Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
Introduction: Aggressive 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 interventio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BioMed Central
2015
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/44841/ http://irep.iium.edu.my/44841/ http://irep.iium.edu.my/44841/ http://irep.iium.edu.my/44841/1/s13256-015-0677-6.pdf |
| Summary: | Introduction: Aggressive 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 presentation: A 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.
Conclusions: Teeth 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. |
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