Mao Shun, Xie Hui, Ma Fei, Zeng Chang, Liu Jian, Guo Jincai, Xie Yan
School of Stomatology, Hunan University of Chinese Medicine, Changsha, China.
Changsha Stomatological Hospital, Changsha, China.
Medicine (Baltimore). 2025 May 23;104(21):e42037. doi: 10.1097/MD.0000000000042037.
The management of patients with generalized stage III grade C periodontitis involves complex considerations, particularly in cases of inadequate peri-implant keratinized mucosa. We present a case study highlighting the multidisciplinary management of periodontitis and the feasibility of a modified apically positioned flap procedure to increase the width of the keratinized mucosa at the implant site during the second stage of implant surgery.
A 45-year-old woman presented to our hospital with a 4-year history of tooth mobility that caused difficulty chewing and bleeding gums when brushing.
The patient was diagnosed with generalized stage III grade C periodontitis.
The patient underwent a initial periodontal therapy, periodontal surgery, endodontic treatment, implant treatment, prosthodontic treatment, soft tissue augmentation procedures during the second stage of implant surgery, and supportive periodontal therapy.
The patient showed a healthy periodontal status and stable occlusal function after 5 years of follow-up.
Multidisciplinary management of generalized stage III grade C periodontitis requires full consideration of systematic periodontal therapy, personalized treatment planning, and patient compliance; in particular, a modified apically positioned flap procedure may serve as an option for soft tissue augmentation at the dental implant site.
对广泛性III级C型牙周炎患者的管理涉及复杂的考量因素，尤其是在种植体周围角化黏膜不足的情况下。我们展示了一个病例研究，强调了牙周炎的多学科管理以及在种植手术第二阶段采用改良根向复位瓣手术增加种植体部位角化黏膜宽度的可行性。
一名45岁女性因牙齿松动4年前来我院就诊，牙齿松动导致咀嚼困难，刷牙时牙龈出血。
患者被诊断为广泛性III级C型牙周炎。
患者接受了初始牙周治疗、牙周手术、牙髓治疗、种植治疗、修复治疗、种植手术第二阶段的软组织增量手术以及支持性牙周治疗。
经过5年随访，患者牙周状况健康，咬合功能稳定。
对广泛性III级C型牙周炎进行多学科管理需要充分考虑系统性牙周治疗、个性化治疗计划和患者依从性；特别是，改良根向复位瓣手术可作为种植体部位软组织增量的一种选择。
