直近一年間の累計
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ID 117205
著者
Iwata, Mitsuhiro Sakura Dental Clinic
Saito, Atsushi Tokyo Dental College
Kuroda, Yuko Kuroda Dental Office
篠原, 丈裕 Shinohara Orthodontic Clinic
荒井, 大志 Tokushima University
Horie, Hirofumi Sakura Dental Clinic
キーワード
Interdisciplinary therapy
pathologic tooth migration
periodontal regenerative therapy
implant-anchored orthodontic treatment
implant anchored orthodontic treatment
guided bone regeneration
severe periodontitis
bimaxillary protrusion
資料タイプ
学術雑誌論文
抄録
Background: Patients with severe periodontitis often experience pathologic tooth migration (PTM), which impairs esthetics and leads to occlusal disharmony (e.g., premature contacts and/or traumatic occlusion) that can further exacerbate periodontitis. Here, we describe a patient who exhibited severe periodontitis with PTM-related bimaxillary protrusion. This report includes 3-year clinical outcomes following periodontal regenerative therapy, implant-anchored orthodontic therapy, and implant prosthodontics intended to achieve both functional and esthetic improvements.
Case Description: A 63-year-old woman presented with the chief complaint of upper anterior tooth mobility. Clinical examination revealed excessive tooth mobility, deep periodontal pockets, and infrabony defects in all teeth. All teeth exhibited PTM; the mandibular anterior teeth exhibited marked protrusion caused by the progression of periodontitis. After initial periodontal therapy, periodontal regenerative therapy was performed in all molar regions. At 9 and 6 months postoperatively, comprehensive orthodontic treatment was initiated for the mandible and maxilla, respectively, using orthodontic anchorage devices to achieve acceptable functional occlusion. After orthodontic treatment, staged guided bone regeneration was performed and dental implants were placed in the severely resorbed maxillary anterior ridge. This comprehensive treatment yielded favorable periodontal conditions, stable occlusion, and good esthetic outcomes.
Practical Implications: Favorable esthetics, stable occlusion, and highly cleansable periodontal tissues were achieved with well-planned interdisciplinary and comprehensive treatment, although the patient had severe periodontitis and PTM-related bimaxillary protrusion.
掲載誌名
The Journal of the American Dental Association
ISSN
00028177
cat書誌ID
AA00692690
AA12301848
出版者
American Dental Association|Elsevier
152
6
開始ページ
471
終了ページ
482.e2
発行日
2021-05-24
権利情報
© 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
著者版
部局
歯学系