Generalized periodontitis treated with periodontal,orthodontic,and prosthodontic therapy:A case report  

作　　者：Masato Kaku Shinji Matsuda Takayasu Kubo Saiji Shimoe Kazuhiro Tsuga Hidemi Kurihara Kotaro Tanimoto 

机构地区：[1]Department of Anatomy and Functional Restorations,Hiroshima University Graduate School of Biomedical Sciences,Hiroshima 734-8553,Japan [2]Department of Periodontal Medicine,Hiroshima University Graduate School of Biomedical Sciences,Hiroshima 734-8553,Japan [3]Department of Advanced Prosthodontics,Hiroshima University Graduate School of Biomedical Sciences,Hiroshima 734-8553,Japan [4]Department of Orthodontics and Craniofacial Developmental Biology,Hiroshima University Graduate School of Biomedical Sciences,Hiroshima 734-8553,Japan

出　　处：《World Journal of Clinical Cases》2021年第21期6110-6124,共15页世界临床病例杂志

摘　　要：BACKGROUND Generalized periodontitis is a severe periodontal disease characterized by rapid periodontal destruction in healthy persons.This case report describes the treatment of a severe crowding,large overjet,and occlusal collapse due to the loss of anterior guidance with generalized periodontitis.CASE SUMMARY A 35-year-old female patient with a chief complaint of crowding and maxillary protrusion was diagnosed with generalized periodontitis by clinical and radiographic examinations.To improve crowding and overjet,orthodontic treatment was performed after basic periodontal therapy.Severely damaged upper right lateral incisor and left canine were extracted,and lower right first premolar and left second premolar were also removed to treat severe crowding.After orthodontic treatment,periodontal flap surgery for upper left molars and guided tissue regeneration for the lower left second molar was performed.Then,a dental implant was inserted in the upper left canine legion.The esthetics of the maxillary anterior tooth was improved by prosthetic restorations.The treatment result showed a well-improved occlusion with proper anterior guidance and healthy periodontal tissue after a retention period of 10 years.CONCLUSION Periodontal,orthodontic,and prosthodontic treatments are extremely useful to improve function and stable periodontal tissue for generalized periodontitis.

关 键 词：Generalized periodontitis Orthodontic treatment Periodontal regenerative therapy Prosthodontic treatment Comprehensive dental treatment Long-term case study Case report 

分 类 号：R781.42[医药卫生—口腔医学]