Reconstruction of advanced bone defect associated with severely compromised maxillary anterior teeth in aggressive periodontitis: a case report

TL;DR

A successful treatment of advanced bone loss in a patient with aggressive periodontitis is reported, showing that teeth with severe damage can be saved with proper care.

Contribution

This case report demonstrates the successful use of regenerative periodontal therapy in a challenging case of aggressive periodontitis.

Findings

A 34-year-old patient with aggressive periodontitis showed marked bone gain after regenerative therapy.

Non-surgical and surgical treatments successfully restored function and aesthetics in compromised teeth.

Proper treatment planning can avoid tooth extraction in severe periodontal cases.

Abstract

Aggressive periodontitis is characterized by a rapid rate of attachment loss and bone resorption. Regenerative therapy offers reconstruction of the periodontium; however, certain advanced cases with a questionable prognosis might remain a challenge. We report a successful intervention outcome of a challenging case in the aesthetic zone of a patient with aggressive periodontitis.

A 34-year-old systemically healthy Malay woman was referred to the Periodontics Specialist Clinic of the Kulliyyah of Dentistry, International Islamic University Malaysia, with a chief complaint of bleeding gums and mobility of the upper anterior teeth. A diagnosis of localized aggressive periodontitis was made. A thorough non-surgical periodontal treatment was provided, followed by a series of regenerative periodontal surgeries to manage advanced bone defects. A successful treatment outcome with a good prognosis was achieved. Maintenance through the supportive treatment phase showed marked bone gain.

Teeth with severely compromised periodontium of unpredictable prognosis can still be maintained with satisfactory restoration of the function, support, and aesthetics, despite the baseline unpredicted treatment outcome. Proper selection of an advanced periodontal treatment plan can exclude the option of tooth extraction or prosthetic replacement.

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