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Baseline examination revealed generalized plaque deposition and gingival inflammation. Aortic Dissection with Periodontitis: A Case Report. (c) 12-year postoperative radiographs. We propose that initial periodontal treatment and ongoing supportive therapy can help maintain implants in patients with severe periodontitis. Email: Abstract CASE REPORT This report presents a case of aggressive periodontitis in a … *Corresponding Author(s): Dong Ma School of Public Health, North China University of Science and Technology, Tangshan, China. A table was used to report the country, year of publication, study design, participant characteristics (source and sample size), age, periodontitis evaluation, results and statistical analysis. In particular, peri-implantitis has gained attention as one major biological complication in recent years. The case report by Finkbeiner et al. KS wrote this manuscript and treated the patient. Periodontitis is an endogenous multibacterial infectious disease in which the periodontal tissues break down as a result of the interactions between specific anaerobic bacteria and host immune mechanisms [1–3]. Treatment aims On presentation our patient’s main concern was the recent change in the position of her upper left central incisor. or full mouth rehabilitation in young patients. (b) Pretreatment periodontal chart. It includes a greater variety of disease catego-ries, which base the diagnosis on clinical, historical, radiographic, and lab findings rather than the age of on-set.1 One category, aggressive periodontitis, now includes YH advised the possible treatment and gave valuable comments to this manuscript. Thirteen dental X-ray films show severe bone loss in the maxillary anterior and mandibular right molar regions. (b) 12-year postoperative periodontal chart. In contrast, the reason for the loosening of the abutment screw was considered to be the wearing of the composite resin, which altered the occlusal condition and lateral forces on the superstructure at site #16. Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) Yoshitaka Hara This success mainly relies on appropriate initial periodontal treatment, which allows us to maintain the patient’s oral health during long-term maintenance therapy [30]. (a) Pretreatment intraoral photographs (April 2004). Based on these results, we diagnosed generalized moderate-to-severe chronic periodontitis. A recent study reported that severe periodontitis is the sixth most prevalent disease worldwide [6]. The patient was a 22-year-old woman who presented with the chief complaint of gingival recession. !YS85Qn��Ÿ� ;-�";��(��ꢂ��?p�Է. At the first reevaluation, the patient’s oral hygiene had improved (BOP: 12%; : 12%; PCR: around 20%). Implants were chosen respecting the patient’s desire to avoid using a removable device and further cutting of natural teeth. Gingival - Periodontal diseases include a set of pathologies that affect the protective and insertion tissues of teeth. A. Heitz-Mayfield, “Peri-implant diseases: diagnosis and risk indicators,”, C. R. E. Hardt, K. Grondahl, U. Lekholm, and J. L. Wennstrom, “Outcome of implant therapy in relation to experienced loss of periodontal bone support. Keisuke Seki, Yoshiyuki Hagiwara, "Implant Treatment with 12-Year Follow-Up in a Patient with Severe Chronic Periodontitis: A Case Report and Literature Review", Case Reports in Dentistry, vol. The patient diagnosed with generalized severe chronic periodontitis underwent comprehensive treatment involving implants. No adverse postoperative sequelae were observed. Baykul, T., Bozkurt, Y. Her past medical and dental history was unremarkable, as was her family history. A correlation between periodontitis and a weakened immune response has been reported, and the accumulated destruction of periodontal tissues with age can result in progressive attachment loss and bone resorption [5]. Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, and Fusobacterium spp. The database Medline via PubMed was searched using the following terms: (“Dental Implants” [Mesh] OR “Dental Implantation” [Mesh]) OR (“Dental Prosthesis, Implant-Supported” [Mesh] OR implant [Title/Abstract]) AND (periodontitis [MeSH Terms] OR periodontitis [Title/Abstract]) AND (case reports [Publication Type] OR “case reports” [Title/Abstract] OR “case report” [Title/Abstract]) AND long-term [Title/Abstract]. periodontitis and gingival enlargement. Prognoses ranged from “fair” to “good” (PPD: periodontal probing depth; yellow: implant). Our case should be considered a gradual onset with typical signs of inflammation, which led to bone involvement and loss with fibrosis rather than suppuration, which renders a proper clinical diagnosis even more difficult. A supportive therapy after active periodontal therapy is effective in maintaining the health of periodontal tissues [17]. A reliable treatment of peri-implantitis has not yet been established, and managing peri-implant tissue remains difficult. A 51-year-old man with Beh{\c c}et{\textquoteright}s disease presented with generalized severe periodontitis. Throughout the follow-up period, probing depths of both natural teeth and implants were monitored carefully. However, tooth #47 was determined to be unsalvageable and was extracted. Aggressive periodontitis have localized and generalized forms. The patient also presented a 10 pack-year history of smoking. Previously described treatments of plasminogen deficiency associated periodontitis have shown limited success. Slots and T. E. Rams, “New views on periodontal microbiota in special patient categories,”, T. Shiba, T. Watanabe, H. Kachi et al., “Distinct interacting core taxa in co-occurrence networks enable discrimination of polymicrobial oral diseases with similar symptoms,”, W. Papaioannou, M. Quirynen, and D. Van Steenberghe, “The influence of periodontitis on the subgingival flora around implants in partially edentulous patients,”, L. J. Teeth #11, #12, and #21 exhibited class III mobility. periodontitis. Therefore, appropriate periodontal treatment must be implemented for long-term implant stability [8]. Clinical situation at the delivery of prosthetic rehabilitation: (a) at #12 and #22, (b) at #16, (c) at #41, (d) at #36, and (e) postoperative radiographs. In the present case, we eliminated inflammatory factors and improved the oral environment with comprehensive periodontal treatment. We created a diagnostic template based on setup models and used it at X-ray and CT examination. On intraoral examination, diffuse redness and swelling were observed in the marginal gingiva and interdental papillae. Sixty-one percent of the teeth had a deep periodontal probing depth (PPD) over 4 mm (), 61% had bleeding on probing (BOP) (Figure 1(b)), and all teeth scored 100% on O’Leary’s plaque control record. In this case, these goals were obtained through oral hygiene instruction, scaling and root planing, occlusal adjustment, and application of a partial denture. This also causes the patient’s QOL to decrease markedly. In oral microbiological examination using quantitative real-time PCR, Porphyromonas gingivalis was below the detection limit. 2 CASE REPORT A 30‐year‐old Asian male presented with a chief complaint of: “gingiva swelling and increasing mobility of mandibular incisors for 2 weeks.” SUMMARY: In this article, juvenile periodontitis, which is an uncommon condition, characterized by severe loss of attachment and destruction of alveolar bone around one or more permanent teeth during the period of pubescence, was discussed with a case report. Following gross scaling, confirming that redness and swelling had improved, the teeth of chief complaint (teeth #11, #12, and #21) were extracted. This clinical report describes the team approach for oral rehabilitation using dental implants and all-ceramic restorations for a young lady with a generalized aggressive periodontitis. Reevaluation radiographs. Among the frequent problems with implants, prosthetic and biological complications are common [23]. Case Report I n 1999, a new classification system for periodontal dis-ease was developed at the World Workshop on Peri-odontics. Composite resin was built up on palatal aspect of both canines: (a) setup model and (b) posttreatment. Panoramic radiography revealed partially edentulous maxilla and mandible. Even when the implants are applied, ongoing management of periodontal disease and control of inflammation is necessary to maintain a healthy oral cavity. To achieve successful periodontal treatment, both the removal of inflammatory factors and the improvement of occlusal factors are needed. RPD: removable partial denture; GTR: guided tissue regeneration; PFM: porcelain-fused-to-metal; CTG: connective tissue graft; FOP: flap operation; NR: not reported. Severe periodontitis is characterized by progressive destruction of the periodontal tissues resulting in over 5 mm of clinical attachment loss. The authors declare that there is no conflict of interests regarding the publication of this