International Journal of Clinical Case Reports 2024, Vol.14, No.1, 1-13 http://medscipublisher.com/index.php/ijccr 10 In summary, the image shows a successful case of combined periodontal implantation, with good functional recovery of the implant and crown, however, the true clinical outcomes need to be determined through patient feedback, periodontal health assessments, and regular maintenance and examinations. To ensure optimal long-term results, it is recommended that Mr. Fang continues to collaborate with his dental professional for regular oral health check-ups. 4.2 Osseointegration of implants Following the implant surgery, the osseointegration of the patient's implants is excellent. Postoperative CT scans reveal high bone density around the implants, clear margins, and no apparent bone defects. The implants exhibit a tight connection with the alveolar bone, indicating good biological compatibility between the implants and the surrounding bone structure, and a smooth osseointegration process. No signs of implant loosening or peri-implant bone resorption have been observed during the regular follow-up examinations at 3 months, 6 months, and annually thereafter (Zhao, 2023). 4.3 Functional recovery Following implant reconstruction, the patient's chewing function has been significantly restored. Through assessments of chewing efficiency and bite force, it has been observed that the patient experiences no apparent difficulties in chewing various types of food. The restored teeth exhibit a balanced bite, without any discomfort, allowing the patient to comfortably engage in daily dietary activities. 4.4 Aesthetic effect evaluation The fabrication of implant crowns took into consideration the patient's facial features, skin tone, and the natural color of their teeth, making the final restoration effect as consistent as possible with the height of natural teeth, beautiful and natural. The shape and color of the crowns coordinate with adjacent teeth, ensuring a natural smile line and restoring facial harmony proportions. This has significantly enhanced the patient's confidence and social comfort (Wang et al., 2023). 4.5 Patient satisfaction and improvement in quality of life Through satisfaction surveys and assessments using quality of life questionnaires, we received positive feedback from the patient. The patient expressed high satisfaction with the treatment outcomes, particularly in terms of aesthetics and functional restoration. Additionally, the patient reported significant improvements in social interactions, daily activities, and overall psychological well-being. These positive changes further validate the success of the comprehensive treatment plan and underscore the importance of improving oral health in enhancing overall quality of life. In conclusion, the patient's case demonstrates the effectiveness of a comprehensive treatment approach combining periodontal foundational therapy with tooth implant reconstruction. From the stability of periodontal health to the successful osseointegration of implants, and finally, to the comprehensive restoration of function and aesthetics, each step was meticulously planned and executed, ensuring the patient achieved a satisfactory treatment outcome. The success of this case provides valuable insights and reference for the treatment of similar complex oral conditions. 5 Discussion In the realm of periodontal disease treatment and the reconstruction of missing teeth, the patient's case is a complex and typical example that spans a decade. This case not only highlights the intricacies of a comprehensive treatment approach but also underscores the critical decisions that need to be made in practical implementation. 5.1 Key decision points in the treatment process Throughout the patient's treatment journey, the most crucial decision points included the initial comprehensive assessment and planning, the selection of appropriate timing, and the treatment approach. During the assessment, we integrated information about the patient's periodontal condition, distribution of occlusal forces, alveolar bone
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