THE JOURNAL OF THE ACADEMY OF CLINICAL DENTISTRY
Online ISSN : 1884-8230
Print ISSN : 1346-8111
ISSN-L : 1346-8111
A case report: improvement in occlusion and periodontal environment by comprehensive dentistry
Tsutomu Matsuoka
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2015 Volume 35 Issue 3 Pages 195-202

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Abstract
In clinical dental practice, we often stumble upon on a case where the patientʼs chief complaint is concerned with a certain part of the mouth, yet a comprehensive care plan based on “the entire mouth as a functioning unit” is required in order to provide treatment aiming for stable stomatognathic system. Presented in this paper is a clinical case of a patient with a complaint of deep subgingival caries and tooth mobility. Preservation of the relevant tooth deemed unrealistic after the detailed examination. On the entire mouth, malpositioning of some teeth, malfunctional occlusion, and some periodontal problems were detected. As such, comprehensive treatment plan was drawn taking into account specialistsʼ advice on each problem. Along with this master plan, the carious teeth were restored; periodontal therapy and orthodontic treatment were provided; and finally, implant treatment was carried out upon completion of bone augmentation with tooth extrusion. Adequate occlusal relation and periodontal environment were maintained, and the patient was satisfied with the result.
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© 2015 THE ACADEMY OF CLINICAL DENTISTRY
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