Bratisl Lek Listy. 2020;121(11):796-800. doi: 10.4149/BLL_2020_130.
Horizontally impacted mandibular molars may cause loss of bone, and development of periodontal pockets on the distal root surface of adjacent second molars. The reported patient was confirmed to have aggressive periodontitis. The aim of this presentation is to describe a novel view of a complex treatment approach to promote periodontal healing in a patient.
Our study presents the results of a patient with generalized aggressive periodontitis, horizontally impacted left third mandibular molar, and a second molar with a deep periodontal pocket. The treatment concept was recommended based on the idea of "one-stage treatment". The removal of the third molar was followed by deep scaling and root planing, and the xenogenic grafting material was placed on the bone defect. The flap completely covered the wound. The patient received systemic antibiotics.
The probing pocket depth was 9 mm before surgical treatment and 0-2 mm 1, 5, and 10 years postoperatively. The radiographic bone level was 50 % before surgery and 100 % after the surgical approach.
This presentation with a 10-year follow-up describes the implementation of one-stage treatment management to promote periodontal healing in a patient via full-mouth periodontal and surgical therapy (Fig. 4, Ref. 33).
水平阻生的下颌磨牙可导致骨丧失，并在相邻第二磨牙的远中根面发展牙周袋。报告的患者被确诊为侵袭性牙周炎。本报告的目的是描述一种复杂治疗方法的新观点，以促进患者的牙周愈合。
我们的研究介绍了一位患有广泛性侵袭性牙周炎、左侧下颌第三磨牙水平阻生和第二磨牙深牙周袋的患者的结果。该治疗方案基于“一次性治疗”的理念。在第三磨牙拔除后，进行深度刮治和根面平整，并在骨缺损处放置异种移植物材料。皮瓣完全覆盖伤口。患者接受了全身抗生素治疗。
手术治疗前探诊袋深度为 9mm，术后 1、5 和 10 年分别为 0-2mm。术前放射骨水平为 50%，术后为 100%。
本报告通过全口牙周和手术治疗（图 4，参考文献 33），介绍了一项为期 10 年的随访研究，描述了一次性治疗管理方法在促进患者牙周愈合方面的应用。
