Treatment of Advanced Periodontal Disease: Keys to Achieving Restoration Longevity.

Dental treatment for periodontally compromised patients can be highly complicated and challenging. This article addresses the effectiveness of contemporary periodontal treatment modalities by depicting clinical cases of periodontal restoration and health that have been maintained for 20 or more years. The cases incorporate four key steps vital to achieving successful treatment of chronic adult periodontitis: debridement, occlusal stabilization, pocket elimination, and maintenance.

Molar uprighting with extrusion for implant site bone regeneration and improvement of the periodontal environment.

This case report describes the treatment of a 55-year-old man who presented with a missing maxillary first molar and mesially inclined neighboring second molar with a severe circumferential bone defect. After bone regeneration therapy with bone grafting, the second molar was uprighted orthodontically to improve the inclination and crown-to-root ratio. These treatments minimized the bone defect and developed a suitable site for an implant in the first molar position.

[Clinical treatment of occlusion in implant therapy].

A firmly established theory on occlusion, even with natural teeth, has been all but absent throughout history. it is even more difficult to find and evidence-based concept of occlusion for the relatively new field of implantology. Since i harbored doubts on initial gnathological theories of occlusion decades ago, my work in treating occlusion in patients with temporomandibular arthrosis has brought me to the realization that the diagnosis and adjustment of the alignment or misalignment of the light guide tapping position ( LGTP ) and clenching position (CLP) in the stable condylar position are important focal points for clinical occlusion.

Interdisciplinary approach and orthodontic options for treatment of advanced periodontal disease and malocclusion: a case report.

Patients with a compromised periodontal condition and a breakdown in occlusal support may require periodontal and prosthodontic treatment in conjunction with orthodontic treatment. Orthodontic treatment of these patients is possible and would involve removal of inflammation and occlusal interference and provision of an environment for proper restorative rehabilitation. A different approach to the orthodontic treatment of these patients is required in terms of treatment manner, stabilizing anchorage systems, force systems, retention, and plaque control during treatment.

Interdisciplinary treatment of a patient with severe pathologic tooth migration caused by localized aggressive periodontitis.

An interdisciplinary approach was used to treat a patient with pathologic migration of teeth, with severe anterior proclination and molar mesial inclination due to localized aggressive periodontitis. The combination of regenerative periodontal therapy, prosthodontic rehabilitation, and orthodontic treatment greatly improved function and esthetics.