Abstract
This case report describes the treatment of a patient with severe chronic periodontitis who initially refused scheduled periodontal treatments but eventually began attending them after experiencing occlusal collapse of the mandibular posterior areas and a change in her living environment. The patient was 43-year-old woman who visited a clinic complaining of tooth crown collapse and gingival bleeding of the left mandibular premolar tooth. A periodontal tissue examination indicated that scheduled periodontal treatments were necessary. However, the patient refused to attend the treatments after her symptoms improved. Seven years later, the patient returned because of severe periodontitis in the mandibular posterior areas. The patient finally agreed to undergo regenerative treatments and implant therapy in addition to basic periodontal treatments. After the periodontal treatment, her periodontal tissue is good condition under the maintenance. And the patient's behavioral changes occurred for her systemic health. The patient started exercising to maintain her physical fitness and began attending regular health check-ups. Improving health awareness during dental care seems to be an important role of dental hygienists working in regional health care settings.
Nihon Shishubyo Gakkai Kaishi (J Jpn Periodontol) 49 : 233-238,2007.
