engleski

Correction of pathologic tooth movement with occlusal splint in localized aggressive periodontitis patient

Aim: A 45 year old patient was referred to department of periodontology with complaints of occasional bleeding of the gingiva while brushing and migration of the upper right incisor. Material and Methods: After thorough examination, family history, clinical indices and occlusion analysis patient was diagnosed with localized advanced aggressive periodontitis. Notable measurement was with upper right first incisor having pocket depth of 10 mm mesial and 8 mm palatial as well as abrasion on all teeth and significant diastema between upper central incisors. Plaque and bleeding indices were relatively low. Non-surgical periodontal therapy was performed. Reevaluation after two months revealed residual pocket on upper right incisor. We did a regenerative surgical procedure to eliminate residual pocket and manage the intrabony defect. Immediately after the procedure patient was provided with stabilization splint which was aimed to disocclude any inadequate tooth contacts. In order to reposition upper central incisor splint had been modified during next three months in regular intervals. Results: Patient was very displeased about his smile before he came to our Department. So, although primarily we were thinking of his periodontal health and occlusion, we had to think of his aesthetic result in the end as well. Patient was very motivated which made our tooth repositioning therapy with continuous splint augmentation possible. Conclusion: After one year of combined therapy at Department of Periodontology and Department of Prosthodontics we have acceptable aesthetics in the upper front region with nearly closing the diastema.

occlusion analysis; diastema; periodontal health

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