The patient diagnosed with generalized severe chronic periodontitis underwent comprehensive treatment involving implants. Adjunct Antimicrobial Therapy and Periodontal Surgery to Treat Generalized Aggressive Periodontitis: A Case Report.  |  All custom abutments and porcelain-fused-to-metal crowns were retained with side screws (Figures 3(a)–3(e)). The gingival texture and peri-implant mucosa appear healthy. A 15 year old male pat ient was come to . Gingival - Periodontal diseases include a set of pathologies that affect the protective and insertion tissues of teeth. Presented is the case of acute necrotizing periodontitis in a 21 year old male patient with no systemic disease but a history of tobacco use (chewing and smoking) since 7 years. With appropriate initial periodontal treatment and ongoing supportive therapy, oral health can be maintained soundly and longitudinally in patients with implants. Although periodontitis has been reported to decrease implant success rate [29], peri-implantitis can be prevented among patients with severe periodontitis. Osteomyelitis Associated With Chronic Periodontitis: A Report of Three Cases. In this regard, it is necessary to investigate previous reports related to long-term outcomes in severe chronic periodontitis patients with applied implant treatment. Likewise, their role in periodontitis has been studied [24, 25]. The objective of this paper is to report the clinical case of a patient who presented a chronic apical periodontitis, arising from internal inflammatory resorption followed by pulp necrosis, and the long-term success of a root canal therapy using calcium hydroxide as root canal dressing. diabetes(1). Periodontal regenerative therapy with enamel matrix derivative was then performed on #16, 26, and 27. Although the dental implants are less successful in compromised patients compared to uncompromised patients. The rarity of the presented OAF is because the periodontally affected teeth were in proximity to the right maxillary sinusitis. Intraoral Examination: The intraoral examination reveals marked gingival inflammation as well as plaque accumulation and significant calculus deposits. A -year-old woman presented herself with an exo-phytic mass of cm adherent to the mandible and localized distally of tooth . Additionally, it is a multifactorial disease, involving bacterial, environmental, and biological factors [4]. This case report describes the detection of bacteremia after chewing in an uncontrolled T2DM patient with severe chronic periodontitis… After basic treatment of the periodontal tissues, periodontal surgery was performed at several sites with bony defects. The patient gave her consent to the treatment plan. Clinical Case Report of Long-term Follow-up In Type-2 Diabetes Patient With Severe Chronic Periodontitis And Nifedipine-induced Gingival Overgrowth Authors: Yoshihiro Shibukawa, Koushu Fujinami and Shuichiro Yamashita Journal: Bulletin of Tokyo Dental College (2012) 53(2): 91–99 Dr.Jignesh Chronic Periodontitis. However, although it is not a completely established method, implant probing and accompanying bleeding are considered useful for diagnosing peri-implantitis [33]. That finding suggests that tooth loss can be minimized to only one tooth every 10 years with maintenance treatment. In each case, the screw was restored after cleaning and occlusal adjustment. Slots and T. E. Rams, “New views on periodontal microbiota in special patient categories,”, T. Shiba, T. Watanabe, H. Kachi et al., “Distinct interacting core taxa in co-occurrence networks enable discrimination of polymicrobial oral diseases with similar symptoms,”, W. Papaioannou, M. Quirynen, and D. Van Steenberghe, “The influence of periodontitis on the subgingival flora around implants in partially edentulous patients,”, L. J. Clinical examination revealed diffuse gingival enlargement. 21, issue 1 ISSN: 1312-773X Implant prosthetic treatment has long been utilized in periodontal patients. Generalized inflammation is observed, particularly between tooth #11 and tooth #12, where a fistula is present. To achieve successful periodontal treatment, both the removal of inflammatory factors and the improvement of occlusal factors are needed. Introduction: The aim of this case report is to highlight a rare case of periodontitis contributing to an oroantral fistula (OAF), which was closed with a pedicled buccal fat pad (PBF). His glycated hemoglobin (HbA1c) level was 7.8%. For professional tooth cleaning, a polishing paste not containing fluoride (Hawe Implant paste®; KerrHawe SA, Bioggio, Switzerland) was used in regard for avoiding titanium corrosion. 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