Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report

Introduction: The persistence of bleeding periodontal pockets that associated with intra-bony defects (IBD) increases the risk of tooth loss and is considered a clinical challenge. The prognosis of such teeth with grade II mobility and severe attachment loss (AL) is questionable according to McGuir...

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Main Authors:	Kamil, Wisam Alaa, Hussin, Akbar Sham
Format:	Conference or Workshop Item
Language:	English
Published:	2014
Subjects:	RK Dentistry
Online Access:	http://irep.iium.edu.my/37995/ http://irep.iium.edu.my/37995/1/Binder1.pdf

id	iium-37995
recordtype	eprints
spelling	iium-379952018-06-12T07:10:36Z http://irep.iium.edu.my/37995/ Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report Kamil, Wisam Alaa Hussin, Akbar Sham RK Dentistry Introduction: The persistence of bleeding periodontal pockets that associated with intra-bony defects (IBD) increases the risk of tooth loss and is considered a clinical challenge. The prognosis of such teeth with grade II mobility and severe attachment loss (AL) is questionable according to McGuire 1991. Nevertheless proper periodontal treatment (PT) and supportive periodontal care might retain the periodontally compromised teeth. Case reports: A 35-year-old female with aggressive periodontitis was referred to the periodontics specialist clinic of IIUM. The full periodontal chart revealed grade II mobility of the upper central incisors (UCI) and pus discharge with deep propping depths and severe AL. The rapid rate of bone destruction affected the sites of the first and second molars as well. A combination of oral metronidazole and amoxicillin were prescribed for 7 days. Six weeks after the nonsurgical PT, the affected sites were reevaluated, and a decision of regenerative therapy was scheduled for the circumferential bone defects around the UCI. A papilla preservation technique was applied with bovine xenograft and resorbable barrier membrane. Splinting of the anterior teeth stabilized the wound healing, and a thorough professional and self-plaque control maintained a good oral hygiene post-surgical treatment. A significant probing reduction and attachment gain was achieved (PD: 8 mm at base line to 2 mm post treatment and maintained at 1 year). Comments: With proper flap design and regenerative treatment, deep IBD to the apex would not be an option for the extraction. The aggressive bone destruction as observed in CBCT was managed successfully. 2014-05-29 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/37995/1/Binder1.pdf Kamil, Wisam Alaa and Hussin, Akbar Sham (2014) Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report. In: Malaysia-International Dental Exhibition and Conference (MIDEC 2014), 30th May-1st June 2014, Kuala Lumpur.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RK Dentistry
spellingShingle	RK Dentistry Kamil, Wisam Alaa Hussin, Akbar Sham Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
description	Introduction: The persistence of bleeding periodontal pockets that associated with intra-bony defects (IBD) increases the risk of tooth loss and is considered a clinical challenge. The prognosis of such teeth with grade II mobility and severe attachment loss (AL) is questionable according to McGuire 1991. Nevertheless proper periodontal treatment (PT) and supportive periodontal care might retain the periodontally compromised teeth. Case reports: A 35-year-old female with aggressive periodontitis was referred to the periodontics specialist clinic of IIUM. The full periodontal chart revealed grade II mobility of the upper central incisors (UCI) and pus discharge with deep propping depths and severe AL. The rapid rate of bone destruction affected the sites of the first and second molars as well. A combination of oral metronidazole and amoxicillin were prescribed for 7 days. Six weeks after the nonsurgical PT, the affected sites were reevaluated, and a decision of regenerative therapy was scheduled for the circumferential bone defects around the UCI. A papilla preservation technique was applied with bovine xenograft and resorbable barrier membrane. Splinting of the anterior teeth stabilized the wound healing, and a thorough professional and self-plaque control maintained a good oral hygiene post-surgical treatment. A significant probing reduction and attachment gain was achieved (PD: 8 mm at base line to 2 mm post treatment and maintained at 1 year). Comments: With proper flap design and regenerative treatment, deep IBD to the apex would not be an option for the extraction. The aggressive bone destruction as observed in CBCT was managed successfully.
format	Conference or Workshop Item
author	Kamil, Wisam Alaa Hussin, Akbar Sham
author_facet	Kamil, Wisam Alaa Hussin, Akbar Sham
author_sort	Kamil, Wisam Alaa
title	Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
title_short	Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
title_full	Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
title_fullStr	Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
title_full_unstemmed	Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
title_sort	saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report
publishDate	2014
url	http://irep.iium.edu.my/37995/ http://irep.iium.edu.my/37995/1/Binder1.pdf
first_indexed	2023-09-18T20:54:31Z
last_indexed	2023-09-18T20:54:31Z
_version_	1777410214359728128

Saving the questionnaire periodontally compromised teeth in the aesthetic zone: a case report

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