Kaku M, Matsuda S, Kubo T, Shimoe S, Tsuga K, Kurihara H, Tanimoto K. Generalized periodontitis treated with periodontal, orthodontic, and prosthodontic therapy: A case report. World J Clin Cases 2021; 9(21): 6110-6124 [PMID: 34368333 DOI: 10.12998/wjcc.v9.i21.6110]
Corresponding Author of This Article
Masato Kaku, DDS, PhD, Professor, Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan. mkaku@hiroshima-u.ac.jp
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/
Masato Kaku, Saiji Shimoe, Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
Shinji Matsuda, Hidemi Kurihara, Department of Periodontal Medicine, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
Takayasu Kubo, Kazuhiro Tsuga, Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
Kotaro Tanimoto, Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima 734-8553, Japan
Author contributions: Kaku M and Tanimoto K performed orthodontic treatment and drafted the manuscript; Shimoe S reviewed the literature; Matsuda S and Kurihara H performed periodontal treatment and contributed to the drafting the manuscript; Kubo T and Tsuga K performed prosthodontic treatment and reviewed the literature; all authors issued final approval for the version to be submitted.
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.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Masato Kaku, DDS, PhD, Professor, Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan. mkaku@hiroshima-u.ac.jp
Received: March 25, 2021 Peer-review started: March 25, 2021 First decision: May 11, 2021 Revised: May 20, 2021 Accepted: June 1, 2021 Article in press: June 1, 2021 Published online: July 26, 2021 Processing time: 118 Days and 0.8 Hours
Abstract
BACKGROUND
Generalized periodontitis is a severe periodontal disease characterized by rapid periodontal destruction in healthy persons. This case report describes the treatment of a severe crowding, large overjet, and occlusal collapse due to the loss of anterior guidance with generalized periodontitis.
CASE SUMMARY
A 35-year-old female patient with a chief complaint of crowding and maxillary protrusion was diagnosed with generalized periodontitis by clinical and radiographic examinations. To improve crowding and overjet, orthodontic treatment was performed after basic periodontal therapy. Severely damaged upper right lateral incisor and left canine were extracted, and lower right first premolar and left second premolar were also removed to treat severe crowding. After orthodontic treatment, periodontal flap surgery for upper left molars and guided tissue regeneration for the lower left second molar was performed. Then, a dental implant was inserted in the upper left canine legion. The esthetics of the maxillary anterior tooth was improved by prosthetic restorations. The treatment result showed a well-improved occlusion with proper anterior guidance and healthy periodontal tissue after a retention period of 10 years.
CONCLUSION
Periodontal, orthodontic, and prosthodontic treatments are extremely useful to improve function and stable periodontal tissue for generalized periodontitis.
Core Tip: Generalized periodontitis causes malocclusion by severe periodontal destruction. Little information is available on the long-term occlusal stability for generalized periodontitis. In this case report, we demonstrated that periodontal, orthodontic and prosthodontics are useful to improve long-term stability of occlusal function and healthy periodontal tissue for generalized periodontitis.
