Premium
Treatment of Generalized Aggressive Periodontitis With Enamel Matrix Derivative and Implant Prosthesis: A Case Report
Author(s) -
Takanashi Takuya,
Fujinami Koushu,
Matsuzaki Mai,
Sekine Hideshi,
Saito Atsushi
Publication year - 2012
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2012.110080
Subject(s) - enamel matrix derivative , medicine , dentistry , osseointegration , aggressive periodontitis , dentition , prosthesis , dental alveolus , periodontitis , periodontist , periodontology , implant , orthodontics , dental prosthesis , regeneration (biology) , surgery , biology , microbiology and biotechnology
Aggressive periodontitis is characterized by relatively rapid loss of connective tissue attachment and alveolar bone in apparently healthy young adults. Ideally, treatment aims at regeneration of lost periodontal tissues and functional and esthetic restoration of lost dentition. Case Presentation: This case report describes an interdisciplinary approach to aggressive periodontitis in a 23‐year‐old woman involving a periodontist, dental hygienist, and implantologist. After initial periodontal therapy, periodontal lesions were treated by regenerative therapy using enamel matrix derivative. Treatment yielded a mean clinical attachment level (CAL) gain of 3.0 mm (range: 2 to 5 mm; 41% of the preoperative CAL) at 1 year. A trend toward a progressive increase in radiopacity, suggestive of bone fill, was also observed. After extraction of the upper incisors, transitional implants were immediately placed to support a provisional prosthesis. Two osseointegrated implants were then inserted. After confirming suppression of periodontal pathogens, an implant‐supported prosthesis was placed for esthetic and functional restoration of the anterior dentition. Conclusion: This collaborative approach yielded a favorable outcome in the treatment of aggressive periodontitis.