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Combined periodontal regenerative and prosthetic treatment of pathologic migration of anterior teeth  

Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University)
Publication Information
Journal of Periodontal and Implant Science / v.38, no.sup2, 2008 , pp. 405-412 More about this Journal
Abstract
Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health.
Keywords
guided tissue regeneration (GTR); pathologic tooth migration; anterior teeth; advanced periodontitis;
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