati, L., Hussin, A.S. et al. J Med Case Reports 2015 9: 211. doi:10.1186-s13256-015-0677-6

Abstract

IntroductionAggressive periodontitis is characterized by a rapid rate of attachment loss and bone resorption. Regenerative therapy offers reconstruction of the periodontium; however, certain advanced cases with a questionable prognosis might remain a challenge. We report a successful intervention outcome of a challenging case in the aesthetic zone of a patient with aggressive periodontitis.

Case presentationA 34-year-old systemically healthy Malay woman was referred to the Periodontics Specialist Clinic of the Kulliyyah of Dentistry, International Islamic University Malaysia, with a chief complaint of bleeding gums and mobility of the upper anterior teeth. A diagnosis of localized aggressive periodontitis was made. A thorough non-surgical periodontal treatment was provided, followed by a series of regenerative periodontal surgeries to manage advanced bone defects. A successful treatment outcome with a good prognosis was achieved. Maintenance through the supportive treatment phase showed marked bone gain.

ConclusionsTeeth with severely compromised periodontium of unpredictable prognosis can still be maintained with satisfactory restoration of the function, support, and aesthetics, despite the baseline unpredicted treatment outcome. Proper selection of an advanced periodontal treatment plan can exclude the option of tooth extraction or prosthetic replacement.

AbbreviationsBOPbleeding on probing

CALclinical attachment loss

NPTnon-surgical periodontal therapy

PDTphotodynamic therapy

PPDprobing pocket depth

SRPscaling and root planing

UCIupper central incisors

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Autor: Wisam Kamil - Lina Al Bayati - Akbar S. Hussin - Haszelini Hassan

Fuente: https://link.springer.com/







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