Chinese Journal of Stomatological Continuing Education ›› 2025, Vol. 28 ›› Issue (4): 259-268.DOI: 10.12337/zgkqjxjyzz.2025.04.009

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A Three-year Observation Case of Periodontal Regeneration on the Proximal Surface of Mandibular Premolars

Haijuan Hou1,2,3, Meilin Zhao1,2,3, Shiqi Huang1, Jingjing Wei1,2,3, Junji Xu1,2,3,*   

  1. 1Periodontology Department, Stomatological Hospital Affiliated to Chongqing Medical University, Chongqing, P.R. China;
    2Chongqing Key Laboratory of Oral Diseases and Biomedicine; Chongqing Municipal Universities Key Laboratory of Oral Biomedical Engineering, Chongqing, P.R. China;
    3Key Laboratory of Oral Biomedical Engineering of Chongqing Municipal Health Commission, Chongqing, P.R. China
  • Online:2025-07-31 Published:2025-07-31
  • Contact: Junji Xu. Tel: 023-88602309. Email: jjxu@hospital.cqmu.edu.cn. Address: No. 426, Songshi North Road, Yubei District, Chongqing 401147, P.R. China.
  • Supported by:
    Chongqing Municipal Science and Technology Bureau(No. CSTB2022BSXM-JCX0047)

Abstract: Objective: This case report presented a three-year follow-up observation of a 49-year-old male patient with StageⅢ Grade C periodontitis who underwent periodontal regenerative surgery on mandibular premolars. Additionally, a literature review was conducted on factors influencing periodontal regeneration. Diagnosis and treatment: Through standardized periodontal maintenance therapy and regeneration on the proximal surface of mandibular premolars, the patient's heavily involved periodontitis teeth were salvaged in a timely manner. Results: The overall periodontal health status was significantly improved, with sustained and stable periodontal control. Conliusions: The loss of interproximal attachment in periodontally involved teeth is closely associated with tooth prognosis, and the regeneration of interproximal attachment levels in periodontitis can significantly improve the prognosis of affected teeth.

Key words: periodontitis, periodontal initial therapy, periodontal supportive therapy, guided tissue regeneration, intra-bony defects