Session
The lecture by Dr. Akira Makino and Ms. Ayako Shiinoki has been canceled. We apologize for any inconvenience caused.
Dr. DH
10/ 4（sun）
9:00 - 10:30 10:45 - 12:15
4F〜6F ホール C
Session 25
Session 26
Periodontal Treatment Case Studies:
A Team Approach to Managing Severe Periodontitis
― Long-Term Management Demonstrated Through 8-, 12-, and 30-Year Cases ― 歯周治療ケーススタディ
重度歯周炎に挑むチームアプローチ
～8年・12年・30年の症例が示す長期マネジメントの実践～
A Team Approach to Managing Severe Periodontitis
― Long-Term Management Demonstrated Through 8-, 12-, and 30-Year Cases ― 歯周治療ケーススタディ
重度歯周炎に挑むチームアプローチ
～8年・12年・30年の症例が示す長期マネジメントの実践～
Lecturer
Prognostic Evaluation of Severe Periodontitis Patients Through the Integration of Periodontal Surgery, Prosthodontic Treatment, and Supportive Periodontal Therapy: Insights from an 8-Year Follow-up
- Inflammation control through OHI and non-surgical periodontal therapy
- Alveolar bone recontouring by resective therapy and postoperative periodontal stability
- Prosthodontic treatment strategies based on comprehensive evaluation of malocclusion, abutment teeth, and missing teeth
- The importance of continuous SPT and long-term follow-up
The prognosis of patients with severe periodontitis depends not only on the surgical procedure itself but also on the quality of teamwork in everyday clinical practice. Based on an 8-year follow-up case, this lecture will discuss inflammation control through OHI and non-surgical periodontal therapy as the foundation of treatment, followed by alveolar bone recontouring through resective therapy and its contribution to postoperative stability. Prosthodontic treatment planning based on a comprehensive evaluation of the dental arch and missing teeth will also be presented. In addition, the lecture will highlight the dental hygienist's role in OHI, SPT, and patient management, as well as effective collaboration with the dentist, to demonstrate the key factors for achieving long-term periodontal stability.
Lecturer
Long-Term Management of Mobile Teeth in Patients with Severe Periodontitis: A 12-Year Follow-up of Initial Periodontal Therapy, Splinting, and SPT in a Smoker
- Assessment of tooth mobility and evaluation of tooth preservation potential
- Inflammation control through initial periodontal therapy and periodontal surgery
- Management of mobile teeth using temporary and permanent splinting
- Ten-year maintenance of mobile teeth through SPT
In patients with severe periodontitis, complete elimination of tooth mobility is often difficult to achieve. Therefore, successful long-term management depends on controlling tooth mobility throughout initial periodontal therapy, oral rehabilitation, and SPT. Following inflammation control through initial periodontal therapy and periodontal surgery, mobile teeth are evaluated and managed using temporary and permanent splinting. During SPT, patient-centered approaches that take each patient's individual background into account play a key role in preserving teeth over the long term. Using a clinical case of a smoker, this lecture will summarize the key intervention points for both dentists and dental hygienists.
Lecturer
Reviewing 30-Year Follow-up Cases: Considering the Timing and Invasiveness of Treatment Intervention
- Long-term stability following resective therapy
- Determining the timing of re-intervention
- Maintenance following regenerative therapy and implant treatment
- Treatment intervention from a life-cycle perspective
Long-term follow-up cases represent invaluable clinical evidence. By reviewing treatment outcomes during the maintenance phase, we can identify the clinical approaches and treatment trends adopted at different points in time and gain new insights from their long-term results. These cases also help us understand when and how treatment should be provided based on each patient's personality, lifestyle, and overall health status. In this lecture, we will present the long-term clinical histories of patients under our care and discuss the rationale and timing of the treatment interventions carried out throughout their course of care.
