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Open proximal contact associated with a cast restoration--progressive bone loss: a case report
1Department of Prosthodontics, Medical University of South Carolina, Charleston 29425-2603, USA.
General Dentistry
|August 7, 1998
Summary
Restoring an open contact on a tooth with periodontitis and bone loss successfully treated the condition. Regular dental recall visits maintained the patient's healthy periodontium and eliminated food impaction.
Area of Science:
- Dentistry
- Periodontology
Background:
- Periodontitis is a common dental condition that can lead to tooth loss.
- Open proximal contacts in dental restorations can lead to food impaction and periodontal issues.
Observation:
- A patient presented with periodontitis localized around tooth No. 30, which had a cast restoration with an open proximal contact for seven years.
- Radiographs revealed progressive bone loss around the affected tooth over this period.
Findings:
- Surgical periodontal therapy was performed after correcting the open proximal contact with a provisional restoration.
- A new porcelain-fused-to-metal crown was placed three months post-surgery.
- The patient has maintained a healthy periodontium for three years with regular six-month recalls.
Implications:
- Correction of open proximal contacts and surgical intervention can effectively manage periodontitis.
- Long-term maintenance and regular dental recall are crucial for periodontal health.
- Eliminating food impaction contributes to successful periodontal treatment outcomes.