Rehabilitation of a periodontal patient with rapidly progressing marginal alveolar bone loss: 1-year follow-up.
BACKGROUND
The present case report describes a 1-year follow-up of functional rehabilitation of a young periodontal patient with severely advanced, rapidly progressing marginal bone loss treated by using a new splinting material, i.e., glass fiber-reinforced composite (FRC). Apart from one single tooth, the young man had retained all his natural teeth.


METHODS
Periodontal treatment was based on cleaning and root planing enabled by partial-thickness-flap operations. This method was selected to avoid further damage to the remaining alveolar bone. After healing for 6 months, a cavity retained internal FRC splint was constructed and 1 missing lower molar was replaced by an inlay-retained FRC resin-bonded fixed partial denture (FPD). A 12 months follow-up period revealed a healthy periodontium and good functional and esthetic results.


CONCLUSIONS
The new material allows the use of periodontal treatment methods instead of prosthetic alternatives, which until now have been a more generally used approach in the treatment of severely advanced periodontal cases. Internal fiber-reinforced composite splinting being affordable for the patient, easy for the clinician to construct and giving good esthetic and functional results, suggests that the method may be a valuable aid in periodontal treatment.
Sewón
L A
LA
Department of Periodontology, Institute of Dentistry, University of Turku, Finland.
Ampula
L
L
Vallittu
P K
PK
D000328:Adult; D010520:Aggressive Periodontitis / Q000534:rehabilitation* / Q000601:surgery; D016301:Alveolar Bone Loss / Q000534:rehabilitation / Q000601:surgery; D003188:Composite Resins; D012534:Dental Scaling / Q000379:methods; D016379:Denture, Partial, Fixed, Resin-Bonded; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible; D008963:Molar; D010516:Periodontal Splints; D011095:Polyethylenes; D014086:Tooth Mobility / Q000601:surgery / Q000628:therapy*; D020390:Tooth Socket
D003188:Composite Resins; D011095:Polyethylenes; C084063:RIBBOND