REGENERATIVE PERIODONTAL TREATMENT AS MANAGEMENT OF CHRONIC PERIODONTITIS: A CASE REPORT

Authors

  • Ainun Isnaeni Ilham Periodontics Specialist Education Program, Department of Periodontics, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia
  • Daniel Tetan El Periodontics Specialist Education Program, Department of Periodontics, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia
  • Sri Oktawati Department of Periodontics, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia

DOI:

https://doi.org/10.46862/interdental.v20i1.8637

Keywords:

Bonegraft, Chronic Periodontitis, Platelet Rich Fibrin, Regenerative Therapy

Abstract

Introduction: Chronic periodontitis is a chronic inflammatory disease induced by microbes beginning with inflammation of the gingiva and progressing to progressive damage to the tooth supporting structures. Various approaches have been made to treat chronic periodontitis, one of which is regenerative periodontal treatment using bone grafts and platelet-rich fibrin (PRF).

History and Clinical Findings: A 32-year-old man came to the Periodontology Department of the Dental and Oral Education Hospital with chief complaints mobility of upper and lower teeth. Clinical examination showed that patient did not have a history of systemic diseases and the patient did not smoke. Intraoral examination showed that the maxillary front teeth grade 1 mobility and the average pocket depth in the maxillary and mandibular anterior teeth was 5 mm.

Case Management: Case management includes initial therapy followed by surgical treatment which includes open flap, placement of bone graft and PRF, followed by frenectomy, then suturing and application of a periodontal pack. At 1 month after treatment, the surgical flap phase was continued for the mandibular anterior teeth using a combination of bone graft and membrane placement.

Discussion: Bone graft and PRF are used to regenerate furcation defects and their ability to regenerate hard and soft tissue is due to the release of various growth factors. Conclusion: Regenerative surgical treatment in chronic periodontitis patients provides effective results in alveolar bone regeneration and decrease pocket depth.

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References

Kwon T, Lamster IB, Levin L. Current concepts in the management of periodontitis. International dental journal 2021;71:462-76. Doi: https://doi.org/10.1111/idj.12630

Agrali OB, Kuru BE. Periodontal treatment in a generalized severe chronic periodontitis patient: A case report with 7-years follow-up. European Journal of Dentistry 2015;9(2):288-92. Doi: https://doi.org/10.4103/1305-7456.156844

Yukna RA. Clinical evaluation of laser-assisted new attachment procedure (LANAP) surgical treatment of chronic periodontitis: a retrospective case series of 1 year result in 22 consecutive patients. J Periodontal Implant Sci 2023;53(3):173-83. Doi: https://doi.org/10.5051/jpis.2202580129

Oktawati S, Asalui TR, Mardiana A, Nardiatmo SPS, Haryo HM. Surgical approach to treat chronic periodontitis and followed with metal frame partial denture: A case report. Med Clin Pract 2020; 3(52):1-3. Doi: https://doi.org/10.1016/j.mcpsp.2020.100104

Lone S, Thomas J. Comprehensive assessment, diagnosis, treatment planning of severe periodontal disease: A clinical case report. International Journal of Science and Research (IJSR) 2020;9(3):272-280. Doi: http://dx.doi.org/10.21275/SR20304125420

Tizzoni R, Tizzoni M. How do GTR and GBR differ? a periodontitis case treated using an equine-derived, enzyme-deantigenic, collagen-preserving bone graft, and collagen membranes. The Journal of Contemporary Dental Practice 2019;20(5):639-44. Doi: 10.5005/jp-journals-10024-2571

Carolina DN, Hendiani I, Susanto A, Rusminah N. Perawatan bedah regeneratif periodontal pada kasus periodontitis. Majalah Kedokteran Klinik 2019;5(3):66-9.

Doi: https://doi.org/10.22146/mkgk.65726

Divilia D, Sari RP, Teguh PB. Efektivitas kombinasi grafting cangkang kerang darah (anadara granosa) dan minyak ikan lemuru (sardinella longiceps) terhadap penurunan jumlah osteoklas pada proses bone repair. Denta Jurnal Kedokteran Gigi 2016;9(1):20-9.

Mohan SP, Jaishangar N, Madhavan SS. Platelet-rich plasma and platelet-rich fibrin in periodontal regeneration: a review. Journal of Pharmacy and Bioallied Sciences 2019;11(2):126-30. Doi: https://doi.org/10.4103%2FJPBS.JPBS_41_19

Chavda S, Levin L. Human studies of vertical and horizontal alveolar ridge augmentation comparing different types of bone graft materials: a systematic review. Journal of Oral Implantology 2018; 44(1):74-84. Doi: https://doi.org/10.1563/aaid-joi-d-17-00053

Hosseinpour S, Walsh LJ, Moharamzadeh K. Regenerative approaches in dentistry. Switzerland: Springer; 2021. p. 110.

Berglundh T, Giannobile WV, Lang NP, Sanz M. Clinical periodontology and implant dentistry, 7th Ed. USA: Wiley Blackwell; 2022. p. 537.

Nibali L. Diagnosis and treatment of furcation-involved teeth. USA: Wiley Blackwell; 2018. p. 110.

Tammama T, Syamsudin E, Fathurachman. Alveolar cleft closure with iliac bonegraft: a case report. J Dentomaxillofac Sci 2017;3:37-40. Doi: http://dx.doi.org/10.15562/jdmfs.v2i1.457

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Published

2024-04-21

How to Cite

1.
Ilham AI, El DT, Oktawati S. REGENERATIVE PERIODONTAL TREATMENT AS MANAGEMENT OF CHRONIC PERIODONTITIS: A CASE REPORT. interdental [Internet]. 2024 Apr. 21 [cited 2024 Nov. 14];20(1):118-23. Available from: https://e-journal.unmas.ac.id/index.php/interdental/article/view/8637