engleski

Twelve year follow-up of severe aggressive periodontitis in an adolescent patient

Aim: A 19-year-old female student was referred to periodontology department by her primary dentist assigned for students. This was her first visit to a periodontology specialist. She complained about occasional bleeding of gingiva, recession and some migration of the upper frontal teeth, as well as significant molar movement in the upper and lower jaw. Material and Methods: An extensive periodontal examination with clinical indices and family history was taken. Although there were no signs of inflammation present, we found average recession of 4 mm and pocket depths from 7 to 10 mm around upper and lower molars and incisors. Endodontic treatment on 36 and 46 was done and all inadequate fillings were replaced. We performed non-surgical periodontal therapy with addition of systemic antibiotics (amoxicillin + metronidazole). After reevaluation we decided to perform additional surgical treatments of active residual pockets. Recall was scheduled every two months during the first year ; afterwards, when the disease was under control it was every 4 months during the next period of 11 years. Upper and lower incisors were esthetically reshaped with composite material and a fiber-reinforced splint was placed. Results: During the 12 years of follow-up of this severe aggressive periodontitis patient, we managed to preserve all teeth. Since the patient didn’t lose any teeth and had acceptable esthetics, the treatment was considered successful. Conclusion: Severe aggressive periodontitis can have a good long-term prognosis, but only with proper maintenance therapy.

aggressive periodontitis; tooth prognosis; esthetics

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