paper. A therapeutic partial denture was prepared and applied immediately. A full-mouth radiographic series, periodontal charting, and intraoral photographs were performed on each individual. A few months before presentation, she developed difficulty eating as a result of tooth mobility and increased sensitivity to cold water. Tooth #46 had a class III furcation lesion. In the case of periodontitis-like lesions, the sulcus and pocket may be considered a draining surrogate and the progression and clinical presentation may be completely different. In this case, six hopeless teeth were extracted out of 24 present at the initial visit. (c) Pretreatment radiographs. Clinical Case: Treating a Patient with Chronic Periodontitis 3 Family Background: The patient does not report a family history of periodontitis, nor of any other systemic disease. Five implants were placed as prosthesis for seven missing teeth, and the patient did not lose any teeth during the maintenance period. A retrospective study,”, A. Monje, L. Aranda, K. T. Diaz et al., “Impact of maintenance therapy for the prevention of peri-implant Diseases,”, M. Esposito, J. M. Hirsch, U. Lekholm, and P. Thomsen, “Biological factors contributing to failures of osseointegrated oral implants. To improve Eichner’s index from B1 to A1, the occlusal supporting area was increased while stability of the periodontal tissue was achieved. Many reports showed that the majority of the interval maintenance period was 3 months [9–16]. To remove dental plaque, we used hand instruments for the implants and an ultrasonic scaler for natural teeth. Intraoral view after completion of care. Root canal treatment was performed for the distal root of tooth #46; while the medial root was prognosed to be impossible to preserve due to furcation involvement, trisection was adopted (Figure 2). Likewise, their role in periodontitis has been studied [24, 25]. That finding suggests that tooth loss can be minimized to only one tooth every 10 years with maintenance treatment. No pathological finding of remodeling surrounding implants was recognized on radiographic examination (Figure 5(c)). No bone resorption is seen around the five implants. With regard to prosthetic complications, the patient experienced tipping of the porcelain at site #31 shortly after starting function; because this tipping did not cause problems, we followed the course. Although it was previously established that BOP is evidence of inflammation [31], implant BOP is an uncertain clinical parameter for diagnosing the health of these tissues because of greater sensitivity than natural teeth [32] and depends on the shape of the superstructure and measuring technique. While the mechanisms and pathology of peri-implantitis are similar to those of periodontitis [27], much remains unknown about the condition [28]. This report describes the successful implant treatment and long-term management of a patient with severe periodontitis. Additionally, it is a multifactorial disease, involving bacterial, environmental, and biological factors [4]. Case presentation: A set of 17-year-old black male monozygotic twins were referred for a full-mouth periodontal evaluation and any necessary periodontal treatment on July 7, 2007. Dr. Lydia Harris, the third-place winner in the 2013 Young Endodontist competition in the UK, develops her endodontic skills for S-shaped root canals. (1)Initial periodontal treatment Comprehensive treatment including maintenance or supportive therapy contributes to a decreased incidence of tooth loss [18]. The treatment plan consisted of the following items: A 12‐year history is presented. Generalized inflammation is observed, particularly between tooth #11 and tooth #12, where a fistula is present. The patient was maintained successfully for 12 years, suggesting that implants following initial periodontal treatment may contribute to maintaining good oral function. In this regard, our results were better than those of similar reports. The sites were closed with interrupted 5-0 sutures (MONOCRYL® 5.0; Ethicon, Inc., Somerville, NJ, USA). process 16 and more recently a report suggested that H.a. Ongoing supportive therapy is necessary. In addition, we reviewed case reports in the English literature so far. In the future, careful monitoring of alteration of occlusion and trauma force for teeth with altered crown-root ratios will be necessary. In contrast to a growing body of published regenerative endodontic cases in immature necrotic teeth, only one recent report [9] has