Abstract
A 45-year-old male with a noncontributory medical history was referred to our hospital in June of 1989, with a chief complaint of gingival bleeding of maxillary right lateral incisor. This case was diagnosed as chronic periodontitis with maxillary anterior teeth pathologic migration by secondary occlusal trauma, and was also leading to midline diastema, and posterior bite collapse. Following completion of the initial periodontal therapy by both periodontist and dental hygienist, the anterior diastema was spontaneously closed and supportive periodontal therapy started. The mean clinical attachment level, probing depth (PD) and the sites more than 4 mm PD were improved and maintained from 3.0mm, 2.9mm and 37 sites (22.2%) to 2.7mm, 2.3mm and no site in October of 2006 respectively. Periodontal conditions were stable and fulfilled the patient's desire to retain the teeth healthy for about 17 years from an initial visit without discontinuation of therapy.
Nihon Shishubyo Gakkai Kaishi (J Jpn Periodontol) 49 : 250-256,2007.
