Rehabilitation and follow up of a Case of Periodontitis - Generalized, Stage IV, Grade B, Progressive, and with no Risk Factors.

Pub Date : 2023-04-01 Epub Date: 2023-06-30 DOI:10.4103/ccd.ccd_733_21
Sreekanth Puthalath, V C Santhosh, Sameera G Nath, Reshmi Viswanathan
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Abstract

Periodontitis results in loss of periodontal attachment. This case report focuses on diagnosing a special case of periodontitis that required extreme care and maintenance. The peculiarities of this case are that based on 1999 American Academy of Periodontology classification this is a case of generalized aggressive periodontitis, but as per the recent 2017 classification, this is a case of periodontitis - generalized, Stage IV, Grade B, progressive and with no risk factors. Although this case is ideal for surgical management using regenerative techniques, it has been limited to mechanical therapy and laser due to patient-related economical factors. Within the limitations, this case has been successfully managed by dental laser and strategic implants. Despite all the limitations, 1-year follow-up shows periodontal stability and bone regeneration as evidenced through series of panoramic radiographs (OPG).

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一例牙周炎的康复和随访-全身性,IV期,B级,进行性,无危险因素。
牙周炎导致牙周附着丧失。本病例报告的重点是诊断一种需要极端护理和维护的特殊牙周炎病例。该病例的特点是,根据1999年美国牙周病学会的分类,这是一例全身性侵袭性牙周炎,但根据最近2017年的分类,它是一例牙周炎——全身性,IV期,B级,进行性,没有危险因素。尽管这种情况是使用再生技术进行手术治疗的理想情况,但由于患者相关的经济因素,它仅限于机械治疗和激光治疗。在限制范围内,该病例已通过牙科激光和战略性植入物成功治疗。尽管有这些限制,一年的随访显示了牙周稳定性和骨再生,这一点通过一系列全景X线片(OPG)得到了证明。
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