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Article: Volume 42 Number 4 Page 385 - May 2015

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  Dent Update 2015; 42: 385-393

Periodontics:  Maintenance Periodontal Therapy after Systemic Antibiotic and Regenerative Therapy of Generalized Aggressive Periodontitis. A Case Report with 10-year Follow-up

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Abstract: Aggressive periodontitis (AgP) is an inflammatory disease characterized by rapid attachment loss and bone destruction. This case report presents the 10-year results in a subject with generalized AgP treated by a regenerative periodontal therapeutic approach and the adjunctive use of antibiotics, following a systematic maintenance periodontal therapy. The use of enamel matrix derivatives (EMD) and adjunctive antibiotic therapy to treat AgP yielded improvements in clinical parameters and radiographic bony fill. This combined therapeutic approach following a systematic supportive periodontal therapy supports the long-term maintenance of teeth with previous advanced periodontal defects, demonstrating successful stability after 10-years follow-up.

Clinical relevance: The combined treatment protocol using EMD plus adjunctive antibiotic therapy, associated with a systematic supportive periodontal therapy, benefits the long-term maintenance of teeth with previous advanced periodontal defects in subjects presenting AgP, supporting this approach as an alternative in the treatment of AgP.

Author notes: Sergio Siqueira Junior, DDS, MS, Professor, Department of Implantodontology, SENAC, Fernanda Vieira Ribeiro, DDS, MS, PhD, Professor, Department of Periodontics, Paulista University, UNIP, Karina Teixeira Villalpando, DDS, MS, PhD, Professor, Department of Periodontics, Pontificia Catolic University, PUC, Campinas, Fabiano Ribeiro Cirano, DDS, MS, PhD, Professor, Department of Periodontics, Paulista University, UNIP, Suzana Peres Pimentel, DDS, MS, PhD, Professor, Department of Periodontics, Paulista University, UNIP, São Paulo, Brazil.

Objective: To evaluate a therapeutic approach to treating a patient with generalized AgP with advanced osseous defects.

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