Periodontal prosthesis in combination with regenerative periodontal therapy

Abstract

Patient: The patient was a 60-year-old woman on her first visit to our clinic. The chief complaint was masticatory difficulty caused by looseness of the upper right premolars (tooth numbers 24, 25). Advanced periodontitis with pathological migration of the teeth and disruption of the occlusal plane was also observed. After periodontal treatment, full-mouth reconstruction using a prosthetic procedure was performed in order to restore normal occlusion.

Discussion: We believe that it is possible to attain satisfactory attachment by temporarily securing mobile teeth using a provisional restoration at the time of periodontal therapy, and then fixing them permanently, with the aim of stabilizing occlusion through prosthetic rehabilitation after regeneration therapy.

Conclusion: When performing prosthetic rehabilitation on loose teeth caused by advanced periodontitis, regenerative periodontal therapy to regain lost periodontal tissue and actively improve the general oral environment is a desirable treatment that can be used to achieve better masticatory function.