Periodontal Treatment of Severe Pubertal Gingivitis: A Case Report

2018 ◽  
Author(s):  
Ahmad Safa Alkateb
Keyword(s):  
Case Report ◽  
Periodontal Treatment

Endodontic and Periodontal Treatment of Complete Buccal Root and Apex Exposition: A Challenging Case Report with 17 Months Follow‐Up

2021 ◽  
Author(s):  
Sérgio Kahn ◽  
Alexandra Tavares Dias ◽  
Vitor Nobre ◽  
Larissa Zarjitsky Oliveira ◽  
Gustavo Vicentis de Oliveira Fernandes
Keyword(s):  
Case Report ◽  
Periodontal Treatment

scholarly journals Interdisciplinary management of a severely compromised periodontal patient - Case report

2019 ◽  
Vol 1 (2) ◽  
pp. 77-86
Author(s):  
João Coimbra
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Enamel Matrix Derivative ◽  
Interdisciplinary Management ◽  
Patient Case ◽  
Supportive Periodontal Therapy ◽  
The Moment

Purposes: The aim of this case report is to suggest and discuss an up-to-date interdisciplinary approach to a complex periodontal case, adjusting different treatment strategies intra-individually based on the biological, functional and aesthetic dimensions of each patient. Case report: The case refers to a 42-year-old healthy male patient with IIIB generalized periodontitis. After cause-related therapy, the patient was submitted to periodontal resective surgery with fibre retention technique in the maxilla and surgical regenerative procedures in the posterior regions of the mandible with enamel matrix derivative and bovine xenograft. After Supportive Periodontal Therapy (SPT) institution the patient went through an aesthetic rehabilitation phase to minimize the disease sequelae. Conclusion: Modern evidence-based periodontal treatment options must be site-specific oriented in order to achieve the best clinical outcomes. A contemporary vision of periodontal treatment must go beyond the moment of establishment of an individualized SPT programme and these restorative solutions are very powerful tools to give back confidence and increase the self-esteem of our patients.

An Interdisciplinary Approach for Management of Trauma-induced External Root Resorption: A Case Report with a Two-Year Follow-up

2020 ◽  
Vol 11 (2) ◽  
pp. 245-250
Author(s):  
M. S. Prathap ◽  
Sruthy Prathap
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Interdisciplinary Approach ◽  
Periodontal Treatment ◽  
Periodontal Pocket ◽  
Radiographic Examination ◽  
Interdisciplinary Management ◽  
Complete Suppression ◽  
External Root Resorption ◽  
History Of

Root resorption is largely pathologic and known to be initiated by several factors, including pulpal necrosis, trauma, periodontal treatment, orthodontic treatment, and bleaching agents. Incorrect diagnosis can lead to improper management and tooth loss. The treatment should involve the complete suppression of all the resorptive factors and the reconstruction of the defect using a suitable restorative material. The resorptive defect is often detected by the routine radiographic examination. A characteristic radiopaque line generally separates the image of the lesion from that of the root canal because the pulp remains protected by a thin layer of predentin until late in the process. Histopathologically, the lesions contain fibrovascular tissue with resorbing clastic cells adjacent to the dentin surface. Advanced lesions may also display fibro-osseous characteristics with deposition of ectopic bone-like calcifications. This case report presents extensive root resorption in the maxillary left lateral incisor and left canine in a 35-year-old patient. The defect was identified during the routine radiographic examination. The patient revealed a history of trauma 15 years back. Following the examination, the teeth were found to be vital and associated with the moderately deep periodontal pocket in the interdental region. The teeth were managed endodontically, and the resorption defect was restored with a biocompatible material after surgically elevating a flap. Periodontal management was also performed simultaneously by the surgical debridement of the area. Six-month postoperative radiograph revealed an arrest of the resorption and healing of the periodontal defect. Hence, an interdisciplinary management involving endodontic as well as periodontal treatment was performed that helped in saving the teeth with poor prognosis.

scholarly journals Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Nurcan Tezci ◽  
Suleyman Emre Meseli ◽  
Burcu Karaduman ◽  
Serap Dogan ◽  
Sabri Hasan Meric
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Squamous Epithelium ◽  
Alveolar Bone ◽  
Periodontal Treatment ◽  
Soft Tissue Reconstruction ◽  
Free Gingival Graft ◽  
Tissue Reconstruction ◽  
Stratified Squamous Epithelium ◽  
Gingival Graft

Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium.Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up.Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

scholarly journals Periodontal and Systemic Treatment Approach on Pemphigus Vulgaris: A Case Report

2020 ◽  
Vol 7 (1) ◽  
pp. 390-393
Author(s):  
Ömer Birkan Ağrali ◽  
Gamze Kavuncu ◽  
Filiz Namdar Pekiner ◽  
Cuyan Demirkesen ◽  
Leyla Kuru
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Treatment Approach ◽  
Pemphigus Vulgaris ◽  
Periodontal Treatment ◽  
Gingival Inflammation ◽  
Non Invasive ◽  
Probing Depth ◽  
Negative Effect ◽  
Treatment Procedures

Objective:  In this case report, both the diagnosis of pemphigus vulgaris and the periodontal treatment approach including the use of local/systemic medications are presented. Case Presentation: 36-year-old female patient applied to the periodontology clinic with complaints of burning mouth and pain. Physical examination revealed cutaneous blisters on nose, hand and fingers while intra-oral examination showed widespread desquamation and ulcers depending on PV and severe gingival inflammation due to the lack of oral hygiene and oral PV. Initial periodontal treatment (IPT) was implemented to the patient along with local and systemic medications. Periodontal parameters including plaque Index (PI), gingival Index (GI), probing depth (PD) and clinical attachment level (CAL) were recorded before and six weeks after IPT.  Periodontal treatment procedures did not cause any negative effect on the lesions. Six weeks following IPT and the use systemic medications, all clinical parameters improved significantly. Furthermore, lesions including mucosal blisters and desquamations partially recovered, the patient started to perform oral hygiene more effectively. It was concluded that atraumatic and non-invasive periodontal treatment supported by the use of local/systemic corticosteroid and immunosuppressive medications was efficient on controlling of widespread desquamations and gingival inflammation of PV patients. 

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