International Journal of Clinical Case Reports 2024, Vol.14, No.1, 1-13 http://medscipublisher.com/index.php/ijccr 4 the significant tooth loss in the patient, we opted for an implant system with high adaptability and stability. Additionally, personalized dental crowns were designed to maximize functionality and aesthetic effects. The implant surgery employed minimally invasive techniques to minimize surgical trauma and expedite the healing process (Wu et al., 2021). 2.4 Anticipated risk and complication management Any dental treatment carries certain risks and potential complications, and the patient's treatment plan is no exception. In the treatment planning, we pay special attention to the management of the following aspects of risk: 1) Infection control: Strict aseptic procedures are employed, and antibiotics are administered to prevent postoperative infections. 2) Implant failure: The risk of implant failure is reduced through precise surgical planning and techniques, along with the use of high-quality implant materials. 3) Nerve damage: Risk to nerves is avoided through precise imaging localization and surgical planning. 4) Insufficient bone: In areas with insufficient bone, bone augmentation or transplantation procedures are undertaken to provide an adequate implant foundation. 5) Crown fabrication and fit issues: Digital crown design and fabrication processes are adopted to ensure crown adaptability and precise occlusion. Through the comprehensive risk assessment and management plan outlined above, we have provided the patient with an efficient and secure treatment plan, ensuring the smooth progression of the treatment process and the ultimate success of the treatment. 3 Treatment Implementation The treatment implementation for the patient in this case includes several phases, such as periodontal treatment, implant surgery, crown fabrication and fitting, as well as subsequent follow-up plans and oral maintenance. The following will provide a detailed overview of the execution process for each stage. 3.1 Specific steps of periodontal treatment The patient's periodontal treatment began with a thorough oral examination and disease assessment, diagnosing them with moderate to severe periodontal disease. Treatment initially involved fundamental periodontal therapy, including the process of scaling and root planing to remove plaque and calculus beneath the gums and on the tooth roots. To control periodontal inflammation, localized antibiotic treatment was employed, and the patient was guided on appropriate oral hygiene habits (Xiang and Xiang, 2023). After the completion of fundamental treatment, an assessment of the treatment outcomes revealed that some deep periodontal pockets did not achieve the desired results. As a result, it was decided to proceed with periodontal surgery. The surgery involved pocket reduction and alveolar bone regeneration, aiming to further reduce the depth of periodontal pockets and attempt to restore the alveolar bone lost due to inflammation. Postoperative regular check-ups and maintenance were conducted to monitor the stability of periodontal conditions and uphold oral hygiene. When comparing the CT images from August 30, 2014, and June 21, 2015 (Figure 2), we will pay attention to several aspects to identify potential changes: 1) Alveolar bone level and quality: After nearly 10 months of periodontal treatment, we expect to see stability or improvement in alveolar bone level and an enhancement in alveolar bone quality. If the treatment is effective, the absorption of alveolar bone should slow down, and in some cases, there might be evidence of bone regeneration. 2) Signs of inflammation: Any signs of reduced inflammation, such as clearer edges of alveolar bone and no significant widening of periodontal ligament, are signs of successful periodontal treatment. 3) Tooth alignment and gaps: There may be improvements in tooth alignment and a reduction in gaps, especially if the patient underwent orthodontic treatment concurrently.
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