Rescue of a periodontally compromised tooth by non-surgical treatment
조영단, 김성태, 구기태, 설양조, 이용무, 류인철, 구영,
소속 상세정보
조영단 ( Cho Young-Dan ) - Seoul National University School of Dentistry Department of Periodontology
김성태 ( Kim Sung-Tae ) - Seoul National University School of Dentistry Department of Periodontology
구기태 ( Koo Ki-Tae ) - Seoul National University School of Dentistry Department of Periodontology
설양조 ( Seol Yang-Jo ) - Seoul National University School of Dentistry Department of Periodontology
이용무 ( Lee Yong-Moo ) - Seoul National University School of Dentistry Department of Periodontology
류인철 ( Rhyu In-Chul ) - Seoul National University School of Dentistry Department of Periodontology
구영 ( Ku Young ) - Seoul National University School of Dentistry Department of Periodontology
KMID : 0363020160460020128
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.
키워드
Bone regeneration; Occlusal adjustment; Periodontitis; Traumatic dental occlusion
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