J Periodontal Implant Sci.  2016 Apr;46(2):128-134. 10.5051/jpis.2016.46.2.128.

Rescue of a periodontally compromised tooth by non-surgical treatment: a case report

• Cho YD
• Kim S
• Koo KT
• Seol YJ
• Lee YM
• Rhyu IC
• Ku Y

• KMID: 2161989
• DOI: http://doi.org/10.5051/jpis.2016.46.2.128

Abstract

PURPOSE
This article describes a case of the successful non-surgical management of a periodontally compromised maxillary premolar.
METHODS
A combination therapy, including root planing, occlusal adjustment, and tooth splinting, was applied. Clinical and radiographic examinations were performed during the 16-month follow-up period.
RESULTS
All periodontal parameters were improved. There were dramatic decreases (3-6 mm) in the probing pocket depth, tooth mobility, and marginal bone loss. Interestingly, gradual resolution of the periapical radiolucency and alveolar bone regeneration were observed in the radiographs, and the periodontal condition was maintained during the follow-up period.
CONCLUSIONS
Within the limits of this study, these results demonstrate the importance of natural tooth preservation through proper periodontal treatment and occlusal adjustment of the periodontally compromised tooth, which is typically targeted for tooth extraction and dental implantation.

Keyword

Bone regeneration; Occlusal adjustment; Periodontitis; Traumatic dental occlusion

MeSH Terms

Bicuspid
Bone Regeneration
Dental Implantation
Dental Implants
Dental Occlusion, Traumatic
Follow-Up Studies
Occlusal Adjustment
Periodontitis
Root Planing
Splints
Tooth Extraction
Tooth Mobility
Tooth*
Dental Implants

Figure

• 

  Figure 1 Periapical radiography: (A) Initial radiography showing a periapical radiolucency and severe bone resorption of the maxillary left first premolar, which has subgingival calculus deposition. (B-F) Follow-up, 3 (B), 6 (C), 9 (D), 12 (E), and 16 months (F) after periodontal treatment and occlusal adjustment.

• 

  Figure 2 Healing states of the gingiva around upper left first premolar on 12 months (A, C) and 16 months (B, D) after treatment.

• 

  Figure 3 Panoramic radiography at the initial examination.

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