attempted a modified regenerative endodontic procedure for mature necrotic permanent teeth since the initial reports by Östby [10] and Periodontal diseases range from benign gingivitis to chronic & aggressive forms of disease. Here we report a case of generalized aggressive periodontitis treated with periodontal therapy including adjunct antimicrobial therapy and periodontal surgery. Moreover, the absence of periodontal bacteria during supportive therapy confirmed that removal of inflammatory factors was successful and continuous. Following administration of local anesthetic (Xylocaine®; 2% lidocaine with 1 : 100,000 epinephrine, DENTSPLY SANKIN, Tokyo, Japan), an incision was made on the alveolar crest and a full-thickness flap was raised. With regard to the reevaluation for 3 months later in the mandibular, abnormal findings such as drainage or bleeding were not observed. While a history of periodontitis is considered a localized risk indicator for implant failure at the start of maintenance, it has also been recognized as an important risk indicator for peri-implantitis [7]. In case of absence of information that makes data extraction or risk of bias evaluation impracticable, we attempted to contact the authors by e-mail. 2081 Words 9 Pages. All custom abutments and porcelain-fused-to-metal crowns were retained with side screws (Figures 3(a)–3(e)). After superstructure setting, the patient was given supportive periodontal and implant therapy and scheduled for follow-up appointments at 3-month intervals which is the most appropriate time to destroy the microflora in the periodontal pocket. Facebook 0 Tweet 0 LinkedIn 0. With appropriate initial periodontal treatment and ongoing supportive therapy, oral health can be maintained soundly and longitudinally in patients with implants. The written consent is available for review. Although periodontitis has been reported to decrease implant success rate [29], peri-implantitis can be prevented among patients with severe periodontitis. PERIODONTAL CASE PRESENTATION - 1 Overview A 32 year-old patient presented with generalized aggressive periodontitis. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. The gingival texture and peri-implant mucosa appear healthy. (1997), describes the successful management of elastic band-induced periodontitis in two children with a combination of laser treatment, antibiotics, splinting and orthodontics. Introduction: A 39 years old male adult attended for a regular 6 monthly dental check up and routine scaling. (a) 12-year postoperative intraoral photographs (April 2016). Treatment included non-surgical therapy with adjunctive antibiotics and surgical treatment. All implant sites have maintained PPD of 3 to 4 mm, with slight BOP observed. is absent more frequently in cultures of juvenile periodontitis 1° lesions than previously thought. For professional tooth cleaning, a polishing paste not containing fluoride (Hawe Implant paste®; KerrHawe SA, Bioggio, Switzerland) was used in regard for avoiding titanium corrosion. Tooth loss among adults is associated with progressive periodontitis. We recently experienced a case of temporal fossa abscess caused by periapical periodontitis the upper left side of the second molar. Considering the lack of maxillary bone at the site of #16, a implant (4.0ST; ASTRA TECH AB, Mölndal, Sweden) was installed using osteotome sinus floor elevation. Periodontal disease, including periodontitis, has been reported to be a rare cause of septic pulmonary embolism (SPE). Juvenile periodontitis have localized and generalized forms. Both cases showed improvement in the periodontal inflammatory condition after 3months of tofacitinib therapy, although the teeth count and supragingival bacterial Case Report: Treatment of symptomatic apical periodontitis. In addition to Case 1 (a patient who had severe gingival inflammation), the present report included two more cases including Case 2 (a patient with slight gingival inflammation) and Case 3 (a patient with moderate gingival inflammation). For this reason, it is worthwhile to improve oral function by applying implants as a fixed device. Here, we report that implant treatment in a patient with generalized severe chronic periodontitis helped maintain the periodontal and peri-implant tissue for a long term. Alphonse Gargiulo, DDS, MS, Rachel Degen, RDH, and Mark Val, CDT, present a case report of a 20-year-old African American female who was diagnosed at puberty with localized aggressive periodontitis, which developed into