Comprehensive treatment of generalized severe periodontitis affected by the occlusal force+Exploring the overall picture of periodontal treatment from 30-year follow-up of a case with a brachyfacial type

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Key Points

This research aims to explore effective treatment interventions for generalized severe periodontitis affected by occlusal force.
Case study of a patient with stage IV, grade C generalized severe periodontitis with significant vertical bone loss.
Implemented a full cross-arch splint for oral function reconstruction while preserving natural teeth.
Follow-up conducted over 30 years to assess treatment outcomes and improvements in quality of life.
Achieved good preservation of the dentition over 30 years with significant improvement in oral function.
Establishment of a comprehensive treatment system and shared decision making contributed to effective health management.
Patient maintained a better quality of life throughout the long follow-up period.

Demonstrates long-term improvement in oral function in severe periodontitis with a brachyfacial type, suggesting effective treatment strategies.

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Jiro Hirano (2026) studied this question.

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