Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report
Fatme Mouchref Hamasni, Fady El Hajj
TL;DR
A heavy smoker with advanced gum disease was successfully treated with guided tissue regeneration and zirconia crowns, maintaining good results for 12 years.
Contribution
Demonstrates long-term success of guided tissue regeneration in a heavy smoker with localized stage III periodontitis.
Findings
No residual pockets or gingival recession observed after 12 years of follow-up.
Perfect marginal bone stability and esthetic results were achieved.
Successful tissue maturation occurred after a 6-month healing period.
Abstract
This case report exhibits a heavy smoker female patient with a localized stage III periodontitis who has been under the smoking cessation program during the pre-surgical period, followed by a strict maintenance program for the past twelve years, after being treated with guided tissue regeneration techniques and restored with zirconia prosthetic crowns. A 50-year-old, heavy smoker (> 40 cigarettes per day), systemically healthy female patient presented complaining of mobility and pain in the upper right central incisor, which was temporarily splinted to the left central incisor using resin composite. After clinical and radiographic examination, significant damage of the attachment apparatus, deep periodontal lesions extending the middle portion of the root, and severe infrabony defect were noted. Following the initial hygienic phase, a guided tissue regeneration surgery using xenograft…
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Taxonomy
TopicsOral microbiology and periodontitis research · Periodontal Regeneration and Treatments · HIV/AIDS oral health manifestations