a generalized form of the disease as the patient entered late adolescence. The patient gave her consent to the treatment plan. Previously described treatments of plasminogen deficiency associated periodontitis have shown limited success. The aim of this report is to present the management of a patient with severe periodontal destruction around the upper right central incisor due to an orthodontic elastic band … 2020; 3(1): 1023. Due to the loss of teeth caused by this disease, the burden imposed on the physical, mental, and financial state of the patient increases. Early diagnosis and prompt treatment of the disease prevents … It has been reported that a history of periodontitis decreases the success rate of implants. Sign up here as a reviewer to help fast-track new submissions. Implant prosthetic treatment has long been utilized in periodontal patients. Published on July 23, 2014 by Endodontic Practice US. The article aims to discuss the dilemma in diagnosing a case of aggressive periodontitis and the devastating effect of orthodontic therapy in a case of aggressive periodontitis. By applying implants to stabilize occlusion, the mobility of natural teeth was decreased. Implant Treatment with 12-Year Follow-Up in a Patient with Severe Chronic Periodontitis: A Case Report and Literature Review, Implant Dentistry, Nihon University School of Dentistry Dental Hospital, Tokyo, Japan, Department of Comprehensive Dentistry and Clinical Education, Nihon University School of Dentistry, Tokyo, Japan, Tooth extraction (teeth #16, #12, #11, #21, #22, and #27), Therapeutic partial denture (teeth #12–#22), Root canal treatment and hemisection (tooth #46), Treatment of oral functional rehabilitation, Implant prostheses (site of #16, #12, #22, #36, and #41), Supportive periodontal and implant therapy, Chronic generalized periodontitis (severe form), (i) Initial treatment, periodontal surgery (previous dentist), (i) Comprehensive treatment (Department of Periodontology, 30 years before), Rapid generalized early-onset periodontitis (1993 AAP definition), (i) Scaling, gingivectomy (previous dentist), P. J. Pérez-Chaparro, C. Gonçalves, L. C. Figueiredo et al., “Newly identified pathogens associated with periodontitis: a systematic review,”, A. D. Haffajee and S. S. Socransky, “Introduction to microbial aspects of periodontal biofilm communities, development and treatment,”, A. Cekici, A. Kantarci, H. Hasturk, and T. E. Van Dyke, “Inflammatory and immune pathways in the pathogenesis of periodontal disease,”, L. Wolff, G. Dahlén, and D. Aeppli, “Bacteria as risk markers for periodontitis,”, G. C. Armitage, “Development of a classification system for periodontal diseases and conditions,”, N. J. Kassebaum, E. Bernabé, M. Dahiya, B. Bhandari, C. J. L. Murray, and W. Marcenes, “Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression,”, L. J. Case Report PERIODONTITIS IN A PSORIASIS PATIENT ITS ASSOCIATION, TREATMENT PROTOCOL AND PROGNOSIS: A CASE REPORT Amrita jha1, Roopa D.A.2 1.PG Student, Department of Periodontology and Oral Implantology, Rama Dental College, Hospital and … A. Martin, R. C. Page, C. F. Loeb, and E. K. Kaye, “Reduction of tooth loss associated with periodontal treatment,”, L. Hirschfeld and B. Wasserman, “A long-term survey of tooth loss in 600 treated periodontal patients,”, W. T. McFall Jr., “Tooth loss in 100 treated patients with periodontal disease, a long-term study,”, M. J. Goldman, I. F. Ross, and D. Goteiner, “Effect of periodontal therapy on patients maintained for 15 years or longer. All surgical procedures were conducted with a two-stage surgical approach. Abstract . Patient History The present case report is about a 65-year-old female patient who was admitted to the Dalhousie University It has been reported that long-term maintenance therapy for implants can prevent other complications and improve success rates [22]. For the periodontal treatment, it is effective for improving a local environment by removal of plaque retention factors while improving systemic factors like diabetes treatment and smoking cessation. Copyright © 2019 Keisuke Seki and Yoshiyuki Hagiwara. Radiographic examination revealed periodontal tissue destruction, generally with 3 to 5 mm of horizontal bone resorption and 4 to 6 mm of vertical bone resorption in teeth #16, #14, #26, and #46 (Figure 1(c)). A long-term maintenance has been achieved, with no recurrence of periodontitis and with stability of the peri-implant tissues.

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