2021 Volume 64 Issue 4 Pages 285-295
Objective: A case in which a good result was obtained for a patient with generalized chronic periodontitis (Stage Ⅲ Grade A) using delayed autotransplantation and multiple periodontal surgeries is presented.
Case: A 65-year-old woman presented with the chief complaint of tooth mobility. The rates of probing depth of 4-5 mm and ≥6 mm were 18.5% and 18.5%, respectively. The rate of bleeding on probing was 24.1%. The plaque control record was 33.3%. The periodontal inflamed surface area was 886.6 mm2. Several teeth had displacement and premature contact/occlusal interference. Pus discharge and tooth mobility (Miller’s mobility index: Ⅲ) were observed at 37/47. Grade Ⅱ furcation involvement of the lingual side was recorded in 36. Dental radiographic images disclosed the presence of severe bone defects of 37/47 and a vertical bone defect in 36. Cone-beam computed tomography images showed a 3-wall bone defect in 27 and a 2-wall bone defect with grade Ⅱ furcation involvement of the lingual side in 36. There were tori in the buccal and labial sides. After the initial periodontal therapy and delayed autotransplantation (from 38 to 37), multiple periodontal surgeries (flap operation with osteotomy at 16/17, flap operation between 26 and 27, guided tissue regeneration (GTR) at 27, and GTR with bone swaging technique and free gingival graft at 36) were performed for the areas with probing depth ≥4 mm. After the periodontal surgeries, supportive periodontal therapy was performed every 3 months. The delayed autotransplantation of the tooth and the periodontal tissue showed a good course 7 years after the first visit.
Conclusion: Delayed autotransplantation and multiple periodontal surgeries led to a good clinical outcome.
