Hamasni, Fatme, El Hajj, Fadi. (1403). Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report. سامانه مدیریت نشریات علمی, 25(2), 183-189. doi: 10.30476/dentjods.2024.100483.2224
Fatme Mouchref Hamasni; Fadi El Hajj. "Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report". سامانه مدیریت نشریات علمی, 25, 2, 1403, 183-189. doi: 10.30476/dentjods.2024.100483.2224
Hamasni, Fatme, El Hajj, Fadi. (1403). 'Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report', سامانه مدیریت نشریات علمی, 25(2), pp. 183-189. doi: 10.30476/dentjods.2024.100483.2224
Hamasni, Fatme, El Hajj, Fadi. Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report. سامانه مدیریت نشریات علمی, 1403; 25(2): 183-189. doi: 10.30476/dentjods.2024.100483.2224
Treatment of a Localized Stage III Periodontitis in the Esthetic Zone with Guided Tissue Regeneration Technique on a Heavy Smoker Patient with 12-Year Follow- up: A Case Report
1Former Head of Dept. of Periodontology and Director of the Master Program, Lebanese University Faculty of Dental Medicine Beirut Lebanon, Beirut Arab University, Faculty of Dental Medicine, Beirut, Lebanon.
2Former Head of Dept. of Periodontology, Lebanese University Faculty of Dental Medicine. Beirut, Lebanon, Lebanese University, Faculty of Dental Medicine, Beirut, Lebanon.
چکیده
This case report exhibits a heavy smoker female patient with a localized stage III periodontitis who has been under cessation smoking program during the pre-surgical period, followed by a strict maintenance program for the past twelve years, after being treated with guided tissue regeneration techniques and restored with zirconia prosthetic crowns. A 50-year-old, heavy smoker (> 40 cigarettes per day), systemically healthy female patient presented complaining of mobility and pain in the upper right central incisor which was temporarily splinted to the left central incisor using resin composite. After clinical and radiographic examination, significant damage of the attachment apparatus, deep periodontal lesions extending the middle portion of the root, and severe infrabony defect were noted. Following the initial hygienic phase, a guided tissue regeneration surgery using xynograft bone substitute covered by a resorbable collagen membrane was performed. After six months of healing, four zirconia crowns were cemented on the central and lateral incisors based on patient esthetic compliance. During the 12-year follow-up period, neither residual pockets nor gingival recession were observed, and perfect marginal bone stability, and esthetic and functional results were noted. This case shows the predictability of a conservative surgical technique, the guided tissue regeneration, based on appropriate treatment planning and a strict maintenance program, it also demonstrates the importance of at least a 6-month healing period after such surgeries, allowing complete tissue maturation and a re-establishment of the supra osseous gingival tissues in order to locate the prosthetic margins without interfering with the soft tissues integrity.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontitis. J Periodontol. 2018; 89: S173–S182.
Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017; 75: 152-188.
Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontal manifestations of systemic diseases and developmental and acquired conditions. J Periodontol. 2018; 89: S237–S248.
Krishna R, De Stefano JA. Ultrasonic vs. hand instrumentation in periodontal therapy: clinical outcomes. Periodontol 2000. 2016; 71: 113–127.
Jepsen K, Jepsen S. Antibiotics/antimicrobials: systemic and local administration in the therapy of mild to moderately advanced periodontitis. Periodontol 2000. 2016; 71: 82–112.
Soldatos NK, Stylianou P, Koidou VP, Angelov N, Yukna R, Romanos GE. Limitations and options using resorbable versus nonresorbable membranes for successful guided bone regeneration. Quintessence Int. 2017; 48: 131-147.
Duarte PM. Nogueira CFP, Silva SM, Pannuti CM, Schey KC, Miranda TS. Impact of smoking cessation on periodontal tissues. Int Dent J. 2022; 72: 31-36.
Moreno Rodriguez JA, Caffesse RG. Nonincised papillae surgical approach (NIPSA) in periodontal regeneration: preliminary results of a case series. Int J Periodontics Restorative Dent. 2018; 38: s105-s111.
Pippi R. Post-surgical clinical monitoring of soft tissue wound healing in periodontal and implant surgery. Int J Med Sci. 2017; 14: 721–728.
Martinez-Amargant J, de Tapia B, Pascual A, Takamoli J, Esquinas C, Nart J, et al. Association between smoking and peri-implant diseases: A retrospective study. Clin Oral Implants Res. 2023; 34: 1127-1140.
Patel Rajiv M. Dental implants for patients with Periodontitis. Prim Dent J. 2020; 8940: 54-61.
Hamilton A, Conzaga L, Amorim K, Wittneben JG, Marting L, Morton D, et al. Selection criteria for immediate implant placement and immediate loading for single tooth replacement in the maxillary esthetic zone: A systematic review and meta-analysis. Clin Oral Implant Res. 2023; 34: 304-348.
Cieplik f, Ihlenfeld I, Hiller KA, Pummer A, Schmaltz G, Buchalla W, et al. Tooth survival and clinical outcomes up to 26 years after guided tissue regeneration therapy in deep intra-bony defects: Follow-up investigation of three randomized clinical trials. J Clin Perio. 2020; 47: 863-874.
Rifai M, Aoun G, Majzoub Z. Evaluation of the papillary gingival vasculature in smokers and nonsmokers with chronic periodontitis: a clinical in vivo study. J Int Soc Prev Community Dent. 2020; 10: 368–375.
Mouchref Hamasni F, Majzoub Z A.K. Effect of patient- and surgery-related factors on supracrestal tissue reestablishment after crown lengthening procedure. Quint 2019; 50: 792–801.