| Summary: | 碩士 === 高雄醫學大學 === 牙醫學研究所 === 101 === In periodontal compromised dentition, the forces needed to maintain the teeth in a normal position are collapsed due to periodontal tissue breakdown; followed by a variety of different occlusal problems which includes: pathologic tooth migration, deepened bite, tooth loss, supraeruption, posterior bite collapse, and secondary occlusal trauma.
As critical and complex conditions exist in treating periodontal compromised dentition, two major challenges are faced, one is the control of infection and inflammation, the other is the establishment of a stable occlusion. Perio-prothetic therapy is an interdisciplinary treatment process which may involve many sectors of dental treatment such as oral surgery, endodontic treatment, adjunctive orthodontic treatment, and restoration. All these treatment regimens contribute to establish a physically stable occlusion, which will restore the function and esthetics of the patient.
Apart from the risk factors of the disease, other factors such as systemic condition, behavior, and financial demands will affect the outcome of the treatment.
A complicated yet time-consuming course is required to tailor a proper plan for every individual case; however, it is the only way to achieve the ultimate success.
In this article, 10 cases of advanced periodontal involved dentition are presented. These cases underwent a series of treatments; and restoration of function and esthetics was achieved through the use of implant supported prosthesis or telescopic dentures. After finishing the treatment, a maintenance therapy was offered, and the patients were recalled at regular intervals.
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