Jepsen Karin, Jaeger Andreas, Jepsen Søren
Int J Periodontics Restorative Dent. 2015 May-Jun;35(3):e35-43. doi: 10.11607/prd.2345.
This case report of a patient with a central incisor with rapid destruction of periodontal tissues associated with pathologic tooth migration illustrates the esthetic and functional reconstruction of a severely compromised tooth. An interdisciplinary approach, including resolution of the infection and regenerative periodontal surgery followed by orthodontic tooth movement, transformed a hopeless tooth with high mobility, attachment loss approaching the apex, and a Miller Class IV recession into a clinically healthy tooth. Treatment planning for periodontally involved anterior teeth with pathologic migration should consider a multidisciplinary approach for preservation of the natural dentition.
本病例报告讲述了一名患者的中央门牙，其牙周组织迅速破坏并伴有病理性牙齿移位，展示了对严重受损牙齿的美学和功能重建。一种跨学科方法，包括解决感染问题、进行牙周再生手术，随后进行正畸牙齿移动，将一颗高松动度、附着丧失接近根尖且为米勒IV类牙龈退缩的无望牙齿转变为一颗临床健康的牙齿。对于伴有病理性移位的牙周受累前牙，治疗计划应考虑采用多学科方法来保留天然牙列。
