title: Integrated periodontal, orthodontic, and prosthodontic treatment in a case of severe generalized aggressive periodontitis.
abstract: OBJECTIVE
  This article reports a case of severe generalized aggressive periodontitis and subsequent collapse of the occlusion in a psychiatric patient, treated by an extremely conservative orthodontic-periodontal-prosthodontic treatment.
  
  
  CONCLUSIONS
  A woman presented with severe anterior proclination caused by severe periodontal disease and Angle's class II molar malocclusion. The patient wanted to preserve her teeth and rejected the idea of implant treatment. This case report demonstrates that combining periodontal therapy, orthodontic treatment, and prosthodontics (through a decision-making system with a proper interdisciplinary coordination) can greatly improve function and the esthetic result. Comprehensive periodontal treatment took place before other intervention, and periodontal maintenance and follow-up throughout the treatment and after played a crucial role.
authors.affiliation: Department of Stomatology, School of Dentistry, University of Seville, 41009- Sevilla, Spain.
authors.forename: Lizett
authors.initials: L
authors.lastname: Castellanos-Cosano
authors.forename: Guillermo
authors.initials: G
authors.lastname: Machuca-Portillo
authors.forename: Asunción
authors.initials: A
authors.lastname: Mendoza-Mendoza
authors.forename: Alejandro
authors.initials: A
authors.lastname: Iglesias-Linares
authors.forename: Lina
authors.initials: L
authors.lastname: Soto-Pineda
authors.forename: Enrique
authors.initials: E
authors.lastname: Solano-Reina
mesh_terms: D000328:Adult; D010520:Aggressive Periodontitis / Q000209:etiology / Q000628:therapy*; D014150:Antipsychotic Agents / Q000009:adverse effects*; D003830:Denture, Partial, Fixed; D003865:Major Depressive Disorder / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000150:complications / Q000628:therapy; D008312:Malocclusion, Angle Class II / Q000150:complications / Q000628:therapy*; D017090:Occlusal Splints; D019516:Orthodontic Space Closure / Q000295:instrumentation / Q000379:methods; D010348:Patient Care Team; D014081:Tooth Extraction; D014085:Tooth Migration / Q000150:complications / Q000628:therapy*; D014987:Xerostomia / Q000139:chemically induced
chemical_list: D014150:Antipsychotic Agents