A case of fixed dental prostheses after periodontal treatment for a patient with severe periodontal disease

Abstract

Patient: The patient was a 39-year-old man with the main complaint of masticatory disorder and esthetic dissatisfaction due to severe chronic periodontitis. Intensive periodontal treatment succeeded in improving the overall periodontal pockets. After correcting the protrusion and flare-out of the anterior teeth without changing the occlusion of the molars, the occlusion was reconstructed using provisional prostheses, followed by the placement of fixed dental prostheses.

Discussion: Maintaining the patient’s motivation for periodontal treatment and the reflection of occlusion and configuration of the provisional prostheses to the definitive prostheses led to a stable prognosis.

Conclusion: Comprehensive treatment and management, including periodontal treatment and occlusion improvement, for this patient with severe periodontal disease suggests that fixed prosthetic devices can be maintained for a long period of time.