TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION

Currently, tooth-preserving techniques aimed at preserving teeth are used in patients with generalized periodontitis. These include antimicrobial therapy, professional hygiene, curettage, flap surgeries, and splinting with fiberglass materials. Along with these methods, implantation is the most reliable and predictable treatment option for severe periodontal pathology. It is important to note that long-term inflammatory processes in the periodontium lead to bone resorption, which is unfavorable for implant placement. Therefore, the management of patients with generalized periodontitis requires the coordinated work of a periodontist, a general practitioner, and an implant surgeon. Therefore, timely and effective treatment planning is essential for successful rehabilitation. The presented clinical case illustrates an example of collaboration between dentists of different specialties, which included both conservative and surgical treatment using implants. Given the patient's relatively young age and the absence of any underlying medical conditions, a decision was made, in consultation with the patient, to optimize occlusion using implant therapy and tooth-preserving techniques (in this case, dental splinting using a fiberglass material based on an inorganic matrix). Dental splinting is considered a tooth-preserving procedure and is used in periodontology, orthodontics, and microprosthetics. In all cases, it is a modern, sought-after treatment method in dentistry. The indication for dental splinting is pathological tooth mobility due to periodontitis or acute dental trauma. It limits tooth mobility by fusing them into a single unit, thereby redistributing the functional load on the teeth and restoring blood circulation and nutrition in the tissues surrounding the teeth.