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...

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Main Authors: Kamil, Wisam Alaa, Hilal Abbood Al-Bayati, Lina, Hussin, Akbar Sham, Hassan, Haszelini
Format: Article
Language:English
Published: BioMed Central 2015
Subjects:
Online Access:http://irep.iium.edu.my/44841/
http://irep.iium.edu.my/44841/1/s13256-015-0677-6.pdf
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author Kamil, Wisam Alaa
Hilal Abbood Al-Bayati, Lina
Hussin, Akbar Sham
Hassan, Haszelini
author_facet Kamil, Wisam Alaa
Hilal Abbood Al-Bayati, Lina
Hussin, Akbar Sham
Hassan, Haszelini
author_sort Kamil, Wisam Alaa
building IIUM Repository
collection Online Access
description 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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spelling iium-448412017-11-02T02:28:41Z http://irep.iium.edu.my/44841/ Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report Kamil, Wisam Alaa Hilal Abbood Al-Bayati, Lina Hussin, Akbar Sham Hassan, Haszelini RK Dentistry 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. BioMed Central 2015 Article PeerReviewed application/pdf en http://irep.iium.edu.my/44841/1/s13256-015-0677-6.pdf Kamil, Wisam Alaa and Hilal Abbood Al-Bayati, Lina and Hussin, Akbar Sham and Hassan, Haszelini (2015) Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report. Journal of Medical Case Reports, 9 (211). pp. 1-7. http://www.jmedicalcasereports.com/ 10.1186/1752-1947-3-105
spellingShingle RK Dentistry
Kamil, Wisam Alaa
Hilal Abbood Al-Bayati, Lina
Hussin, Akbar Sham
Hassan, Haszelini
Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title_full Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title_fullStr Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title_full_unstemmed Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title_short Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
title_sort reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report
topic RK Dentistry
url 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