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Case Reports
. 2020 Jul-Sep;11(3):274-276.
doi: 10.4103/ccd.ccd_336_19. Epub 2020 Nov 26.

An Interdisciplinary Approach to the Management of a Young Patient with Generalized Periodontitis - A Case Report with a 3-Year Follow-up

Gulnar Dara Sethna  1 , Ameya Gajanan Moghe  2 , Sapna Poshanna Sonkurla  3 , Avinash Mahadev Kamble  4 , Anita Kapri  5 , Shobha Rajanna  6
Affiliations
Case Reports

An Interdisciplinary Approach to the Management of a Young Patient with Generalized Periodontitis - A Case Report with a 3-Year Follow-up

Gulnar Dara Sethna et al. Contemp Clin Dent. 2020 Jul-Sep.

Abstract

Periodontitis has a multifactorial etiology as a result of interactions between periodontal pathogens and the host response. Due to the complex etiology and esthetic complications, the management of such patients is a challenging task. Vast arrays of treatment modalities are employed in the treatment of generalized periodontitis with varying success rates. Placental-derived tissues as allografts have recently been introduced for guided tissue regeneration in dentistry with favorable results. In this case report, successful periodontal treatment of a 25-year-old male patient with generalized periodontitis; Stage IV, Grade C, is presented with a 3-year follow-up. An interdisciplinary approach using regenerative periodontal surgery and a modified Andrew's bridge was used to successfully rehabilitate the patient. In a compliant patient with a well-structured interdisciplinary approach, questionable and hopeless teeth too can be retained over an extended period of time with no detrimental effect on the adjacent teeth.

Keywords: Bone grafts; India; case report; generalized periodontitis; guided tissue regeneration.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative panoramic radiograph of a 28-year male patient with generalized periodontitis
Figure 2
Figure 2
Postoperative panoramic radiograph 36 months after surgery. Note the radiographic bone fill at the distal roots of permanent maxillary second premolars, and permanent mandibular first molars
Figure 3
Figure 3
Final cementation of porcelain fused to metal fixed partial denture and the removable pontic assembly of Modified Andrew's Bridge
See this image and copyright information in PMC

References

    1. Kornman KS. Mapping the pathogenesis of periodontitis: A new look. J Periodontol. 2008;79:1560–8. - PubMed
    1. Caton J, Armitage G, Berglundh T, Chapple I, Jepsen S, Kornman K, et al. 2017 World Workshop A new classification scheme for periodontal and peri-implant diseases and conditions– Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(Suppl 20):S1–8. - PubMed
    1. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Clin Periodontol. 2018;45(Suppl 20):S149–S161. - PubMed
    1. Murphy KG, Gunsolley JC. Guided tissue regeneration for the treatment of periodontal intrabony and furcation defects. A systematic review. Ann Periodontol. 2003;8:266–302. - PubMed
    1. Gottlow J, Nyman S, Lindhe J, Karring T, Wennström J. New attachment formation in the human periodontium by guided tissue regeneration. Case reports. J Clin Periodontol. 1986;13:604–16. - PubMed

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