Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Stability of periodontally compromised teeth after splint and non-surgical therapy: two cases followed-up for 1 to 3 years

Splint 및 비외과적 치주치료를 통하여 치주질환에 이환된 치아의 안정화 증례 보고

  • Kim, Yeon-Tae (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Park, Ye-Sol (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Kim, Do-Hyung (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Jeong, Seong-Nyum (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Lee, Jae-Hong (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry)
  • 김연태 (원광대학교 치과대학 대전치과병원 치주과) ;
  • 박예솔 (원광대학교 치과대학 대전치과병원 치주과) ;
  • 김도형 (원광대학교 치과대학 대전치과병원 치주과) ;
  • 정성념 (원광대학교 치과대학 대전치과병원 치주과) ;
  • 이재홍 (원광대학교 치과대학 대전치과병원 치주과)
  • Received : 2018.08.08
  • Accepted : 2018.10.15
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This article describes cases of applying non-surgical treatment including scaling and root planing, occlusal adjustment and tooth splinting of periodontally compromised lower anterior incisors Clinical and radiographic evaluations were performed over a 1-3-year period. All clinical parameters and radiographic bone levels improved in both cases. Dramatic regeneration of alveolar bone and lamina dura were observed on radiographic images, and no specific complications occurred during the follow-up period. Within the limitations of this study, these cases demonstrated the possibility of tooth rescue through non-surgical treatment and splinting of periodontally compromised teeth typically considered for extraction.

본 증례는 치주적으로 이환된 하악 전치부를 치은연상 치석제거술과 치근활택술을 포함한 비외과적 치주치료, 교합 조정 및 치아 간 치아고정술을 통해 회복한 경우이다 임상적, 방사선학적 평가를 술 후 1 - 3년간 시행하였다. 두 증례 모두 임상적 계측치에서 향상된 결과를 보였고 방사선학적 평가에서 현저한 치조골 및 치조백선의 재생이 관찰되었다. 이번 증례는 발치가 고려되는 심도의 치주질환에 이환된 치아에서 비외과적 치주치료와 치아고정술을 통해 치아를 보존할 수 있는 가능성을 보여준 사례로 보고하는 바이다.

Keywords

References

  1. Genco RJ. Host Responses in Periodontal Diseases: Current Concepts. J Periodontol 1992;63:4 Suppl:338-55. https://doi.org/10.1902/jop.1992.63.4s.338
  2. Lee JH, Oh JY, Choi JK, Kim YT, Park YS, Jeong SN, Choi SH. Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea. J Periodontal Implant Sci 2017;47:264-272. https://doi.org/10.5051/jpis.2017.47.5.264
  3. Lee JH, Lee JS, Park JY, Choi JK, Kim DW, Kim YT, Choi SH. Association of Lifestyle-Related Comorbidities With Periodontitis: A Nationwide Cohort Study in Korea. Medicine (Baltimore) 2015;94:e1567. https://doi.org/10.1097/MD.0000000000001567
  4. Lee JH, Oh JY, Youk TM, Jeong SN, Kim YT, Choi SH. Association between periodontal disease and non-communicable diseases: A 12-year longitudinal health-examinee cohort study in South Korea. Medicine (Baltimore) 2017;96:e7398. https://doi.org/10.1097/MD.0000000000007398
  5. Branschofsky M, Beikler T, Schafer R, Flemming TF, Lang H. Secondary trauma from occlusion and periodontitis. Quintessence Int 2011;42:515-22.
  6. Hallmon WW, Harrel SK. Occlusal analysis, diagnosis and management in the practice of periodontics. Periodontol 2000 2004;34:151-64. https://doi.org/10.1046/j.0906-6713.2003.003430.x
  7. Jin LJ, Cao CF. Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis. J Clin Periodontol 1992;19:92-7. https://doi.org/10.1111/j.1600-051X.1992.tb00446.x
  8. Glickman I, Smulow JB. Further observations on the effects of trauma from occlusion in humans. J Periodontol 1967;38:280-93. https://doi.org/10.1902/jop.1967.38.4.280
  9. Waerhaug J. The infrabony pocket and its relationship to trauma from occlusion and subgingival plaque. J Periodontol 1979;50:355-65. https://doi.org/10.1902/jop.1979.50.7.355
  10. Smiley CJ, Tracy SL, Abt E, Michalowicz BS, John MT, Gunsolley J, Cobb CM, Rossmann J, Harrel SK, Forrest JL, Hujoel PP, Noraian KW, Greenwell H, Frantsve-Hawley J, Estrich C, Hanson N. Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. J Am Dent Assoc 2015;146:508-24. https://doi.org/10.1016/j.adaj.2015.01.028
  11. Davies SJ, Gray RJ, Linden GJ, James JA. Occlusal considerations in periodontics. Br Dent J 2001;191:597-604. https://doi.org/10.1038/sj.bdj.4801245
  12. Pollack RP. Non-crown and bridge stabilization of severely mobile, periodontally involved teeth. A 25-year perspective. Dent Clin North Am 1999;43:77-103.
  13. Polson AM, Kennedy JE, Zander HA. Trauma and progression of marginal periodontitis in squirrel monkeys. I. Co-destructive factors of periodontitis and thermally-produced injury. J Periodontal Res 1974;9:100-7.
  14. Lindhe J, Ericsson I. The effect of elimination of jiggling forces on periodontally exposed teeth in the dog. J Periodontol 1982;53:562-7. https://doi.org/10.1902/jop.1982.53.9.562
  15. Pihlstrom BL, Anderson KA, Aeppli D, Schaffer EM. Association between signs of trauma from occlusion and periodontitis. J Periodontol 1986;57:1-6. https://doi.org/10.1902/jop.1986.57.1.1
  16. Lemmerman K. Rationale for stabilization. J Periodontol 1976;47:405-11. https://doi.org/10.1902/jop.1976.47.7.405
  17. Ramfjord SP, Ash MM Jr. Significance of occlusion in the etiology and treatment of early, moderate, and advanced periodontitis. J Periodontol 1981;52:511-7. https://doi.org/10.1902/jop.1981.52.9.511
  18. Rushton VE, Horner K, Worthington HV. Routine panoramic radiography of new adult patients in general dental practice: relevance of diagnostic yield to treatment and identification of radiographic selection criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:488-95. https://doi.org/10.1067/moe.2002.121994