Combined periodontal regenerative and prosthetic treatment of pathologic migration of anterior teeth
0
조회
0
다운로드
0
인용
0
참고문헌
초록
Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health. (J Korean Acad Periodontol 2008;38:405-412)
Abstract
Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health. (J Korean Acad Periodontol 2008;38:405-412)
참고문헌 (31)
- Carranza FA Jr, "Periodontal response to external forces. In: Clinical Periodontology", pp.313~325 (1996), W.B. Saunders
- Towfighi PP, "Pathologic migration of anterior teeth in patients with moderate to severe periodontitis", J Periodontol, 68, pp.967~972 (1997)
- Martinez-Canut P, "A study on factors associated with pathologic tooth migration", J Clin Periodontol, 24, pp.492~497 (1997)
- Manor A, ""Spontaneous" repositioning of migrated teeth following periodontal surgery", J Clin Periodontol, 11, pp.540~545 (1984)
- Singh J, "Pathologic migration--spontaneous correction following periodontal therapy: A case report", Quintessence Int, 33, pp.65~68 (2002)
- Brunsvold MA, "Spontaneous correction of pathologic migration following periodontal therapy", Int J Periodontics Restorative Dent, 17, pp.182~189 (1997)
- Gaumet PE, "Spontaneous repositioning of pathologically migrated teeth", J Periodontol, 70, pp.1177~1184 (1999)
- Maeda S, "Interdisciplinary treatment of a patient with severe pathologic tooth migration caused by localized aggressive periodontitis", Am J Orthod Dentofacial Orthop, 127, pp.374~384 (2005)
- Guilbert PN, "Periodontal and prosthodontic treatment for patients with advanced periodontal disease", Dent Clin North Am, 32, pp.331~354 (1988)
- Cirelli JA, "Combined periodontal, orthodontic, and restorative treatment of pathologic migration of anterior teeth: A case report", Int J Periodontics Restorative Dent, 26, pp.501~506 (2006)
- Ohyama H, "Recreating an esthetic smile: A multidisciplinary approach", Int J Periodontics Restorative Dent, 27, pp.61~69 (2007)
- Gottlow J, "New attachment formation in the human periodontium by guided tissue regeneration. case reports", J Clin Periodontol, 13, pp.604~616 (1986)
- Christgau M, "Periodontal regeneration of intrabony defects with resorbable and non-resorbable membranes: 30-month results", J Clin Periodontol, 24, pp.17~27 (1997)
- Cortellini P, "Treatment of deep and shallow intrabony defects. A multicenter randomized controlled clinical trial", J Clin Periodontol, 25, pp.981~987 (1998)
- Cortellini P, "Periodontal regeneration of human intrabony defects with titanium reinforced membranes. A controlled clinical trial", J Periodontol, 66, pp.797~803 (1995)
- Echeverria JJ, "Guided tissue regeneration in severe periodontal defects in anterior teeth: case reports", J Periodontol, 66, pp.295~300 (1995)
- Cortellini P, "Long-term clinical outcomes of abutments treated with guided tissue regeneration", J Prosthet Dent, 81, pp.305~311 (1999)
- Murphy KG, "Postoperative healing complications associated with gore-tex periodontal material. part II. effect of complications on regeneration", Int J Periodontics Restorative Dent, 15, pp.548~561 (1995)
- Simion M, "Bacterial penetration in vitro through GTAM membrane with and without topical chlorhexidine application. A light and scanning electron microscopic study", J Clin Periodontol, 22, pp.321~331 (1995)
- Tonetti MS, "Generalizability of the added benefits of guided tissue regeneration in the treatment of deep intrabony defects: evaluation in a multi-center randomized controlled clinical trial", J Periodontol, 69, pp.1183~1192 (1998)
- Nemcovsky CE, "Rotated split palatal flap for soft tissue primary coverage over extraction sites with immediate implant placement: description of the surgical procedure and clinical results", J Periodontol, 70, pp.926~934 (1999)
- Cortellini P, "The simplified papilla preservation flap. A novel surgical approach for the management of soft tissues in regenerative procedures", Int J Periodontics Restorative Dent, 19, pp.589~599 (1999)
- Martinez-Canut P, "A study on factors associated with pathologic tooth migration", J Clin Periodontol, 24, pp.492~497 (1997)
- Kamalakidis S, "Nonsurgical management of soft tissue deficiencies for anterior single implant-supported restorations: A clinical report", J Prosthet Dent, 97, pp.1~5 (2000)
- Cardaropoli G, "Tissue alterations at implant-supported single-tooth replacements: A 1-year prospective clinical study", Clin Oral Implants Res, 17, pp.165~171 (2006)
- Murphy KG, "Postoperative healing complications associated with gore-tex periodontal material. part I. incidence and characterization", Int J Periodontics Restorative Dent, 15, pp.363~375 (1995)
- Ling LJ, "The influence of membrane exposure on the outcomes of guided tissue regeneration: Clinical and microbiological aspects", J Periodontal Res, 38, pp.57~63 (2003)
- Cortellini P, "The modified papilla preservation technique. A new surgical approach for interproximal regenerative procedures", J Periodontol, 66, pp.261~266 (1995)
- Takei HH, "Flap technique for periodontal bone implants. Papilla preservation technique", J Periodontol, 56, pp.204~210 (1985)
- Stavropoulos A, "Deproteinized bovine bone and gentamicin as an adjunct to GTR in the treatment of intrabony defects: A randomized controlled clinical study", J Clin Periodontol, 30, pp.486~495 (2003)
- Stavropoulos A, "Fate of bone formed by guided tissue regeneration with or without grafting of bio-oss or biogran. An experimental study in the rat", J Clin Periodontol, 31, pp.30~39 (2004)