Sethna Gulnar Dara, Moghe Ameya Gajanan, Sonkurla Sapna Poshanna, Kamble Avinash Mahadev, Kapri Anita, Rajanna Shobha
Department of Periodontology, Government Dental College and Hospital, Mumbai, India.
Department of Periodontology Dentistry Program , Batterjee Medical College, Jeddah, Saudi Arabia.
Contemp Clin Dent. 2020 Jul-Sep;11(3):274-276. doi: 10.4103/ccd.ccd_336_19. Epub 2020 Nov 26.
Periodontitis has a multifactorial etiology as a result of interactions between periodontal pathogens and the host response. Due to the complex etiology and esthetic complications, the management of such patients is a challenging task. Vast arrays of treatment modalities are employed in the treatment of generalized periodontitis with varying success rates. Placental-derived tissues as allografts have recently been introduced for guided tissue regeneration in dentistry with favorable results. In this case report, successful periodontal treatment of a 25-year-old male patient with generalized periodontitis; Stage IV, Grade C, is presented with a 3-year follow-up. An interdisciplinary approach using regenerative periodontal surgery and a modified Andrew's bridge was used to successfully rehabilitate the patient. In a compliant patient with a well-structured interdisciplinary approach, questionable and hopeless teeth too can be retained over an extended period of time with no detrimental effect on the adjacent teeth.
由于牙周病原体与宿主反应之间的相互作用，牙周炎具有多因素病因。由于病因复杂且存在美学并发症，此类患者的治疗是一项具有挑战性的任务。在治疗广泛性牙周炎时采用了大量治疗方式，成功率各不相同。胎盘来源的组织作为同种异体移植物最近已被引入牙科用于引导组织再生，并取得了良好效果。在本病例报告中，展示了一名25岁广泛性牙周炎男性患者（IV期，C级）的成功牙周治疗及3年随访情况。采用了一种使用再生性牙周手术和改良安德鲁氏桥的多学科方法来成功修复该患者。在一名依从性好且采用精心构建的多学科方法的患者中，有问题和无可救药的牙齿也可以在较长时间内保留，而对相邻牙齿没有不利影响。
