Treatment of Severe Chronic Periodontitis with Surgical and Prosthetic Intervention: A 9-year Follow-up Case Report
| Autor: | Yoichi Ishizuka, Atsushi Saito, Yoshihito Ishii, Sachiyo Tomita, Asako Kondo, Kenshi Makino, Tomomi Uekusa, Asako Makino-Oi |
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| Rok vydání: | 2017 |
| Předmět: |
Bleeding on probing
Dentistry Physical examination Severity of Illness Index Root Planing 03 medical and health sciences Quadrant (abdomen) 0302 clinical medicine Scaling and root planing Medicine Humans 030212 general & internal medicine medicine.diagnostic_test business.industry Open flap debridement 030206 dentistry General Medicine Middle Aged medicine.disease Chronic periodontitis Resorption Chronic Periodontitis Dental Scaling Denture Partial Removable Female medicine.symptom business Removable partial denture Follow-Up Studies |
| Zdroj: | The Bulletin of Tokyo Dental College. 58(4) |
| ISSN: | 0040-8891 |
| Popis: | A 60-year-old woman presented with the chief complaint of mobility of tooth #16. Gingival swelling and calculus were observed. Clinical examination revealed that 49.4% of sites had a probing depth (PD) of ≥4 mm and 72% of sites bleeding on probing. Radiographic examination revealed vertical bone resorption in #35 and horizontal resorption in other regions. Periapical region radiolucency on #16 and 27 suggested a perio-endo lesion. The clinical diagnosis was severe chronic periodontitis. Initial periodontal therapy mainly comprised the following: oral hygiene instruction; quadrant scaling and root planing (SRP); extraction of #16, 27, and 31; and placement of provisional restorations. Open flap debridement was performed for teeth with a PD ≥4 mm. Bone defects exceeding the root apex were found in #17, 41, 42, and 45 intraoperatively. Teeth #41, 42, and 45 were extracted. After confirming the stability of the periodontal tissue, final prostheses were placed on #14-17, 13-22, 35-37, 33-43, 44-46, and 47. Following reevaluation, the patient was placed on supportive periodontal therapy (SPT). After 6 years, the patient experienced dull pain in and pus discharge from #17. Repeated SRP yielded no improvement, so the tooth was extracted and a removable partial denture placed on #16 and 17. Nine years have passed since the start of SPT and the level of plaque control has remained adequate and periodontal condition stable. |
| Databáze: | OpenAIRE |
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