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A New Multi-Ingredient Recipe for the Treatment of Localized Advanced Periodontal Disease following the Surgical Removal of Impacted Wisdom Teeth.

Khzam N, Fell A, Fisher A, Kim P, Khan UA, Bakr MM - Case Rep Dent (2016)

Bottom Line: Periodontal disease is a chronic inflammation of the tooth supporting structures.Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M).We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar.

View Article: PubMed Central - PubMed

Affiliation: DB Dental, BDS, MPhil, DClinDent, MRACDS (Perio), Perth, WA 6159, Australia.

ABSTRACT
Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem.

No MeSH data available.


Related in: MedlinePlus

Preoperative clinical photograph of the lower right second molar.
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fig2: Preoperative clinical photograph of the lower right second molar.

Mentions: A healthy 21-year-old male, nonsmoker, was referred to a specialist periodontist (NK) for a consultation regarding a swelling and associated halitosis, which started three months after surgical extraction of right L3M tooth that was impacted in a mesioangular position as shown in the orthopantograph (OPG) (Figure 1). Clinical examination revealed an eight-millimeter-deep periodontal pocket, bleeding on probing, and suppuration on the distal root surface of the right L2M adjacent to the mesioangular impacted right L3M that was extracted three months ago (Figure 2). A new OPG and a periapical radiograph were taken to explore the distal root of L2M before surgery planning. Both radiographs showed incomplete healing and poor bone fill in the extraction socket of the right L3M, as well as vertical bone loss distal to the L2M (Figures 3 and 4).


A New Multi-Ingredient Recipe for the Treatment of Localized Advanced Periodontal Disease following the Surgical Removal of Impacted Wisdom Teeth.

Khzam N, Fell A, Fisher A, Kim P, Khan UA, Bakr MM - Case Rep Dent (2016)

Preoperative clinical photograph of the lower right second molar.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4863088&req=5

fig2: Preoperative clinical photograph of the lower right second molar.
Mentions: A healthy 21-year-old male, nonsmoker, was referred to a specialist periodontist (NK) for a consultation regarding a swelling and associated halitosis, which started three months after surgical extraction of right L3M tooth that was impacted in a mesioangular position as shown in the orthopantograph (OPG) (Figure 1). Clinical examination revealed an eight-millimeter-deep periodontal pocket, bleeding on probing, and suppuration on the distal root surface of the right L2M adjacent to the mesioangular impacted right L3M that was extracted three months ago (Figure 2). A new OPG and a periapical radiograph were taken to explore the distal root of L2M before surgery planning. Both radiographs showed incomplete healing and poor bone fill in the extraction socket of the right L3M, as well as vertical bone loss distal to the L2M (Figures 3 and 4).

Bottom Line: Periodontal disease is a chronic inflammation of the tooth supporting structures.Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M).We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar.

View Article: PubMed Central - PubMed

Affiliation: DB Dental, BDS, MPhil, DClinDent, MRACDS (Perio), Perth, WA 6159, Australia.

ABSTRACT
Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem.

No MeSH data available.


Related in: MedlinePlus