Periodontal Regenerative Therapy In Patient With Advanced Chronic Periodontitis: A Case Report With 3- Year Follow Up

The purpose of periodontal therapy is to create a stable, easily maintainable state and to promote periodontal regeneration. In this case report, periodontal treatment of a 40-year-old female patient with generalized advanced chronic periodontitis is presented. She received initial periodontal treatment together with adjunctive antimicrobials. The devital teeth were endodontically treated, and splinting of mobile teeth was done. Following the surgical treatment using Novabone putty, alloplastic bone graft and GTR combination, the patient was put on a strict recall program. After 12 months, favorable clinical and radiographical improvements were obtained. The 3-year maintenance of the present case with several initially hopeless teeth has been shown and discussed in this report. It can be concluded that optimum oral hygiene level as well as the positive cooperation of the patient enhanced the success of periodontal treatment results even in extremely severe periodontal destruction.