Generalized periodontitis treated with periodontal, orthodontic, and prosthodontic therapy: A case report

doi:10.12998/wjcc.v9.i21.6110

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Jul 26, 2021; 9(21): 6110-6124
Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.6110

Table 1 Pre-treatment periodontal examinations

Maxilla	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (buccal)	323	857	754	646	654	758	322	346	576	325	653	423	458	833
Bleeding on probing	++	+++	+++	+++	+++	+++	+	+++	+++	++	++	++	++	+
Pocket depth (palatal)	834	448	324	466	664	579	433	438	586	888	663	333	368	633
Bleeding on probing	++	+++	++	+++	+++	+++	+	++	+++	+++	++		++	++
Tooth mobility	1	1	1	2	2	3	1	2	2	2	2	1	1	0
Mandible	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (lingual)	337	838	334	534	435	533	335	622	222	223	553	355	633	733
Bleeding on probing	+++	++	+	+++	+++	++	+	+			++	+	+	+
Pocket depth (buccal)	434	934	333	556	554	423	324	463	323	323	423	323	423	834
Bleeding on probing	+	++	+	+++	+	+	+	+++	+		+		+	+++
Tooth mobility	1	1	1	1	2	1	1	1	1	0	1	1	1	1

Plaque index: 50.9%; Periodontal inflamed surface area: 1725.7 mm²; +: Bleeding on probing.

Table 2 Summary of cephalometric measurements

Measurements	Pre-treatment	Post-treatment	After 10 yr of retention
SNA (°)	81.9	81.1	81.2
SNB (°)	71.9	72.0	72.0
ANB (°)	10.0	9.1	9.2
FMA (°)	32.0	32.1	32.1
FMIA (°)	46.9	54.4	54.2
IMPA (°)	101.1	93.5	93.6
U1-FH (°)	109.9	98.6	98.8
Over jet (mm)	9.5	5.0	5.2
Over bite (mm)	6.0	4.0	4.3

Table 3 Periodontal examinations one year after beginning of initial periodontal treatment

Maxilla	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (buccal)	133	635	433	535	323	338	323	233	334	223	532	222	335	333
Bleeding on probing	+	++	+		+	+							+	+
Pocket depth (palatal)	333	335	333	335	533	338	333	333	335	345	332	323	233	323
Bleeding on probing		+	+		++	+					+		+
Tooth mobility	0	0	0	1	0	0	0	0	0	2	1	0	0	0
Mandible	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (lingual)	336	333	323	533	333	222	222	222	222	223	333	336	533	633
Bleeding on probing	+	+		+									+	+
Pocket depth (buccal)	638	336	333	335	333	322	212	212	212	222	333	322	333	733
Bleeding on probing	+
Tooth mobility	1	1	0	1	2	1	1	1	1	0	1	1	0	1

Plaque index: 11.6%; Periodontal inflamed surface area: 309.3 mm²; +: Bleeding on probing.

Table 4 Periodontal examinations after orthodontic treatment

Maxilla	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (buccal)	323	434	323	323	322	-	322	323	323	-	533	323	335	533
Bleeding on probing	+										+		+	+
Pocket depth (palatal)	323	333	433	332	333	-	323	323	323	-	433	323	336	623
Bleeding on probing	+	++		+			+	+			+		+	++
Tooth mobility	0	0	0	0	0		0	0	0		0	0	0	0
Mandible	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (lingual)	334	333	323	-	212	212	212	212	212	212	-	323	533	533
Bleeding on probing	+	+											+	+
Pocket depth (buccal)	334	434	323	-	323	412	222	323	312	212	-	323	333	623
Bleeding on probing		+				+	+	+						+
Tooth mobility	0	0	0		0	0	0	0	0	0		0	0	0

Plaque index: 9.0%; Periodontal inflamed surface area: 270.1 mm²; +: Bleeding on probing.

Table 5 Periodontal examinations at beginning of supportive periodontal therapy

Maxilla	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (buccal)	333	323	212	213	322	-	212	212	212	-	222	323	333	333
Bleeding on probing				+										+
Pocket depth (palatal)	333	323	323	222	313	-	323	323	312	-	323	323	323	323
Bleeding on probing		+	+						++				+
Tooth mobility	0	0	1	1	0		0	0	0		0	0	0	0
Mandible	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (lingual)	323	333	323	-	323	212	323	323	323	323	-	323	323	333
Bleeding on probing	+	+						++		+				+
Pocket depth (buccal)	322	333	323	-	523	323	323	323	212	212	-	323	433	323
Bleeding on probing					+
Tooth mobility	0	0	0		0	0	0	0	0	0		0	0	0

Plaque index: 8.0%; Periodontal inflamed surface area: 107.2 mm²; +: Bleeding on probing.

Table 6 Periodontal examinations after 10 yr of retention

Maxilla	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (buccal)	333	323	212	212	322	-	212	212	212	-	323	212	223	223
Bleeding on probing									+
Pocket depth (palatal)	323	323	212	222	212	-	212	222	212	-	212	323	323	323
Bleeding on probing											+
Tooth mobility	0	0	0	1	0		0	1	0		0	0	0	0
Mandible	17	16	15	14	13	12	11	21	22	23	24	25	26	27
Pocket depth (lingual)	323	323	323	-	323	322	212	212	212	212	-	212	323	323
Bleeding on probing		+
Pocket depth (buccal)	322	323	212	-	323	212	212	212	212	212	-	212	323	323
Bleeding on probing					+
Tooth mobility	0	0	1		0	0	0	0	0	0		0	0	0

Plaque index: 9.0%; Periodontal inflamed surface area: 26.1 mm²; +: Bleeding on probing.

Citation: Kaku M, Matsuda S, Kubo T, Shimoe S, Tsuga K, Kurihara H, Tanimoto K. Generalized periodontitis treated with periodontal, orthodontic, and prosthodontic therapy: A case report. World J Clin Cases 2021; 9(21): 6110-6124
URL: https://www.wjgnet.com/2307-8960/full/v9/i21/6110.htm
DOI: https://dx.doi.org/10.12998/wjcc.v9.i21.6110