PERIO - Periodontal Practice Today
PERIO - Periodontal Practice Today 1 (2004), No. 3     1. Oct. 2004
PERIO - Periodontal Practice Today 1 (2004), No. 3  (01.10.2004)

Page 213-225

Treatment Strategies in the Case of Advanced Attachment Loss
Part 2: Extraction of Critical Teeth and Dental Restorations on Movable Abutments
Rühling, Andreas
In patients with advanced bone loss, it is desirable to use a treatment strategy that conserves critical teeth, to avoid complications during prosthetic restoration. Part 1 discussed treatment options for teeth with horizontal bone loss down to the apical third of the root, vertical bone defects with poor defect morphology, furcations with a large defect height and combined periodontal and endodontic inflammation. If a treatment strategy is followed in which critical teeth are extracted in cases of advanced attachment loss, seating a prosthetic restoration on periodontally compromised abutments cannot be avoided. In addition to periodontal treatment of the remaining dentition, this strategy should focus on periodontal risk assessment and the avoidance of biomechanical and technical complications when seating dental restorations. A case presentation of Generalized Aggressive Periodontitis followed for 11 years demonstrates the implementation of periodontal treatment and prosthetic restoration.

Keywords: treatment strategy, periodontitis, bone loss, dental restorations, tooth mobility