Li LJ, Yan X, Yu Q, Yan FH, Tan BC. Multidisciplinary non-surgical treatment of advanced periodontitis: A case report. World J Clin Cases 2022; 10(7): 2229-2246 [PMID: 35321158 DOI: 10.12998/wjcc.v10.i7.2229]
Corresponding Author of This Article
Bao-Chun Tan, MS, Doctor, Department of Periodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, No. 30 Zhongyang Road, Nanjing 210008, Jiangsu Province, China. tanbaochun2002@163.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 6, 2022; 10(7): 2229-2246 Published online Mar 6, 2022. doi: 10.12998/wjcc.v10.i7.2229
Multidisciplinary non-surgical treatment of advanced periodontitis: A case report
Ling-Jun Li, Xiang Yan, Qing Yu, Fu-Hua Yan, Bao-Chun Tan
Ling-Jun Li, Fu-Hua Yan, Bao-Chun Tan, Department of Periodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, Jiangsu Province, China
Xiang Yan, Department of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, Jiangsu Province, China
Qing Yu, Department of Prosthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, Jiangsu Province, China
Author contributions: Tan BC was responsible for conceptualization and supervision; Li LJ was responsible for writing the original draft, reviewing, and editing; Yan X, Yu Q, and Yan FH contributed to investigation and data curation; all authors approved the final version to be submitted. Li LJ and Yan X contributed equally to this work.
Supported bythe Nanjing Medical Science and Technology Development Program, No. YKK17139.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bao-Chun Tan, MS, Doctor, Department of Periodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, No. 30 Zhongyang Road, Nanjing 210008, Jiangsu Province, China. tanbaochun2002@163.com
Received: August 26, 2021 Peer-review started: August 26, 2021 First decision: October 22, 2021 Revised: November 29, 2021 Accepted: January 22, 2022 Article in press: January 22, 2022 Published online: March 6, 2022 Processing time: 187 Days and 19 Hours
Abstract
BACKGROUND
Patients with severe periodontitis often require multidisciplinary treatment to achieve healthy periodontal tissue, normal occlusion, and optimal aesthetics. In the present study, we aimed to evaluate the efficacy of multidisciplinary non-surgical treatment in a patient with stage IV/ grade C periodontitis, malocclusion, and dentition defects.
CASE SUMMARY
A 47-year-old woman visited our periodontology department due to teeth mobility problems and difficulties chewing food. The patient had no history of drug allergies or systemic disease. Initial therapy involved scaling and root planning with a Gracey scaler and periodontal ultrasonic therapeutic apparatus using a periodontal endoscope (Perioscopy, Zest Dental Solutions, United States) to control the periodontal inflammation prior to treatment. Five months later, orthodontic treatment was then performed to treat occlusion and overall aesthetics. After completion, a Maryland bridge was used to restore Nos. 22, 31, and 41 teeth. Florida probing (Florida probe, United States) was performed every 2-3 mo to evaluate the periodontal condition throughout treatment. Overall, multidisciplinary non-surgical treatment resulted in satisfactory aesthetic results with healthy periodontal tissue and stable occlusion.
CONCLUSION
In some patients with stage IV/grade C periodontitis, systematic and sequential non-surgical treatment can provide excellent therapeutic results.
Core Tip: We present a case of severe periodontitis treated with standardized multidisciplinary therapy, with excellent therapeutic effects. This case report offers new insight into the treatment of patients with stage IV/ grade C periodontitis, highlighting the potential of a systematic and sequential non-surgical approach.
