Comprehensive treatment in a case with advanced chronic periodontitis: a 15-year follow-up.
This case report describes the comprehensive treatment of generalized, advanced periodontal disease and full-mouth rehabilitation in an adult patient. Given the extensive periodontal tissue destruction, a systematic approach was needed to determine restoration possibilities and patient expectations. Subsequent oral rehabilitation was accomplished with fixed dentures in the mandible and a removable denture in the maxilla. In the maxilla, strategically important anchor teeth were replaced with implants and a palate-free horseshoe-shaped removable denture was fabricated, using telescopic crowns as abutments. This case indicates that long-term post-treatment periodontal stability can be ensured only by full patient cooperation and consistent periodontal maintenance.
Zafiropoulos
Gregory-George
GG
Dental Center Blaues Haus, Duesseldorf, Germany.
Rebbe
Jochen
J
D055113:Chronic Periodontitis / Q000150:complications / Q000628:therapy*; D003731:Dental Caries / Q000150:complications / Q000517:prevention & control / Q000628:therapy*; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D012534:Dental Scaling; D003832:Denture, Partial, Removable; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation; D008297:Male; D008334:Mandible; D008437:Maxilla; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000150:complications / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome