2020 Volume 12 Issue 1 Pages 99-102
Patient: A 38-year-old man presented with the chief complaint of poor appearance. He was diagnosed with extensive type severe aggressive periodontitis, cuspal interference, and esthetic disturbance with malformation of anterior teeth and a spaced arch. After removing ill-fitting restorations, temporary crowns were set. Regenerative periodontal therapy was performed followed by periodontal initial treatment and endodontic therapy. By partial orthodontic treatment and provisional restorations, the occlusal plane and the occlusal scheme were modified and final prostheses were set. The post-treatment course was uneventful.
Discussion: Motivation of the patient, as well as periodontal treatment and good distribution of functional force, were essential for a good prognosis.
Conclusion: In patients with poor self-image due to esthetic disturbance, occlusal interference and periodontal disease, periodontal treatment followed by orthodontic and prosthodontic treatment is important for a prolonged good prognosis.
