A Case Report of Comprehensive Treatment with a Team Approach for a Patient with Broad-type Moderate Chronic Periodontitis with Skeletal Mandibular Prognathism

Abstract

 Purpose: Both periodontal disease and malocclusion are related to the deterioration of pathological conditions. Therefore, it is considered necessary not only to control inflammation but also to control occlusal power, such as stabilizing occlusion and dispersing occlusion force.

 Case: A 47-year-old man initially visited the Department of Periodontology, Matsumoto Dental University Hospital with the chief complaint of gingival swelling. Under a diagnosis of broad-type moderate chronic periodontitis with skeletal mandibular prognathism caused by overgrowth of mandibular bone, surgical orthodontic treatment was performed after the initial periodontal therapy, and the opposite occlusion was improved. Subsequently, the patient got good results by improving the environment of periodontal tissue and the continuity of dentition by implant and prosthetic treatment.

 Conclusion: We report a case of comprehensive treatment of a patient with broad-type moderate chronic periodontitis with skeletal mandibular prognathism.