case_images: PMC3636928_01
case_images: (a) Upper and lower teeth showing brownish discoloration. Gingiva appears moderately inflamed (b) Moderate gingival inflammation in relation to the interdental papilla of upper and lower premolars, also note the crossbite between the upper and lower right first premolars (c) Moderate gingival inflammation in relation to the interdental papilla of upper and lower premolars, also note the crossbite between upper and lower left first premolars (d) Severe attrition in upper right and left first molars with dentine being exposed (e) Severe attrition in lower first and second molars on both the sides with dentine being exposed (f) Deep periodontal pocket measuring 8 mm in relation to mesial surface of 36 (g) Deep periodontal pocket measuring 8 mm in relation to mesial surface of 46 (h) Orthopantomogram showing pulp stones with most of the teeth, loss of cusp tips with respect to the upper and lower molars. Bone loss in relation to the mesial surfaces of all the first molars, indicative of localised aggressive periodontitis (i) Functional and esthetic rehabilitation of patient's teeth with ceramic crowns
case_images: JISP-17-111-g001.jpg
case_images: PMC3636928_01_JISP-17-111-g001.jpg
case_images: F1
case_images: The second premolars of both the upper and lower jaws showed varying degrees of attrition [Figure 1a-e]. There was no furcation involvement and mobility associated with these teeth [Figure 1f and g]. All the molars showed the presence of pulpal calcifications in the pulp chamber [Figure 1h]. The patient was on a regular maintenance programme and has been followed up for 3 years [Figure 1i].
case_images: PMC3636928_02
case_images: (a) Note the absence of enamel in the upper and lower teeth and complete absence of Cuspal tips in the lower teeth due to severe attrition. (b) Proximal caries in relation to mesial surfaces of both the upper lateral incisors. Presence of deep periodontal pocket in relation to the distal surface of right central incisor (c) The gingiva appears moderately inflammed with bulbous interdental papillae and rolled margins. Presence of deep periodontal pocket in relation to the distal surface of left central incisor
case_images: JISP-17-111-g002.jpg
case_images: PMC3636928_02_JISP-17-111-g002.jpg
case_images: F2
case_images: The mandibular teeth did not show any significant probing depths [Figure 2a-c].
case_images: Orthopantomogram shows proximal caries in relation to lower first molars and initial bone loss in relation to the distal surfaces of both molars
case_images: JISP-17-111-g003.jpg
case_images: PMC3636928_02_JISP-17-111-g003.jpg
case_images: F3
case_images: The lower left first molar presented with horizontal bone loss and the upper incisors and right first molar presented with vertical bone loss [Figure 3].