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Rehabilitation of a periodontal patient with rapidly progressing marginal alveolar bone loss: 1‐year follow‐up
Author(s) -
Sewón Liisi A.,
Ampula Liisa,
Vallittu Pekka K.
Publication year - 2000
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1034/j.1600-051x.2000.027008615.x
Subject(s) - medicine , dentistry , dental alveolus , periodontium , molar , inlay , splint (medicine) , alveolar process , orthodontics , rehabilitation , physical therapy
Background: The present case report describes a 1‐year follow‐up of functional rehabilitation of a young periodontal patient with severely advanced, rapidly progressing marginal bone loss treated by using a new splinting material, i.e., glass fiber‐reinforced composite (FRC). Apart from one single tooth, the young man had retained all his natural teeth. Treatment: Periodontal treatment was based on cleaning and root planing enabled by partial‐thickness‐flap operations. This method was selected to avoid further damage to the remaining alveolar bone. After healing for 6 months, a cavity retained internal FRC splint was constructed and 1 missing lower molar was replaced by an inlay‐retained FRC resin‐bonded fixed partial denture (FPD). A 12 months follow‐up period revealed a healthy periodontium and good functional and esthetic results. Conclusions: The new material allows the use of periodontal treatment methods instead of prosthetic alternatives, which until now have been a more generally used approach in the treatment of severely advanced periodontal cases. Internal fiber‐reinforced composit splinting being affordable for the patient, easy for the clinician to construct and giving good esthetic and functional results, suggests that the method may be a valuable aid in periodontal treatment.