J Adv Prosthodont.  2010 Dec;2(4):154-159. 10.4047/jap.2010.2.4.154.

Full mouth fixed implant rehabilitation in a patient with generalized aggressive periodontitis

• Huh YH
• Shin HJ
• Kim DG
• Park CJ
• Cho LR

• KMID: 1975191
• DOI: http://doi.org/10.4047/jap.2010.2.4.154

Abstract

BACKGROUND
Generalized aggressive periodontitis (GAP) is a destructive periodontal disease that can develop in young age. Only a few cases of full mouth rehabilitation, using dental implants, have been reported in a patient with aggressive periodontitis. CASE DESCRIPTION: This clinical report describes the treatment procedures and results of full mouth rehabilitation in a patient with aggressive periodontitis. After all teeth were extracted, 6 implants were placed in the maxilla and mandible, respectively. Fixed detachable implant prostheses were made. The patient was satisfied with the final results. She was followed for 10 months postloading. CLINICAL IMPLICATION: For a long-term success, continuous maintenance care is critical, as the contributing factors of the disease (such as immune factors or periodontal pathogens) may not be controlled adequately.

Keyword

Dental implants; Fixed-detachable prosthesis; Full mouth rehabilitation; Generalized aggressive periodontitis

MeSH Terms

Aggressive Periodontitis
Dental Implants
Humans
Immunologic Factors
Mandible
Maxilla
Mouth
Mouth Rehabilitation
Periodontal Diseases
Prostheses and Implants
Tooth
Dental Implants
Immunologic Factors

Figure

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  Fig. 1 Intraoral frontal view when the patient presented initially.

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  Fig. 2 Initial full-mouth radiography.

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  Fig. 3 Radiographic stents duplicated from the provisional dentures (left), and measurement of occluso-vertical arch relationship (right).

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  Fig. 4 Parnoramic radiograph after implant installation.

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  Fig. 5 Denture teeth indices (Left: Maxilla, Right: Mandible).

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  Fig. 6 Verification indices using pattern resin.

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  Fig. 7 Final fixed detachable prosthesis.

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  Fig. 8 Periapical radiography at 10 months after delivery of prosthesis.

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