Combined periodontal regenerative and prosthetic treatment of pathologic migration of anterior teeth.
10.5051/jkape.2008.38.Suppl.405
- Author:
Ju Youn LEE
1
Author Information
1. Department of Periodontology, School of Dentistry, Pusan National University, Korea. heroine@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
guided tissue regeneration (GTR);
pathologic tooth migration;
anterior teeth;
advanced periodontitis
- MeSH:
Adult;
Crowns;
Female;
Follow-Up Studies;
Humans;
Incisor;
Periodontal Diseases;
Tooth;
Tooth Migration
- From:The Journal of the Korean Academy of Periodontology
2008;38(Suppl):405-412
- CountryRepublic of Korea
- Language:English
-
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.