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DOI: 10.4103/1305-7456.156844
Periodontal treatment in a generalized severe chronic periodontitis patient: A case report with 7-year follow-up
Publication History
Publication Date:
04 September 2019 (online)
ABSTRACT
The aim of the periodontal treatment is to provide healthy and functional dentition all through a lifetime. In this report, periodontal treatment of a 42-year-old male patient with generalized severe chronic periodontitis is presented. He received initial periodontal treatment together with adjunctive antimicrobials. The devital teeth were endodontically treated, and free gingival grafts were placed at the inadequate keratinized tissue zones before regenerative surgery. Following the surgical treatment using enamel matrix derivatives and xenogenic bone graft combination, the patient was put on a strict recall program. After 12 months, favorable clinical and radiographical improvements were obtained. The 7-year maintenance of the present case with several initially hopeless teeth has been shown and discussed in this report. It can be concluded that optimum oral hygiene level as well as the positive cooperation of the patient enhanced the success of periodontal treatment results even in extremely severe periodontal destruction.
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Key words:
Enamel matrix protein derivative - hopeless tooth - long-term - periodontal surgery - severe chronic periodontitis
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Conflict of Interest
None declared
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REFERENCES
- 1 Kornman KS. Mapping the pathogenesis of periodontitis: A new look. J Periodontol 2008; 79 (08) Suppl 1560-8
- 2 Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M. et al. Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. J Clin Periodontol 2008; 35: 685-95
- 3 Kao RT. Strategic extraction: A paradigm shift that is changing our profession. J Periodontol 2008; 79: 971-7
- 4 Kwok V, Caton JG. Commentary: Prognosis revisited: A system for assigning periodontal prognosis. J Periodontol 2007; 78: 2063-71
- 5 Armitage GC, Cullinan MP. Comparison of the clinical features of chronic and aggressive periodontitis. Periodontol 2000 2010; 53: 12-27
- 6 Lang NP, Tonetti MS. Periodontal diagnosis in treated periodontitis. Why, when and how to use clinical parameters. J Clin Periodontol 1996; 23: 240-50
- 7 DeVore CH, Beck FM, Horton JE. Retained “hopeless” teeth. Effects on the proximal periodontium of adjacent teeth. J Periodontol 1988; 59: 647-51
- 8 Consensus report. Mucogingival therapy. Ann Periodontol 1996; 1: 702-6
- 9 Yilmaz S, Kuru B, Altuna-Kiraç E. Enamel matrix proteins in the treatment of periodontal sites with horizontal type of bone loss. J Clin Periodontol 2003; 30: 197-206
- 10 Meseli SE, Agrali OB, Peker O, Kuru L. Treatment of lateral periodontal cyst with guided tissue regeneration. Eur J Dent 2014; 8: 419-23
- 11 Sumer M, Keles GC, Cetinkaya BO, Balli U, Pamuk F, Uckan S. Autogenous cortical bone and bioactive glass grafting for treatment of intraosseous periodontal defects. Eur J Dent 2013; 7: 6-14
- 12 Keles GC, Sumer M, Cetinkaya BO, Tutkun F, Simsek SB. Effect of autogenous cortical bone grafting in conjunction with guided tissue regeneration in the treatment of intraosseous periodontal defects. Eur J Dent 2010; 4: 403-11
- 13 Li W, Xiao L, Hu J. The use of enamel matrix derivative alone versus in combination with bone grafts to treat patients with periodontal intrabony defects: A meta-analysis. J Am Dent Assoc 2012; 143: e46-56
- 14 Cortellini P, Stalpers G, Mollo A, Tonetti MS. Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5-year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915-24
Correspondence:
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REFERENCES
- 1 Kornman KS. Mapping the pathogenesis of periodontitis: A new look. J Periodontol 2008; 79 (08) Suppl 1560-8
- 2 Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M. et al. Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. J Clin Periodontol 2008; 35: 685-95
- 3 Kao RT. Strategic extraction: A paradigm shift that is changing our profession. J Periodontol 2008; 79: 971-7
- 4 Kwok V, Caton JG. Commentary: Prognosis revisited: A system for assigning periodontal prognosis. J Periodontol 2007; 78: 2063-71
- 5 Armitage GC, Cullinan MP. Comparison of the clinical features of chronic and aggressive periodontitis. Periodontol 2000 2010; 53: 12-27
- 6 Lang NP, Tonetti MS. Periodontal diagnosis in treated periodontitis. Why, when and how to use clinical parameters. J Clin Periodontol 1996; 23: 240-50
- 7 DeVore CH, Beck FM, Horton JE. Retained “hopeless” teeth. Effects on the proximal periodontium of adjacent teeth. J Periodontol 1988; 59: 647-51
- 8 Consensus report. Mucogingival therapy. Ann Periodontol 1996; 1: 702-6
- 9 Yilmaz S, Kuru B, Altuna-Kiraç E. Enamel matrix proteins in the treatment of periodontal sites with horizontal type of bone loss. J Clin Periodontol 2003; 30: 197-206
- 10 Meseli SE, Agrali OB, Peker O, Kuru L. Treatment of lateral periodontal cyst with guided tissue regeneration. Eur J Dent 2014; 8: 419-23
- 11 Sumer M, Keles GC, Cetinkaya BO, Balli U, Pamuk F, Uckan S. Autogenous cortical bone and bioactive glass grafting for treatment of intraosseous periodontal defects. Eur J Dent 2013; 7: 6-14
- 12 Keles GC, Sumer M, Cetinkaya BO, Tutkun F, Simsek SB. Effect of autogenous cortical bone grafting in conjunction with guided tissue regeneration in the treatment of intraosseous periodontal defects. Eur J Dent 2010; 4: 403-11
- 13 Li W, Xiao L, Hu J. The use of enamel matrix derivative alone versus in combination with bone grafts to treat patients with periodontal intrabony defects: A meta-analysis. J Am Dent Assoc 2012; 143: e46-56
- 14 Cortellini P, Stalpers G, Mollo A, Tonetti MS. Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5-year results of an ongoing randomized clinical trial. J Clin Periodontol 2011; 38: 915-24