A Case Report of Comprehensive Treatment by the Periodontal Regeneration Technique for Aggressive Periodontitis

• Published in: Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) Vol. 49; no. 2; pp. 151 - 161
• Main Authors: Kubota, Kohzoh, Yokota, Makoto
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY OF PERIODONTOLOGY 2007
• Subjects: aggressive periodontitis; comprehensive treatment; periodontal regeneration technique
• ISSN: 0385-0110; 1880-408X
• DOI: 10.2329/perio.49.151

Generalized aggressive periodontitis is a rarely encountered condition characterized by rapid periodontal destruction in otherwise healthy subjects In this paper, inclusive comprehensive treatment including periodontal surgery, induction of periodontal regeneration,tooth transplantation and orthodontic treatment in a patient diagnosed to have generalized aggressive periodontitis is reported. A 21-year-old female with the chief complaint of mobility of the lower anterior teeth and swelling of the gingiva was diagnosed as having severe attachment loss and bone resorption by the clinical and radiographic examinations. The family medical history of the patient revealed that the paternal uncle had started using complete dentures in his prime and that a cousin of similar age also had similar symptoms. After the initial therapy, periodontal surgery was performed for the molars, with the maxillary right first molar extracted and the third molar of the same side transplanted at the same time. Enamel matrix derivatives (EMD) was also applied on the maxillary and mandibular left molars. The maxillary teeth were corrected by orthodontic treatment and fixed by prosthetic restoration. The result showed a well-improved periodontal tissue. The 4-year follow revealed successful progress. Nihon Shishubyo Gakkai Kaishi (J Jpn Periodontol) 49 : 151-161,2007.