Bone Grafting In Aggressive Periodontitis: 12-Month Follow-Up

Aggressive periodontitis, a type of periodontitis, often causes rapid alveolar bone destruction and early tooth loss in healthy young people. Bone grafting is an important method to restore bone defects. This clinical case aims to describe the 12-month long-term follow-up of the treatment effect of bone grafting on young patients with aggressive periodontitis. An 18-year-old female patient presented with bleeding gums during brushing. Examination revealed partial anterior crossbite and moderate to severe periodontal pockets. CBCT showed extensive alveolar bone loss of half to two-thirds of the root length throughout the mouth. She was diagnosed with aggressive periodontitis. After initial periodontal treatment, periodontal flap surgery and bone grafting were performed in the anterior teeth area and the lower right posterior teeth area. One and three months after surgery, the probing depth decreased significantly. At the 1-year follow-up, there were no periodontal pockets over 3mm, and CBCT showed increased alveolar bone height, indicating good regeneration. Aggressive periodontitis leads to rapid periodontal destruction and tooth loss in young patients. This case was accurately diagnosed by combining clinical and imaging methods. Bone grafting during periodontal surgery repaired bone defects and promoted regeneration with good long-term results. Aggressive periodontitis progresses rapidly and is prone to recurrence. Bone grafting combined with guided tissue regeneration can significantly improve patients' bone defects and promote bone regeneration. However, long-term follow-up is still required to ensure the therapeutic effect.