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

      case-report

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          Abstract

          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.

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          Most cited references27

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          Staging and grading of periodontitis: Framework and proposal of a new classification and case definition

          Kenneth S Kornman, Henry Greenwell, Maurizio Tonetti (2018)
          Authors were assigned the task to develop case definitions for periodontitis in the context of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The aim of this manuscript is to review evidence and rationale for a revision of the current classification, to provide a framework for case definition that fully implicates state-of-the-art knowledge and can be adapted as new evidence emerges, and to suggest a case definition system that can be implemented in clinical practice, research and epidemiologic surveillance.
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            Development of a classification system for periodontal diseases and conditions.

            Gary Armitage (1999)
            Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. In addition, such systems give clinicians a way to organize the health care needs of their patients. The last time scientists and clinicians in the field of periodontology and related areas agreed upon a classification system for periodontal diseases was in 1989 at the World Workshop in Clinical Periodontics. Subsequently, a simpler classification was agreed upon at the 1st European Workshop in Periodontology. These classification systems have been widely used by clinicians and research scientists throughout the world. Unfortunately, the 1989 classification had many shortcomings including: 1) considerable overlap in disease categories, 2) absence of a gingival disease component, 3) inappropriate emphasis on age of onset of disease and rates of progression, and 4) inadequate or unclear classification criteria. The 1993 European classification lacked the detail necessary for adequate characterization of the broad spectrum of periodontal diseases encountered in clinical practice. The need for a revised classification system for periodontal diseases was emphasized during the 1996 World Workshop in Periodontics. In 1997 the American Academy of Periodontology responded to this need and formed a committee to plan and organize an international workshop to revise the classification system for periodontal diseases. The proceedings in this volume are the result of this reclassification effort. The process involved development by the Organizing Committee of an outline for a new classification and identification of individuals to write state-of-the-science reviews for each of the items on the outline. The reviewers were encouraged to depart from the preliminary outline if there were data to support any modifications. On October 30-November 2, 1999, the International Workshop for a Classification of Periodontal Diseases and Conditions was held and a new classification was agreed upon (Fig. 1). This paper summarizes how the new classification for periodontal diseases and conditions presented in this volume differs from the classification system developed at the 1989 World Workshop in Clinical Periodontics. In addition, an analysis of the rationale is provided for each of the modifications and changes.
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              Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years.

              Ronald Jung, Anja Zembic, Bjarni E Pjetursson … (2012)
              To assess the 5-year survival of implant-supported single crowns (SCs) and to describe the incidence of biological, technical, and aesthetic complications. The focused question was: What is the survival rate of implants supporting single crowns and implant-supported crowns with a mean follow-up of 5 years and to which extent do biological, technical, and aesthetic complications occur?
              Article 0 comments Cited 201 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Masato Kaku
                Shinji Matsuda
                Takayasu Kubo
                Saiji Shimoe
                Kazuhiro Tsuga
                Hidemi Kurihara
                Kotaro Tanimoto
                Journal
                Journal ID (nlm-ta): World J Clin Cases
                Journal ID (publisher-id): WJCC
                Title: World Journal of Clinical Cases
                Publisher: Baishideng Publishing Group Inc
                ISSN (Electronic): 2307-8960
                Publication date (Print): 26 July 2021
                Publication date (Electronic): 26 July 2021
                Volume: 9
                Issue: 21
                Pages: 6110-6124
                Affiliations
                Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan. mkaku@ 123456hiroshima-u.ac.jp
                Department of Periodontal Medicine, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Department of Periodontal Medicine, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
                Author notes

                Author contributions: Kaku M and Tanimoto K performed orthodontic treatment and drafted the manuscript; Shimoe S reviewed the literature; Matsuda S and Kurihara H performed periodontal treatment and contributed to the drafting the manuscript; Kubo T and Tsuga K performed prosthodontic treatment and reviewed the literature; all authors issued final approval for the version to be submitted.

                Corresponding author: Masato Kaku, DDS, PhD, Professor, Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan. mkaku@ 123456hiroshima-u.ac.jp

                Article
                Other ID: jWJCC.v9.i21.pg6110
                DOI: 10.12998/wjcc.v9.i21.6110
                PMC ID: 8316965
                PubMed ID: 34368333
                SO-VID: 58fa2732-a5a8-4762-a294-d84962f90ef3
                Copyright © ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
                License:

                This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                Date received : 25 March 2021
                Date revision received : 20 May 2021
                Date accepted : 1 June 2021
                Categories
                Subject: Case Report

                Keywords: generalized periodontitis,orthodontic treatment,periodontal regenerative therapy,prosthodontic treatment,comprehensive dental treatment,long-term case study,case report
                Data availability:
                Keywords: generalized periodontitis, orthodontic treatment, periodontal regenerative therapy, prosthodontic treatment, comprehensive dental treatment, long-term case study, case report

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