Authors : Patnam Greeshma; Jammula Surya Prasanna; Vinnakota Aparna

Volume/Issue : Volume 11 - 2026, Issue 6 - June

Google Scholar : https://tinyurl.com/2xuwxv6f

Scribd : https://tinyurl.com/48kcz5bt

DOI : https://doi.org/10.38124/ijisrt/26jun1149

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Abstract : Periodontal rehabilitation often requires a multidisciplinary approach to restore periodontal health, function, and esthetics in patients with advanced periodontal destruction. This case report details the thorough management of a 52-yearold female patient who presented with generalized periodontitis associated with pathologic tooth migration, aberrant frenal attachments, gingival deformities, tooth mobility, and an angular intrabony defect in relation to tooth 37. The initial treatment involved scaling and root planing, oral hygiene reinforcement, and splinting of the mandibular anterior teeth. Corrective therapy consisted of maxillary and mandibular frenectomy, gingivoplasty in relation to tooth 22, endodontic therapy for tooth 37, and periodontal regenerative surgery using a xenograft. Clinical parameters, including Oral Hygiene Index-Simplified (OHI-S), modified Sulcus Bleeding Index (mSBI), probing pocket depth, clinical attachment level, and tooth mobility, were assessed at baseline and during follow-up visits. Progressive improvement in periodontal health was observed throughout the six-month follow-up period. Probing pocket depth in relation to tooth 37 reduced from 8 mm to 5 mm, accompanied by radiographic evidence of bone fill. Improved gingival contour and stabilization of mobile teeth were also achieved. The present case demonstrates that a sequential multidisciplinary approach can effectively restore periodontal health, improve esthetics, and enhance functional stability in complex periodontal cases.

Keywords : Periodontal Rehabilitation, Intrabony Defect, Xenograft, Frenectomy, Gingivoplasty, Periodontal Regeneration.

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