Journal of Jilin University(Medicine Edition) ›› 2020, Vol. 46 ›› Issue (05): 1082-1086.doi: 10.13481/j.1671-587x.20200531

• Clinical medicine • Previous Articles    

Soft tissue augmentation and bone regeneration combined with immediate implantation of patient with severe chronic periodontitis:A case report and literature review

HUANG Yu1, ZHAO Zhulan2, ZHONG Yang1, XU Lishuo1, LIU Chenguang3, MA Ning1, ZHANG Li2   

  1. 1. Department of Periodontics, Stomatology Hospital, Jilin University, Changchun 130021, China;
    2. Department of Emergency, Stomatology Hospital, Jilin University, Changchun 130021, China;
    3. Department of Stomatology, Jilin Provincial People's Hospital, Changchun 130021, China
  • Received:2020-02-20 Published:2020-10-23

Abstract: Objective: To observe the therapeutic effect of soft tissue augmentation and bone regeneration combined with immediate implantation on the soft and hard tissue loss in the patient with severe chronic periodontitis, and to analyze its significance for the treatment and functional recovery of oral diseases. Methods: The male patient aged 50 years old. 25 and 26 of the patient were residual roots with a height of about 2 mm below the gingival. The cone beam CT (CBCT)results showed that buccal and palatal alveolar ridge top distance of 26 from maxillary sinus floor was 5.9 and 3.6 mm, respectively. The probing depth (PD) was 5-7 mm, the attachment loss (AL) was 3-4 mm, and the bleeding on probing (BOP) was positive.The patient was treated with basic periodontal therapy, and the residual roots were removed after stabilization and maxillary sinus elevation and immediate implantation combined with the platelet-rich fibrin (PRF) and guided bone regeneration (GBR) were performed; free gingival transplantation was operated alternatively.The patient received regular examination.Results: The periodontal state of the patient was stable and oral hygiene was good. After free gingival transplantation, the donor area recovered well and the average keratinized mucosal width reached 8 mm. After 18 months of re-examination, the implant was stable and the follow-up X-ray examination results showed no significant difference in the bone density images between the peri-plant bone and the adjacent teeth. The epithelium cuff shape of implant teeth gingival was nice, gingival was pink and the keratinized gingival was sufficient. Conclusion: If the periodontal inflammation is controlled, the treatment of periodontal soft and hard tissue loss can be done by maxillary sinus elevation, PRF and GBR combined with free gingival transplantation, which will be very beneficial for the healthy survival of implants.

Key words: chronic periodontitis, immediate implantation, guided bone regeneration, keratinized gingival, platelet-rich fibrin

CLC Number: 

  • R781.45