Case Report
A Judicious Treatment Approach for the Management of Localized Aggressive Periodontitis: A Case Report
Nanditha S1*, Senthilkumar Muthusamy1, Balamanikandasrinivasan Chandrasekaran2 and Sathya Kannan2
1Academic unit of Adult Dental Health, AIMST Dental Centre; AIMST University, Malaysia
2Academic unit of Craniofacial Clinical Care, AIMST Dental Centre; AIMST University, Malaysia
- Corresponding Author:
- Dr. Nanditha S
MDS, AIMST Dental Centre; AIMST University
Bedong, Kedah, Malaysia
Tel: 0060164640380
E-mail: nandu98402@gmail
Received Date: March 03, 2015; Accepted Date: April 13, 2015; Published Date: April 17, 2015
Citation: Nanditha S, Muthusamy S, Chandrasekaran S, Kannan S (2015) A Judicious Treatment Approach for the Management of Localized Aggressive Periodontitis: A Case Report. J Interdiscipl Med Dent Sci 3:174. doi: 10.4172/2376-032X.1000174
Copyright: © 2015 Nanditha , et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: To introduce a judicious treatment modality for Localized Aggressive Periodontitis (LAP) using graft with platelet rich fibrin (PRF) for satisfactorily regenerating bone in defect sites.
Methods: Preoperative probing pocket depths ranging from 6-8.5 mm were present in relation to the teeth 31 and 46.Clinical attachment levels were recorded to be of same values as pocket depths. Vertical bone defects were found in periapical radiographs of teeth 46 and 31. Management of tooth 46 was done with conventional techniques but in relation to tooth 31 a customized approach was used due to limited availability for regeneration. Platelet rich fibrin with bone graft was used to regenerate the combined bone defect.
Results: Soft tissue healing showed significant improvement in probing pocket depths and clinical attachment levels. (4-4.5 mm) Satisfactory bone fill of 9 mm and 6 mm were achieved in both the sites 31 and 46 respectively at the end of six months which were measured using IOPA grid system.
Conclusion: A patient with localized aggressive periodontitis was treated successfully by addressing the key factors such as early diagnosis, elimination of periodontal pathogens and regeneration of the defect sites were accomplished using combination of bone grafts and PRF.
