Clínica Serrano Sánchez

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Complex Clinical Case: Comprehensive Treatment of Periodontitis

caso clinico tratamiento integral periodoncia Clínica Serrano Sánchez

At Clínica Dental Serrano Sánchez, we pride ourselves on providing an integrated and multidisciplinary approach to address complex dental issues. Today, we share the story of a patient who sought a second opinion after being advised to extract several teeth due to advanced periodontitis at another clinic. Concerned about the aesthetic and functional consequences of losing multiple teeth, this case illustrates how collaboration among our specialists allowed us to save her teeth and fully restore her dental health and aesthetics.


Initial Evaluation

The initial consultation was conducted by our medical director and specialist in Periodontics and Implants, Dr. Serrano. He performed a thorough evaluation, which included a detailed review of the patient’s dental history, radiographs, and a clinical examination to assess the condition of the gums and bone loss. This comprehensive assessment was crucial for developing an effective treatment plan tailored to the patient’s needs.

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Multidisciplinary Treatment Plan

Following the initial evaluation, we decided to approach the case conservatively and with a multidisciplinary focus. An integrated treatment plan was designed, involving several of our specialists to ensure comprehensive care tailored to the patient’s needs. This collaborative approach allowed us to address all aspects of the patient’s dental health, aiming for optimal outcomes in both functionality and aesthetics.


Phase 1: Periodontal Treatment

Dr. Serrano began the treatment with a decontamination and deep cleaning phase (scaling and root planing) to eliminate bacteria and tartar beneath the gums. Several follow-up sessions were scheduled to monitor the gums’ response to the initial treatment.

In the second phase, advanced periodontal treatment was performed through periodontal regeneration surgeries, restoring the lost bone in the most affected teeth. This comprehensive approach aimed to ensure optimal healing and recovery of the patient’s oral health.

Phase 2: Bite Correction and Alignment

Once periodontal health was stabilized, we assessed the bite and alignment of the teeth not only for aesthetic purposes but also to maintain the health achieved in the first phase. Using braces, we corrected the bite and improved the distribution of occlusal forces, which reduced the risk of periodontal disease progression and enhanced dental aesthetics. This careful alignment process was essential for ensuring long-term oral health and functionality.

Phase 3: Dental Restoration and Aesthetics

Once periodontal health was stabilized, we focused on dental restoration and aesthetics. This phase involved using advanced techniques to enhance the appearance of the teeth while ensuring their functionality. Our goal was to create a harmonious smile that complemented the patient’s facial features, providing not only aesthetic benefits but also reinforcing the health and stability achieved in previous phases. Through careful planning and execution, we ensured optimal results in both restoration and aesthetics.

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Phase 4: Dental Implants

Finally, Dr. Serrano placed a dental implant in an area where the patient had experienced tooth loss for years. This process involved careful planning and the precise placement of the implant, followed by the attachment of the definitive crown. This step completed the comprehensive treatment, restoring both function and aesthetics to the patient’s smile.


Results

The multidisciplinary treatment resulted in a completely rehabilitated mouth, featuring healthy gums, a corrected bite, and improved dental aesthetics. This comprehensive approach not only restored functionality but also enhanced the overall appearance of the patient’s smile, significantly boosting their confidence and quality of life.


Conclusion

The multidisciplinary treatment resulted in a fully rehabilitated mouth, preserving the teeth the patient feared losing, alongside healthy gums, a corrected bite, and enhanced dental aesthetics.

The ability to keep her natural teeth and significantly improve her smile has boosted her confidence and well-being. The patient expressed her delight in choosing our clinic, particularly appreciating the human touch and dedication of our specialists.