# Clinical Management of Localized Aggressive Periodontitis With Esthetic Replacement of Tooth 11 Using a Resin-Bonded Bridge: A Case Report

## TL;DR

This case report details the treatment of a young man with aggressive periodontitis, focusing on restoring a missing tooth with a resin-bonded bridge after nonsurgical therapy.

## Contribution

The paper presents a conservative clinical approach combining nonsurgical periodontal therapy and a resin-bonded bridge for managing localized aggressive periodontitis.

## Key findings

- Nonsurgical periodontal therapy with antibiotics was used to manage LAP but could not save tooth 11.
- A resin-bonded bridge successfully restored esthetics and function after tooth extraction.
- Regular periodontal maintenance ensured long-term stability in the patient.

## Abstract

Aggressive periodontitis (AgP) is a severe periodontal disease that causes early tooth loss in healthy young patients. Localized aggressive periodontitis (LAP) often affects specific teeth with rapid destruction of supporting tissues, causing functional and esthetic problems. Conservative treatment options are needed to manage tooth loss and maintain oral health.

This case report describes the case of LAP in a 33-year-old man who presented with clinical attachment loss and bone destruction affecting the molars and incisors. Clinical and radiographic examination revealed deep periodontal pockets, angular bone defects, and mobility of tooth 11. A diagnosis of localized periodontitis was made. The patient underwent nonsurgical periodontal therapy (NSPT) with adjunctive antibiotics. Despite treatment, tooth 11 had a poor prognosis and was extracted. An immediate denture was fabricated, and a resin-bonded bridge (RBB) was made to restore esthetics and function. The patient was stable and was closely monitored with regular periodontal maintenance.

This case report presents a comprehensive management of a patient with AgP, highlighting the importance of early diagnosis and addressing the challenges of AgP. Conservative approaches such as NSPT, RBBs, and splinting strategies helped to maintain function and improve oral health.