"A Long-Term Study of Oral Rehabilization for the Treatment of Severe Advanced Periodontitis with Secondary Occlusal Traumatism Using Intentional Replantation, Fixed Prosthesis and Perioprosthetic Design of CSCTD"

Case ReportA 56-year old female presented at our office seeking treatment for tooth #11 with primary complaints of recurrent gingival swelling, bleeding with pus discharge.She had visited some local dental clinics for treating above mentioned symptoms and signs, and been told that tooth #11 should be extracted, and dental implant therapy was suggested.However, she rejected those treatment plans and showed strong to keep the tooth# 11.Oral examination showed that moderate gingival recession was generally found on the maxillary teeth from teeth #13, #12, #11, #21, #23-#25, #27, and on the mandibular teeth from #37, #46, and #47, respectively.In addition, ill fitted, poor esthetic design, anterior deep bite and bad occlusion problems were found at the maxillary and mandibular arches.Assessments of periodontal parameters of the remained teeth included gingival index (GI)[13], plaque index (PlI) [14], probing pocket depth (PPD), and clinical attachment level (CAL), were recorded at baseline and every six months until the end of the study.Periapical radiographs disclosed generalized periodontal bone loss (PABL) with deep angular bony defects and SOT were noted around both teeth #12,