Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.6110
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
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.
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.
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.