Prognosis revisited-an attempt to solve the clinical dilemma

Author: 
Missriya, Parimala Kumar, Thasneem AA, Manjushree Kadam, Zunaidha and Shreerashmi Nambiar

Introduction: Periodontal therapy aims to prolong the lifespan of the dentition as preserving the natural dentition is the best option.The decision to retain a tooth is based on the local tooth related factors and the probability of long-term success of one or more treatment modality.
OBJECTIVE:This clinical case report provides an insight into a newer prognostic model proposed in 2015 by Martinez-Canut which considered five patient related and six tooth related factors to assess tooth loss due to periodontal disease in patients following periodontal maintenance.
Methodology:
1ST CASE: A 40 year old female patient inrelation to 46,McGuire’s Classification showed a poor prognosis,but the Martinez Canut Prediction model gave a score of 0.088 that implied good prognosis and a survival rate of 6-20years.
2ND Case: A 52 year old female patient inrelation to 46,McGuire’s Classification showed a poor prognosis,but the Martinez Canut Prediction model gave a score of 0.110 that implied good prognosis and a survival rate of 6-20years.
3RD Case: A 43 year old female patient inrelation to 46,McGuire’s Classification showed a poor prognosis,but the Martinez Canut Prediction model gave a score of 0.037 that implied good prognosis and a survival rate of 9-20years
Result: 1ST and 3rd CASE:Rootcanal treatment followed by periodontal surgery using a combination of bone graft and collagen membrane resulted in clinical and radiographic indication of periodontal healing.
2nd CASE: periodontal surgery using a combination of bone graft and collagen membrane resulted in clinical and radiographical indication of periodontal healing.
Conclusion: This prediction model needs to be followed as it gives a better prognosis than the existing model,where you can justify your treatment to the patient by explaining the model used which relies on mathematical formula and its not just subjective.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.20516.4011
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