Multidisciplinary non-surgical treatment of advanced periodontitis:A case report  

作　　者：Ling-Jun Li Xiang Yan Qing Yu Fu-Hua Yan Bao-Chun Tan 

机构地区：[1]Department of Periodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China [2]Department of Orthodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China [3]Department of Prosthodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2022年第7期2229-2246,共18页世界临床病例杂志

基　　金：Supported by the Nanjing Medical Science and Technology Development Program,No.YKK17139

摘　　要：BACKGROUND Patients with severe periodontitis often require multidisciplinary treatment to achieve healthy periodontal tissue,normal occlusion,and optimal aesthetics.In the present study,we aimed to evaluate the efficacy of multidisciplinary non-surgical treatment in a patient with stage IV/grade C periodontitis,malocclusion,and dentition defects.CASE SUMMARY A 47-year-old woman visited our periodontology department due to teeth mobility problems and difficulties chewing food.The patient had no history of drug allergies or systemic disease.Initial therapy involved scaling and root planning with a Gracey scaler and periodontal ultrasonic therapeutic apparatus using a periodontal endoscope(Perioscopy,Zest Dental Solutions,United States)to control the periodontal inflammation prior to treatment.Five months later,orthodontic treatment was then performed to treat occlusion and overall aesthetics.After completion,a Maryland bridge was used to restore Nos.22,31,and 41 teeth.Florida probing(Florida probe,United States)was performed every 2-3 mo to evaluate the periodontal condition throughout treatment.Overall,multidisciplinary non-surgical treatment resulted in satisfactory aesthetic results with healthy periodontal tissue and stable occlusion.CONCLUSION In some patients with stage IV/grade C periodontitis,systematic and sequential non-surgical treatment can provide excellent therapeutic results.

关 键 词：PERIODONTITIS Periodontal endoscopy Florida probing Non-surgical treatment Multidisciplinary treatment Case report 

分 类 号：R781.42[医药卫生—口腔医学]