Abstract
Severe chronic periodontitis is an inflammatory disease affecting the periodontium, characterized by progressive destruction of the tooth attachment and bone loss. This report describes the management of a patient with severe chronic periodontitis, who was treated by initial therapy followed by periodontal surgery. A 35-year-old male presented with clinical and radiographic evidence of severe loss of attachment and bone resorption. During initial therapy, minor orthodontic movement was performed to recover the biologic width lost due to subgingival caries. The periodontal surgical procedure consisted of an apically positioned flap surgery with osseous resection. After healing, permanent fixed bridges and crown restorations were fabricated to stabilize the mobile teeth. The treatment resulted in improvement of the alveolar bone level with minimal postoperative changes in the attached gingiva. A two-year follow up confirmed successful disappearance of the destructive lesions. Nihon Shishubyo Gakkai Kaishi(J Jpn Soc Periodontol)49 : 47-54,2007.
